Ms. Wang, a resident of Tianhe District, had been unable to conceive for five years after marriage. She recently sought consultation with Dr. Li Ying, Chief Physician of Reproductive Health and Infertility at Guangzhou Ren'ai Hospital. During their conversation, Ms. Wang became visibly emotional and tearful. Dr. Li Ying gently took her hand in a gesture of comfort."Are your hands always this cold? Is your menstrual cycle irregular?" After confirming her observations, Dr. Li remarked meaningfully, "This may be the root cause of your infertility."
Subsequent tests confirmed that insufficient corpus luteum function and ovulation disorders were directly causing Ms. Wang's low body temperature—the core issue behind her infertility.After identifying the cause and ruling out conditions like unruptured follicle syndrome, Dr. Li developed a scientific ovulation induction plan for Ms. Wang, resolving her five-year infertility issue.
Ovulation disorders account for about 30% of infertility cases.
Ovulation disorders, also known as anovulation, are one of the primary causes of female infertility, accounting for approximately 25% to 30% of cases.Beyond infertility, ovulation disorders can also cause menstrual irregularities, amenorrhea, hirsutism, obesity, and other symptoms. Dr. Li Ying explains that typically, a woman's basal body temperature rises by about 1°C around ovulation. This means ovulation only begins when the basal temperature increases by approximately 1°C, marking the optimal time for conception. If ovulation fails to occur during the fertile window, the temperature remains low.
In reality, some women mistakenly believe menstruation alone indicates ovulation has occurred. However, this is not necessarily true. Li Ying pointed out that if the basal body temperature does not fluctuate (rise), ovulation may not have occurred even if menstruation begins. This situation is common in women with anovulatory uterine bleeding and those with follicular rupture syndrome (also known as pseudo-ovulation).
Measuring Basal Body Temperature to Determine Ovulation
Li Ying also cautions that ovulation is influenced by factors such as environment, emotional state, overall health, sexual activity, and contraceptive medications. Ovulation may sometimes occur earlier than expected, result in the release of two eggs, be delayed, or even temporarily cease.Relying solely on menstrual cycle calculations may sometimes fail to pinpoint the ovulation date. Women of childbearing age can determine their ovulation period by measuring basal body temperature. Intercourse during this time offers the highest chance of conception.
Beyond tracking basal body temperature, other methods can help women identify their ovulation window. Observing cervical mucus is one such method: thin mucus may indicate no ovulation has occurred. Longer, stretchy mucus with elasticity suggests ovulation has begun. After ovulation, the mucus typically becomes thicker and stickier. If no such signs appear, it may be wise to consider whether underlying health issues exist.
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