BBT Charting (Basal Body Temperature) Do’s and Don’ts

Medically Reviewed By

Dr. Patti Haebe, NMD

on

bbt

Basal body temperature tracking is a way to both identify when you ovulated and confirm that you have ovulated in the last cycle.

The basis for basal body temperature, or BBT tracking, is identifying the increase in a hormone called progesterone that occurs after successful ovulation. Progesterone actually raises your basal body temperature by 0.5 – 1 degree Fahrenheit after ovulation. When this thermal shift is present, it indicates sufficient progesterone levels to confirm ovulation.

Smart apps like Premom can use this information to help predict when your next month’s ovulation will occur, so you can time intercourse correctly and maximize your chances of getting pregnant. BBT is quite simple once you get the hang of it, but there are some key “do’s and don’ts” that will ensure you have better success with temperature tracking to monitor your health or fertility.

What Does High and Low Basal Body Temperature Mean?

Following ovulation, your BBT rises around 0.5°F (0.3°C) to 1°F (0.6°C) and remains elevated until the start of your next cycle. This increase in temperature is due to the corpus luteum releasing the hormone progesterone after the egg is released. This sustained rise in BBT is a strong indicator that ovulation occurred – Hello two-week-wait!

A lower BBT is a sign that you’re in the pre-ovulation phase, also known as your follicular phase.  During this time, your body prepares to release an egg and the hormone estrogen is dominant.  In contrast to progesterone causing a temperature increase, estrogen promotes a lower temperature.

Though these are common reasons for low and high BBTs, they could be related to an underlying condition. If you feel that your BBT patterns aren’t correlating with your cycle, feel free to reach out to your doctor as it could be related to a hormonal imbalance.

What To Expect with BBT Monitoring

Monitoring your BBT is simple and fuss-free, but it’s essential to establish a routine for accurate results. You’ll need a BBT thermometer specifically designed for tracking fertility, like this Easy@Home smart basal thermometer. It automatically syncs and charts your temperatures in the free Premom app – talk about simplicity!

Here’s the best way to accurately track your BBT:

  1. Make sure to get 3 consecutive hours of uninterrupted sleep.
  2. Set an alarm on your phone at the same each morning to take your temperature.
  3. Immediately upon waking, before getting out of bed, take your temperature, upload it to the Premom app, and viola!

Here are a few BBT Do’s and Don’ts…

take your temperature sporadically or only around ovulation.

You don’t usually need to temp during your period; however, you might if your period is on the longer side. Be sure to test your BBT throughout the entirety of your cycle! Because we are looking for a “shift” in temperatures, we need many days worth of data to confidently identify this change.

✅ DO take your BBT (basal body temperature) daily.

That’s right, every single day! The reason being is so Premom can identify the shift from pre-ovulatory low temperatures to post-ovulatory high temperatures, in order to confirm ovulation. If you aren’t testing every day throughout your cycle, you could miss this key shift. Without it, a “coverline” cannot be added to your chart, which is the line that separates the low pre-ovulatory temperatures from the higher post-ovulatory temperatures.

DO take your BBT immediately upon waking.

Your basal body temperature is your body’s lowest temperature at rest. When you begin to move, or are out and about, it increases your body temperature and doesn’t let you get an accurate picture of your body temperature when at rest. It’s only in this “resting” state that we can really see the impacts that sex hormones fluctuating can have on your BBT.

DON’T eat or drink before taking your BBT.

Cold water, hot coffee, teeth brushing . . .  even chewing gum can all throw off your BBT! Because we want to get an accurate snapshot, stick that thermometer in your mouth immediately upon waking, morning breath and all!

DO take your temp at the same time every day.

It’s best to set that alarm clock and take your BBT at the same time every day. When you wake up daily at 6am on weekdays but not until 11am on the weekends, it could cause a variance in your temperature readings. It’s best to keep it consistent — ideally within a half hour — of when you normally wake up.

DON’T talk or get up before taking your BBT.

Talking can cause a cooling effect and potentially shift your oral temperature reading. Moving, walking (even if it’s just to the bathroom) could begin to alter your body temperature, so it’s best to take that temp before you move a muscle!

DO use a special thermometer meant only for BBT, and DON’T use a regular thermometer for BBT.

Basal body temperature thermometers extend an extra decimal place to give you a more precise temperature reading, and these little changes matter, a standard oral thermometer for when you are sick will simply not do! Premom has a “smart” Bluetooth-enabled thermometer that automatically syncs with your phone, so you don’t have to worry about writing your temperatures down or manually inputting numbers.

DO use in conjunction with the Premom app to synchronize and chart your temperature.

Paper charting leaves too much room for human error and takes a while to get used to! Premom’s smart technology removes the guesswork for you, graphs your temperatures, predicts your ovulation and identifies your coverline.

Try a free Premom app fro your BBT charting & tracking

DON’T focus on any one individual temp, but rather the trend (coverline).

It’s the trend that matters! Our key takeaway is identifying low pre-ovulatory temperatures versus high post-ovulatory temperatures. This is why tracking daily and throughout your entire cycle is essential, as we discussed above.

DO get at least 3 hours of sleep before you take your temperature.

Sorry new moms, you’ll need 3 hours of consecutive sleep before waking to take your BBT. This allows your body to fully rest and get an accurate reading. If breastfeeding with a newborn, or if you work night shifts, take extra caution when using BBT to avoid pregnancy, as you do need this consolidated sleep for accuracy.

DO turn on the BBT reminder in your app.

Premom makes it easier to remember to take your temperature daily!

check your bbt online

Benefits of Tracking Your BBT Online

By utilizing a fertility app, like Premom, you can expect:

  • Convenience: Easily record and access your temperature data anytime, anywhere, using your smartphone or computer. No more manual note-taking or losing those precious paper charts.
  • Accuracy: Eliminate the risk of human error by avoiding manually charting your temperature on a graph, bonus points if you let a Bluetooth BBT do the uploading for you. Plus, it’s much easier on the eyes!
  • Trend Analysis: Identify recurring patterns over multiple cycles to better predict and understand your cycle. This helps you plan intercourse on your most fertile days.
  • Data Visualization: Seeing your temperatures on a visually appealing chart makes it easier to interpret your patterns and observe the changes throughout your cycle.
  • Ovulation Monitoring: When combined with other fertility awareness methods like monitoring cervical mucus and using ovulation predictor kits, you can feel confident and empowered during your trying to conceive journey.
  • Community Support: Join a supportive community to connect with other women on a similar journey. Ask questions, share your thoughts, and learn something new every day!

Basal body temperature tracking has been around for a long time and for good reason! It’s easy and inexpensive, it gives you tons of information about your body, especially when you take advantage of smart technology with a Easy@Home Bluetooth thermometer that syncs directly to the Premom app.

Premom Ovulation Tracking and Fertility App

References

  • Steward K, Raja A. Physiology, Ovulation And Basal Body Temperature. 2022 Jul 18. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 31536292.
  • Su HW, Yi YC, Wei TY, Chang TC, Cheng CM. Detection of ovulation, a review of currently available methods. Bioeng Transl Med. 2017 May 16;2(3):238-246. doi: 10.1002/btm2.10058. PMID: 29313033; PMCID: PMC5689497.

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About Dr. Patti Haebe, NMD

Dr. Patti Haebe is the Senior Medical Advisor at Premom Fertility and specializes in preconception care, hormone optimization and integrative fertility. Dr. Haebe received her Doctorate of Naturopathic Medicine from the Sonoran University of Health Sciences and holds a Bachelor's degree in Integrative Physiology from the University of Colorado at Boulder.