Cited by 262Thermoregulation and physiological responsesThermal Regulation in MedicineCircadian rhythm and melatonin

The DOI matches its Crossref record; 188 of the 188 references it cites were found in a registry or an index; 3 of the 342 sources its claims cite were checked for support.

Temperature regulation in women: Effects of the menstrual cycle

Open access

Abstract

Core body temperature changes across the ovulatory menstrual cycle, such that it is 0.3°C to 0.7°C higher in the post-ovulatory luteal phase when progesterone is high compared with the pre-ovulatory follicular phase. This temperature difference, which is most evident during sleep or immediately upon waking before any activity, is used by women as a retrospective indicator of an ovulatory cycle. Here, we review both historical and current literature aimed at characterizing changes in core body temperature across the menstrual cycle, considering the assessment of the circadian rhythm of core body temperature and thermoregulatory responses to challenges, including heat and cold exposure, exercise, and fever. We discuss potential mechanisms for the thermogenic effect of progesterone and the temperature-lowering effect of estrogen, and discuss effects on body temperature of exogenous formulations of these hormones as contained in oral contraceptives. We review new wearable temperature sensors aimed at tracking daily temperature changes of women across multiple menstrual cycles and highlight the need for future research on the validity and reliability of these devices. Despite the change in core body temperature across the menstrual cycle being so well identified, there remain gaps in our current understanding, particularly about the underlying mechanisms and microcircuitry involved in the temperature changes.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This review synthesizes historical and current evidence that core body temperature is higher in the luteal phase than the follicular phase and that thermoregulatory thresholds shift upward with high progesterone. It also highlights unresolved mechanisms, limited data on fever across the cycle, and the need for independent validation of wearable temperature-tracking devices.

Key findings

  • Resting/basal core body temperature is 0.3°C to 0.7°C higher in the luteal phase than the follicular phase, and most 24-h studies show an increased mesor and a blunted nocturnal decline/amplitude in the luteal phase.
  • Controlled constant-routine and ultradian nap studies generally find no change in circadian phase of core body temperature between follicular and luteal phases, though some semi-controlled studies report phase delays.
  • Progesterone has a thermogenic effect, estrogen has a temperature-lowering effect, and the progesterone:estrogen ratio—rather than progesterone alone—may be critical for the luteal-phase core body temperature increase and blunted amplitude.
  • Wearable devices show promise for tracking ovulatory cycles, but the review notes that independent validation against gold standards is still needed; one wrist-skin study detected a pre-ovulatory temperature nadir in only 41% of cycles.

Methods

  • Narrative literature review using PubMed and Google Scholar searches for English-language, peer-reviewed clinical and experimental studies on the menstrual cycle and body temperature.
  • Search terms included circadian rhythm, progesterone, estrogen/estradiol, luteal phase, follicular phase, ovulation, vasodilation, hypothalamus, oral contraceptives, exercise, heating, heat, fever, cooling, cold, and wearable sensors.
  • The review summarizes studies in tables, including 24-h core body temperature studies across menstrual cycle phases and commercial wearable/app studies.

Limitations

  • The authors state that mechanisms and microcircuitry underlying menstrual-cycle temperature changes remain incompletely understood, and that there are no data comparing fever patterns in women across menstrual cycle phases.
  • The authors state that further independent evaluation of wearable validity and reliability is required, and they note a broader paucity of data from females in biological research.
  • Evident from the text: this is a narrative review without a formal systematic-review or meta-analytic protocol; many included studies have small samples, varied measurement sites and protocols, and some rely on self-reported menstrual phase rather than confirmed ovulation.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1080/23328940.2020.1735927

Cites

188 of 188 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

252 Not checked yet · 22 Own interpretation · 19 No basis given · 3 Supported

Verify all 339 references — free account
  • Probably not a substantial claim. 80
  • It may state two separate claims as one. 111
160 of 160
  • The paper relies on this without support.

    The effects of exogenous progesterone and estrogen administration on core body temperature reflect the effects of endogenous progesterone and estrogen across the natural menstrual cycle.

    “These findings are supported by studies that have investigated the direct effects of exogenous hormone administration on core body temperature, to determine the separate and combined effects of progesterone and estrogen.”
  • The paper relies on this without support.

    Findings from animal studies on progesterone's central thermoregulatory actions generalize to women.

    “There are several lines of evidence supporting a direct effect of progesterone on the preoptic area of the hypothalamus to inhibit heat loss mechanisms (i.e., raise the set point at which behavioral and autonomic thermoeffector pathways are activated) and/or increase heat production.”
  • The paper relies on this without support.

    Shifts in thermoeffector thresholds indicate a change in the regulated set point for core body temperature.

    “If core body temperature is regulated at a higher operating point during the luteal phase, one would expect to find shifts in the thresholds for heat- and cold-defense effector mechanisms across the menstrual cycle.”
3 of 3

Claims other papers make about this one

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Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

1 of 1

Citations

Cites

Show all 188 references

Research works printed but not linked: 15

  1. Silva NL, 1986, Am J Physiol, 250, R625
  2. Keefe DL, 1985, Oxford RevReprod Biol, 7, 346
  3. Mitchell D, 1985, Physiologist, 28, 507
  4. Metcalf MG, 1983, N Z Med J, 96, 645
  5. Grant LK, 2019, Sleep, 54, 972
  6. Gao B, 1995, Am J Physiol, 268, R1365
  7. Driver HS, 1996, J Clin Endocrinol Metab, 81, 728
  8. Sagot JC, 1987, Am J Physiol, 252, R462
  9. Nieburgs H, 1948, J Clin Endocrinol Metab, 8, 622
  10. Cunningham DJ, 1971, J de Physiologie, 63, 236
  11. Stephenson LA, 1985, Am J Physiol, 249, R186
  12. Avellini BA, 1980, J Appl Physiol Respir Environ Exerc Physiol, 49, 254
  13. Li ZG, Danis VA, 1993, Clin Exp Rheumatol, 11, 157
  14. Rutanen EM, 1993, J Clin Endocrinol Metab, 76, 1594
  15. Flynn A, 1984, Lymphokine Res, 3, 1

Cited by

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Metadata

Authors
Baker, F. C., Siboza, F., & Fuller, A.
Affiliations
  • SRI International (US)
  • University of the Witwatersrand (ZA)
Corresponding author
Baker, Fiona C.
Venue
Temperature
Published
2020-03-22
Volume
7
Issue
3
Pages
226-262
ISSN
  • 2332-8940 (ISSN-L)
  • 2332-8959
OpenAlex
W3012616340
Cited by
262
References
188
Citations by year
2026: 58 · 2025: 72 · 2024: 53 · 2023: 44 · 2022: 15 · 2021: 19 · 2020: 1
FWCI
2.52
Type
journal article
Language
en
Open access
Locations
  • Temperature (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institutes of Health (RF1AG061355)
Topics
  • Health Sciences › Medicine › Physiology (medical) › Thermoregulation and physiological responses
  • Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Thermal Regulation in Medicine
  • Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
Keywords
core body temperature, menstrual cycle, luteal phase, follicular phase, progesterone, estrogen, thermoregulation, circadian rhythm, heat exposure, cold exposure, exercise thermoregulation, fever, oral contraceptives, wearable temperature sensors, ovulation prediction

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