What is Basal Body Temperature?

Basal Body Temperature (BBT) is the temperature of the body on waking – when the body is rested. At this point, metabolism and temperature are at a baseline.

The BBT has been used in the past to identify the times when a woman is ovulating in order to either encourage or avoid conception. This is possible because there is a (relatively) reliable variation in the body temperature through the menstrual cycle due to hormonal changes. However, not all women follow the typical pattern, and the method is not sufficiently reliable to use as a form of contraception.


The Basal Body Temperature Chart

An example BBT chart is shown below:

Example BBT chart


There are two main phases during the menstrual cycle:

  • The follicular phase (before ovulation)
  • The luteal phase (after ovulation)

The temperature is normally lower during the follicular phase, raising rapidly soon after ovulation. The temperature then remains at a higher level during the luteal phase, reducing again around the time of menstruation. On the chart above, ovulation can be estimated to be around day 14.


Acupuncture and BBT charting

In Chinese medicine, the BBT chart can be used for more than estimating the time of ovulation. We look at

  • The average temperature during each phase
  • The rate and extent of the rise and fall in temperature, and
  • The general shape of the chart

These all give information on the prevailing energetic patterns. We can use the BBT chart to clarify our diagnosis in cases where there is any kind of abnormality in the menstrual cycle. For example, short, long or irregular cycles, painful or no menstruation, or if there are early menopausal symptoms.

There are other signs and symptoms that can be charted alongside the basal body temperature. These include:

  • menstrual flow and spotting
  • quality of cervical mucus
  • severity of any abdominal pain
  • breast soreness or swelling
  • any other symptoms that may be relevant, such as emotional changes.

Each of these signs and symptoms provide further valuable information to help clarify our diagnosis.


How to chart your BBT

Basal body temperature must be measured:

  • first thing in the morning
  • after at least three hours of uninterrupted sleep, and
  • before you get out of bed or do anything else.

Take your temperature and plot it on the chart first thing in the morning – it helps to keep both the thermometer and chart next to your bed.

At the end of the day, make a note of the other signs and symptoms you’ve experienced. It’s especially important to note if you are ill or drink alcohol (which will raise the temperature) or taking painkillers (which may reduce the temperature). If you sleep later than usual, your temperature may have risen, so this is worth noting on the chart as well.

You will need to use a basal thermometer as normal thermometers are not accurate enough to measure the small temperature changes. You can buy basal thermometers from pharmacies or search online. They should only cost a few pounds.

BabyCentre (www.babycentre.co.uk) has lots of articles on fertility, pregnancy and early childhood, including:

further information on how to chart your BBT and cervical mucus and

pictures of the different types of cervical mucus you can expect at different times in the cycle.



Download a blank BBT chart to complete yourself here



Lyttleton, J. (2004) Treatment of Infertility with Chinese Medicine.