用基础体温图估计排卵日的方法

Masahiko Kusuda, Toshikazu Onoue
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引用次数: 0

摘要

研究并评价了用基础体温波动估计排卵日的方法。将月经前10天平均基础体温上下0.1℃以内的温度变化定义为低温相范围。当基础体温连续4天升高并保持在低温期以上时,认为已进入高温期,并将进入高温期的前一天估计为排卵日。连续测量清晨样本的尿LH浓度,确定LH峰值日。通过比较基础体温和尿LH峰来检验该方法的准确性。36个周期(69%)BBT在排卵最可能发生前后两天内下降,46个周期(88%)BBT在LH高峰前后两天内下降。由于黄体酮以外的其他因素对基础体温的影响,这些估计值略有分散。这似乎是使用基础体温来达到这个目的的不可逾越的限制。在没有任何其他方法来估计排卵日期的情况下,我们简单客观的方法是非常实用和有用的。
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A Method for Estimating the Day of Ovulation by Basal Body Temperature Chart
The method for estimating the day of ovulation by the basal body temperature fluctuation was studied and appraised. The temperature variation within 0.1°C above or below the mean basal body temperature of the first 10 menstrual days was defined as the hypothermic phasic range. When the basal body temperature rose and remained above hypothermic phase for 4 consequtive days, it is considered to have shifted into the hyperthermic phase and the day before a shift into the hyperthermic phase was estimated as the day of ovulation. Continuous measurement of urinary LH concentrations from early morning samples established the LH peak day. The accuracy of this method was examined by comparing the basal body temperature and urinary LH peak. In 36 cycles (69%) BBT fell within two days around when the ovulation was most likely to occur, and fell within 2 days before and after the LH peak in 46 cycles (88%). A slight scattering in the estimates was due to the influence of factors other than progesterone on the basal body temperature. This seems as insurmountable limit to using basal body temperature for this purpose. In absence of any other means than BBT to estimate the day of ovulation, our simple objective method is quite practical and useful.
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