I woke up yesterday at the appointed time and popped the BBT thermometer in my mouth. When it beeped telling me it was complete, I squinted my eyes and peered at the reading – 97.4. I thought, “That’s not right! That’s not a post-O temperature!” So, I took my temperature again and it told me my temp was 97.1. What?! Not only not a post-O temperature, but not consistent. I grabbed my glasses and turned on the light and went for the third reading, and the thermometer gave me the battery signal. “Phew” I thought, “It is just the battery, nothing wrong here.
I went about my business yesterday, but for the sake of due diligence I checked my cervix (hard and closed much like Fort Knox) and the mucus (tacky like glue), and I bought another BBT thermometer. All signs said non-fertile so surely the temperature was a fluke. In fact, I was so confident that I cancelled my appointment with my RE to check and make sure I ovulated. I thought I would save myself the drive back to Orange County, as well as saving ourselves $175 dollars for the ultrasound and the bloodwork.
Surely you know where this is going.
This morning I woke up early at 5 am. Ninety minutes earlier than my usual morning call. Same drill. I popped my new thermometer in my mouth and waited for the beep. I pulled it out and it was 97.7. Too low. I took my temperature with the old thermometer and it gave my 97.7. My temperature was 97.7, for real.
As one can imagine, this was and is distressing. It actually was ugly-cry distressing. Not just the seeping eye cry, but the ugly sob cry. That cry only rears its ugly head every once and a while. So I cried. And then I spent some time thinking about why I did not have a thermal shift. It was 5 am. I had a lot of time to think about it.
Option One: I did not ovulate. Despite the two 21 mm follicles on my right ovary, despite the strongest LH surge I’ve ever had, despite the days of fertile cervical mucus, and despite the hCG trigger shot, I did not ovulate. My ovaries defied all odds and didn’t release the eggs. Because the follicles dissolved or disappeared, there is no corpus luteum to produce the progesterone. Without the progesterone there is no thermal shift.
Reaction to Option One: Utter disappointment. Things were looking so good. Why wouldn’t I ovulate? I ovulate on my own without either Metformin or Clomid. Metform ensures I ovulate regularly. Clomid was supposed to create a stronger ovulation. On top of this, I took a $75 trigger shot that ensured I would ovulate. Why would I NOT ovulate? If $435 worth of interventions only ensured I would NOT ovulate, what the fuck am I doing? Why don’t I just leave well enough alone?
Option Two: I ovulated, but my progesterone levels are ridiculously low. So low that a thermal shift is not evident. On top of everything else, I also have some sort of luteal phase defect. Alternatively, I am going to have a slow rise as described in an appendix of TTCOYF, which may or may not be indicative of a luteal phase defect.
Reaction to Option Two: Well, at least it’s treatable. What’s another shot of progesterone in the ass at this point? Not much. But why did my miscarriage create an issue with my luteal phase?
Option Three: I called my naturopath. She thinks Option Two occurred. She also put it out there that in her practice she has seen women not experience a thermal shift when they have multiple follicles. One follicle releases the egg, the others don’t release eggs but are still active, this suppresses the production of progesterone by the corpus luteum.
Reaction to Option Three: Skeptical.
What to do now? Not much. I called my RE’s office and explained that I cancelled the appointment today because I am still in Palm Springs, however could I please submit some blood to the nearest lab? The receptionist was going to call me back when the lab order was submitted. That was six hours ago.
I also double-checked my cervix. Still locked down like the Alamo. Definitely not fertile.
Here’s a question for the charting ladies. I read in several sources that one should adjust the temperature depending on the time you wake up. It should be adjusted .1 degree Fahrenheit for every half an hour. I’ve practiced this since I started charting. I’ve played with my charts, looking at whether or not it changed patterns or ovulation dates. It never has. Except today. If I adjust the temperature for this morning, I get 98.0. If I also throw out the low temperature yesterday because of the faulty battery, I get a biphasic chart, but only if I adjust the temperature. That feels like a lot of IFs and BUTs. I’m not interested in deluding myself.
Has anyone heard of adjusting temps based upon the time?