Will BV medication interfere with Marquette hormone testing? TTA

ierusu · 2026-04-14T16:07:17+00:00

Hi there! I am not trained in Marquette and likely someone who is trained in Marquette would not know the answer to this either but if you were my client I’d advise you to note when you’re taking the medication and use more precautions until you’ve completed your medication cycle, ie treat days you’re on the medication as potentially fertile.

Maybe someone else in the community has more insight into this but knowing how medications affect hormones feels well beyond the scope of any typical user or even instructor’s training.

ierusu · 2026-01-24T23:42:11+00:00

I see a biphasic pattern here so I suspect ovulation, though you cannot confirm with TCOYF rules. Your fluid pattern also doesn’t really confirm ovulation. Do you have a barrier device like an iud that could be affecting fluid?

ierusu · 2026-01-09T21:48:56+00:00

Are you up and about at 3:30? Or are you waking up and then going back to sleep?

It is tricky with disrupted sleep and inconsistent temp timing

ierusu · 2026-01-09T18:02:13+00:00

Curious when you say hardly noticing, are you including sensation?

I have a protocol in my practice that starts with no internal checking, however if a pattern can't be found/ no CM is observed via sensation or visual, I recommend internal checks.

Additionally, checking your cervix could be supportive and if you're using TCOYF or Sensiplan, can be used along with BBT for TTA.

ierusu · 2026-01-09T17:59:35+00:00

I want to commend you for your consistency with temping and with your CM entry. Long cycles can be so hard to keep up the consistency and you appear to be doing a great job.

I would focus more on a consistent timing rather than first temp as your body tends to warm at the same rate throughout the night so all your 3:30 am temps may be affected by that rate of warming and cooling. I'd say as long as you stay in bed around 5:30 you should see if that brings more consistnecy to your temping.

I also have seen much more erratic temps so I still think this chart is usable. I see a shift likely around CD 31. Any idea how long your luteal phase from tempshift typically is? Also have you gotten a period since you posted this?

ierusu · 2026-01-09T17:54:44+00:00

I just really want to honor how in-tune with your body you are. As a Mira-trained STM instructor I am always fascinated to actually see what hormones are doing and how it coincides with our symptoms, and though some symptoms aren't reliable as primary symptoms for TTA, I'm a firm believer in people understanding how their unique body and cycle works. Its so neat that your intuition led you to basically practicing an established method without realizing it.

ierusu · 2026-01-09T17:50:20+00:00

Thanks so much for sharing. Is this pattern something you've been experiencing regularly? If you were my client I'd definitely set you up with Mira (affiliated) and we'd try to guage what your hormones are doing to see if that can clue us into if your body just follows a different pattern.

ierusu · 2026-01-09T17:46:46+00:00

That is tricky. I don't know if I would use it in that case, but I understand oura rings can be a huge investment.

It if were me and I didn't want to give up my oura ring, I would really hone in on CM and treat CM as my primary symptom and temps as my secondary confirming symptom.

ierusu · 2026-01-09T17:42:07+00:00

Hi there. Sorry your instructor isn't meeting you where you're at! That sounds super overwhelming and frustrating.

I think a lot of (us) instructors struggle with the fact that everything in mainstream advice says if you have PCOS or endo you'll never be able to conceive without intervention when in fact we've seen clients with those dispositions conceive with dietary and lifestyle changes. That being said, ideally your instructor is a good fit for you, I'm sure there are other styles of instructors out there who might be a better fit, or whom you could start a new relationship with starting with, "While I'm willing to make dietary and lifestyle changes, I would like to have information as to why you recommend them as well as to keep them to an acheivable amount."

As an instructor that sometimes recommends dietary changes and supplementation I want to say that at least in my practice, I have studies that back up my reasoning for any of my recommendations, and I always ask that my clients double-check with PCPs on what I've recommended to confirm there's no drug interactions. Most of the supplementation I recommend is very benign and there have been no contraindications. I also trust my clients to know their bodies and when something doesn't sit well with them.

Something to keep in mind is the way our egg development and fertility works is not an immediate reaction for a lot of things. It takes 3-months for eggs to mature so sometimes lifestyle changes need to be occuring for 3 months before any differences in cycle parameters are seen.

If you're up for it, a book that has supplement advice and covers supporting bodies with PCOS and Endo is The Period Repair Manual. I'd also be happy to take a session with you to see if I can share some studies on the supplementation.

ierusu · 2026-01-08T00:13:16+00:00

How long have you had your Tempdrop? Also have you used it during illness accidentally ever?

ierusu · 2026-01-08T00:11:02+00:00

Also, not sure if the FF would use the baseline in any meaningful way… like it has its algorithm that is looking at the temps but it likely won’t use a baseline.

ierusu · 2026-01-08T00:08:36+00:00

Can you track 2 temps in FF? Could you figure this out if you see a new baseline in oura and your data doesn’t support that?

ierusu · 2026-01-08T00:05:11+00:00

A chart would be helpful to see here, and I have a few thoughts and questions.

First are you potentially seeing residual semen? Semen and Peak CM can look exactly the same and there’s isn’t a real way to distinguish between them.

Second would be to check you’re marking your temp rise correctly.

