Sunday, June 5, 2011

Fertility charting - Ovulation Calendar

I have always been recorded the first day of my period as far as I can remember, from the beginning I think. I noted down the first day and also for how long it lasted (usually for 5 days). My cycle was 26-27 days long. It's a good way to keep an eye on it and easy to know what's happening.

On the tenth day after my miscarriage I started to measure my BBT (Basal Body Temperature) and started to charting it on FertilityFriend to find out my ovulation day. With an 'average' cycle length (28 days) it is on the 14th day, so half way, two weeks before the period (a menstrual cycle may be anywhere from 21 to 35 days). I calculated mine would be on the 12th or on the 13th and I was curious to see it.

So I stared to chart. Every morning, same time (yes, even on weekends too) after waking up but not getting out of the bed. It is best done with a special BBT thermometer, but is was expensive and unavailable so I bought a digital thermometer (it beeps when ready and remembers the measured temperature). The key is same time every morning!

fertility-chart-april2011
Each cycle has three phases: menses, follicular phase and luteal phase. Menses is the period (the cycle begins on the first day of the period). Follicular phase is the phase before ovulation, when the ovarian follicles are developing. Luteal phase is the phase after ovulation. The length of the follicular phase may vary but the luteal phase length is generally constant from cycle to cycle for the same woman.

In a menstrual cycle several ovarian follicles begin to mature and develop under the influence of pituitary hormones. The growing follicle secretes the hormone estrogen. The surge of luteinizing hormone (LH) triggers the release of the fully developed (matured) egg from its follicle. The egg (ovum) begins to travel towards the uterus in the fallopian tube. This is where fertilization takes place.

The follicle that released the egg (becomes corpus luteum) begins to secrete the heat-inducing hormone, progesterone (only released after ovulation). When you see the BBT raise the ovulation has passed. So charting the BBT alone it only can tell you when you pass ovulation. Temperature rise after ovulation!

fertility-chart-may2011
Chart Key: On the side is the temperature scale, the top is the date, and the bottom is the cycle day line with the cycle days. Day 1 is (cycle begins) when fresh blood observed (spotting doesn't count). The menses (pink square) can be light (L), medium (M) or heavy (H). A star (*) is for spotting. Blue dots are used when temperature is measured in the set time (mine is 06:45), and circles are in use when there is a large time difference. The vertical red line marks the day of ovulation (detected automatically based on recorded data). The horizontal red line is the coverline (it helps to see the pre- and post-ovulation temperatures).

To observe other fertility signs (estrogen levels are high and ovulation is approaching) such stretchy, egg white' cervical fluid (CF or CM) and a high, soft and open cervix can more correctly pin-point the ovulation. As a beginner in all this I am just measuring my BBT for now.

Tuesday, May 17, 2011

Forum abbreviations

I don't know about you but I needed some time to decode and get used to the abbreviations what are in use on pregnancy related forums. Here is a few, feel free to add more to this list:

A&E = Accident and Emergency Department
AF = Aunt Flow (period)
BBT = Basal Body Temperature
BFN = Big Fat Negative
BFP = Big Fat Positive
BIL = Brother In Law
BP = Blood Pressure
CM = Cervical Mucus
D&C = Dilation and Curettage (surgical procedure)
DD = Dear/Dearest/Darling Daughter
DH = Dear/Dearest/Darling Husband
DS = Dear/Dearest/Darling Son
DPO = Days Past Ovulation
ECV = External Cephalic Version (turning a breech baby during pregnancy)
EDD = Estimated/Expected Date of Delivery
EPU = Early Pregnancy Unit
ERPC = Evacuation of Retained Products of Conception
EWCM = Egg White Cervical Mucus
FHB = Foetal Hearth Beat
FIL = Father In Law
FMU = First Morning Urine
HPT = Home Pregnancy Test
HCG = Human Chorionic Gonadotropin (pregnancy hormone)
IF = Infertility
IVF = In Vitro Fertilisation
LMP = Last Menstrual Period
MC = Miscarriage
MIL = Mother In Law
MMC = Missed Miscarriage
MOH = My Other Half
O = Ovulation
OB = Obstetrician
OPK = Ovulation Predictor Kit
POAS = Pee On A Stick
SIL = Sister in Law
SO = Significant Other
TTC = Trying To Conceive
US = Ultrasound (Sonography)
VBAC = Vaginal Birth After C-section

Wednesday, May 11, 2011

Back on track

My period has returned today, 30 days (one month sharp) after a 97 days short (or long in that matter) pregnancy (which was anembryonic) ending with a (missed) miscarriage at 13+6.

The doctor scared me with more blood and pain than usual for this first one. Heavier bleeding indeed but no pain at all. A bit of discomfort that's all it was today. I mentioned earlier that before I started the preparations (i.e. taking supplements) for my pregnancy I had serious cramps on the first day of my period, but the zinc in the conception vitamin formula helped to solve this problem and since (August 2010) my periods are virtually painless. So is this one.

In the past two or three days I was irritated (poor DH) and hungry all the time even right after dinner. I could only hope that I'm not pregnant right away as I want to wait two periods to give some time to my body to get the confidence and strength back.

I had no idea when should I expect the return of AF (Aunt Flow = period), so I calculated from my January LMP. According to these calculations it is 5 days earlier. How interesting, it kept the pattern!