scholarly journals Monitoring of ovarian activity by measurement of urinary excretion rates using the Ovarian Monitor, Part IV: the relationship of the pregnanediol glucuronide threshold to basal body temperature and cervical mucus as markers for the beginning of the post-ovulatory infertile period

2015 ◽  
pp. dev303 ◽  
Author(s):  
Leonard F. Blackwell ◽  
Pilar Vigil ◽  
María Elena Alliende ◽  
Simon Brown ◽  
Mario Festin ◽  
...  
1970 ◽  
Vol 2 (2) ◽  
pp. 123-132 ◽  
Author(s):  
Judith Bailey ◽  
John Marshall

SummaryThe basal body temperature was recorded by 1353 healthy fertile women aged 18 to 49 years inclusive through 12,247 cycles. The post-ovulatory (hyperthermic) phase of the cycle was significantly longer by 1·31 days in cycles with a slow or staircase rise of temperature than in cycles with an acute rise. The hyperthermic phase increased in length in a rectilinear fashion from 10 to 13 days as the total cycle length rose from 22 to 29 days; over total cycle lengths from 29 to 33 days the length of the hyperthermic phase remained around 13 days.


1985 ◽  
Vol 17 (S9) ◽  
pp. 5-23 ◽  
Author(s):  
James B. Brown ◽  
Patricia Harrisson ◽  
Margery A. Smith

SummaryLongitudinal studies involving weekly measurement of urinary oestrogen and pregnanediol excretion were performed in 55 post-partum women to identify the patterns of returning fertility. The women kept diaries of breast-feeding episodes, mucus symptoms and times of bleeding; some recorded basal body temperature and acts of intercourse. The study represented a total time of 36 years (7·8 months per woman). The majority of the women were breast-feeding throughout the study. During lactation amenorrhoea, there was complete ovarian quiescence in two-thirds of the subjects and minimal cyclic activity in the others. The first bleeds were associated with anovulatory ovarian activity in 40% of the women, with normal ovulation in 19%, with ovulation but short luteal phases in 25% and with ovulation but deficient luteal phases in 16%. The incidence of normal ovulatory cycles increased with time after delivery and with the number of cycles after delivery and eventually reached 85% even though many women were still breast-feeding at the time. Twenty-two pregnancies occurred, fourteen being unplanned: eight women were fully breast-feeding at the time of conception. Mucus symptoms correlated with the hormone values in approximately 60% of cycles. However, some women had symptoms which were difficult to interpret during their early cycles or potential fertility was not indicated by raised mucus scores or the presence of the peak mucus symptom. These problems together with the resulting confusion appeared to be the major causes for the unplanned pregnancies. Methods for coping with these problems are discussed.


Author(s):  
Eka R Gunardi ◽  
Alexander Mukti ◽  
 Herbert Situmorang

    Objective: To make basal body temperature examination andcervical mucus as an alternative examination in detectingovulation, especially in health facilities that do not have ultrasound.   Methods: This cross-sectional study was conducted at the outpatientclinic of RSUPN Dr. Cipto Mangunkusumo in the year2016-2017. A total of 49 infertile female patients who had normalmenstrual cycles were asked to participate and performedbasal body temperature measurements, cervical mucussampling and transvaginal ultrasound examination, the dataare subsequently grouped into 3 Days Estimated Ovulation(DEO); DEO-2 days, DEO and DEO+ 2 days. Diagnostic testswere performed and accurate comparison between basal bodytemperature, cervical mucus and a combination of both werelater assessed.   Results: The best accuracy was found on cervical mucus andcombination of both with 65% in detecting ovulation, whilstthe lowest was basal body temperature (59%) with sensitivity46.7%, and specificity 78.9%. Cervical mucus in diagnosingovulation has a sensitivity of 70% and specificity 57.8%. Thecombination of temperature-cervical mucus in diagnosing ovulationhas sensitivity of 46.67% and specificity of 94.73%.   Conclusion: Cervical mucus examination has better accuracy comparedwith basal body temperature examination in detecting ovulation.Further research for validating these diagnostic tools to thewider community and not only in patients with infertility is needed.   Keywords: basal body temperature, cervical mucus, infertility, ovulationdetection, ultrasound


1971 ◽  
Vol 66 (4) ◽  
pp. 702-710 ◽  
Author(s):  
U. Larsson-Cohn ◽  
E. D. B. Johansson ◽  
C. Gemzell

ABSTRACT Daily determinations of the plasma level of progesterone and the urinary excretion of oestrogens were performed in five subjects during one control cycle followed by three months of treatment with 0.03 mg of d-norgestrel. The control cycles were ovulatory according to the parameters investigated, although one of the women showed a monophasic basal body temperature. During treatment there was a tendency to a decrease of the oestrogen excretion. Three of the women showed one or several cycles with low progesterone levels. It is believed that this was due to a defective function of the corpus luteum. It seems that the effect of the present drug on the corpus luteum activity was about equal to that of chlormadinone acetate 0.5 mg daily, while 0.3 and 0.5 mg of norethindrone depressed the function more markedly.


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