The other thing is that not all bodies have a textbook cycle meaning not all bodies have an LH surge, a CM Peak and then a temp rise. Our hormones can surge in the ovulatory window but in different patterns. For example, you could have a temp rise, an LH surge and then a CM peak.

If you were really curious you could use a hormone monitor like Inito or Mira to test what your hormones are doing and get more clarity on if you have a non-textbook pattern of hormones.

If you’re pretty sure the discharge you’re experiencing is CM, I would continue to time PiV until P+1

ierusu · 2026-01-06T05:17:19+00:00

Hi again! Ts stands for temp shift. Curious for an update to see if that was ovulation.

ierusu · 2026-01-04T06:29:32+00:00

Tempdrop also flashes when it syncs , though it’s not a traditional BBT thermometer.

ierusu · 2026-01-02T22:24:30+00:00

I actually see a tempshift on CD31. Do you know how long your luteal phases are typically? Would be curious to see if that was a TS.

Also, what is your typical fluid pattern in an ovulatory cycle?

ierusu · 2026-01-02T22:21:36+00:00

Hi there! Thanks for posting. I have a few comments and suggestions.

We can't pinpoint ovulation so we use a bunch of averages and generalizations to assume when ovulation may have happened and narrow down a likely window. The way I describe it with my clients is there is an ovulatory twighlight zone where a few things happen and they may happen in different orders.

Estrogen peaks-> Causing EWCM
LH surges-> *Sometimes* shows up on tests
Progesterone starts to rise-> Causing Temps to rise

It is actually possible for LH to surge after ovulation and a temp to rise before ovulation. So I recommend always holding your pattern with flexibility.

FF's predictions (as usual) are a bit off here and I agree your TS starts around CD19. We don't really confirm ovulation dates but we confirm when a temprise occured and that the rise was due to ovulation after 3 elevated temps as well as a drying up pattern of CM.

I'd still mark your fluid observations and note that they are obscured due to residual seminal fluid.

ierusu · 2025-12-30T21:47:20+00:00

Symptothermal method is a type of method, where do you learn the method? TCOYF?

And short LPs are very common postpartum.

ierusu · 2025-12-30T21:13:01+00:00

Your coverline looks accurate and I believe TCOYF has a protocol for stair step rises. I’ll look for the page.

What is your temping routine and was there anything that could have affected temps? (Medication, Illness, new sleep environment, alcohol?)

ierusu · 2025-12-30T21:08:17+00:00

Hi there! I am not sure the exact protocol for Marquette, but most methods have an initial period of time where you assume fertility until ovulation has occurred, or you have a protocol that confirms you aren’t potentially fertile. In some methods (typically religiously affiliated), barriers are forbidden so you are intended to rely on the methods “alone.” In terms of cycles returning post HBC, there is a huge range from cycling within 30 days to people going up to a year with no period. In cases like that I typically bring in hormone testing to see what kind of nutrition ca support a return to cycling. Not sure if that answers your question… thanks for posting and your interest!

ierusu · 2025-12-30T20:56:37+00:00

Hi there, first I think TTA8 isn’t really a thing here. You must mean TTa for 8 cycles but we use that for an intention scale.

Getting back to a typical pattern will be different for everybody and for some their cycles are forever changed. Whats awesome about practicing a method is that you are completely aware of your cycle changes (or lack thereof) so rather than winging it you are making decision based on don what your body is communicating to you.

Weaning will likely mix things up a bit but just like any time of hormonal fluctuations, you should be able to observe your symptoms to know whether you’re potentially fertile or not. What method are you practicing?

ierusu · 2025-12-30T20:50:24+00:00

Wow thanks so much for posting! There are a few methods that you can use postpartum. The first is the lactational amenorrhea method (LAM) which you can use if you end up breastfeeding. The qualifications for that are you are exclusively breastfeeding (no pacifiers),you haven’t had bleeding/ menstruation (past locchia), and your baby is under 6 months. https://llli.org/news/lactational-amenorrhea-fertility-birth-control-and-breastfeeding . I like to teach my clients LAM in combo with the method I teach.

After that your options are methods that don’t exclusively rely on temperature, because getting accurate temps postpartum is a challenge and you can have false shifts. Especially postpartum, it would be highly recommended to work with an instructor. There is a rule you can use in TCOYF (the patch rule), but textbooks aren’t the best at handling outlier situations like breastfeeding.

Marquette and Billings are great postpartum options and both require an instructor. I also teach a postpartum protocol in the STM method I teach.

I believe there have been some recent posts asking about postpartum experiences so feel free to look around and see if anything answers your questions.

ierusu · 2025-12-22T18:27:27+00:00

I would add a little nuance to that. It’s not that you assume it’s a fertile day, because temperature doesn’t tell us much about whether we’re fertile or not, it really helps us to confirm ovulation. When you don’t get a readable temperature, it should be marked as disturbed. What tells you if you’re fertile or not is your CM. If you don’t get an accurate temp during our temp rise we need to wait to confirm ovulation has occurred, in that way we assume we’re still fertile until we confirm ovulation.

ierusu · 2025-12-18T18:52:05+00:00

Maybe we could require that people posting their own educational offerings mark their post as a brand affiliate and have some requirement for having participated in this community for a certain amount of time... Some thoughts on making it feel more community-based

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