I have PCOS, and we got pregnant the second cycle trying, so it is possible. I’m on Metformin and it’s helped regulate my cycles, but they were off again when I got off BC.
1. You don’t need a basal thermometer. Your temperature will go up by 2-4 tenths of a degree, which a regular thermometer will display. The only difference between a basal thermometer and a regular thermometer (besides price) is that a basal thermometer measures another decimal place of a degree, and you don’t need that. In fact it could lead to over analyzing temperatures which will only stress you out.
2. Everyone’s typical temperature is different. You’ll need to start taking and noting your temperature every morning. You need to take your temp before getting up, before lots of movement, before drinking water, using the bathroom, etc. for it to be an accurate basal body temp reading.
3. You can track on paper, but I recommend an app. I used Kindara. They may have a paid premium version, but I used the free version, and it’s all you need.
4. You can also track cervical mucous (CM). Research fertile cervical mucous, which will help you nail down ovulation.
5. Try ovulation predictor kits (OPKs). They worked for me. I’d start to use OPKs a week or so after the end of your period.
6. If you’re like me with my PCOS, your body may sometimes gear up for ovulation, and then fail to actually do so. This would lead to longer length cycles. In my case, my temp would drop (some women experience a sharp drop in temp the day before ovulation) and I would have fertile CM, and OPKs would show I was nearing a peak when my body tried to ovulate, but then my temp wouldn’t rise to confirm ovulation. I would continue to use OPKs and try again. I didn’t figure this out until the second cycle, so my first cycle trying really didn’t have a chance because our intercourse was not well timed and we missed our fertile window.
7. OPKs can be expensive, especially if you have to use them for longer because your PCOS causes failed ovulation attempts. I bought the Walmart Equate ones. They cost $15 for a pack, and they also include a pregnancy test.
8. Once your temp rises by at least 2-4 tenths of a degree, and remains 2-4 tenths of a degree higher for 3 days, you’ll know you ovulated, and you have what’s called the two week wait to test. Even if you’re not successful in conceiving with the tracked cycles, you can start to better predict ovulation based on the typical amount of days after AF that it happens.