The Importance of Cycle Tracking for Fertility: How a Pelvic Floor Therapist Can Help
Rana Lowenthal, PT, DPT, PCES


When it comes to fertility, knowledge is power. One of the most effective ways to understand your body’s natural rhythms is through cycle tracking. Monitoring your menstrual cycle over at least three months allows you to notice patterns, identify your fertile window, and optimize your chances of conception—whether naturally or through assisted reproductive technologies like IVF or IUI. A pelvic floor physical therapist is one type of professional who can guide you through this process, helping you interpret the data and gain deeper insight into your reproductive health.
Your Cycle as the 5th Vital Sign
Many health professionals advocate for considering the menstrual cycle as the 5th vital sign, as it provides key insights into your overall health. Irregularities in cycle length, ovulation patterns, or menstruation can indicate underlying health concerns, including hormonal imbalances or pelvic floor dysfunctions. Tracking your cycle through methods such as basal body temperature (BBT) charting and cervical mucus observation can help you better understand your own body and what it needs, whether or not fertility is a primary concern.
The Role of Cycle Tracking in Assisted Reproductive Technology (ART)
Understanding your cycle is crucial even if you are undergoing fertility treatments. Unfortunately, many women go through multiple cycles of intrauterine insemination (IUI) or in-vitro fertilization (IVF) without realizing that the timing of the procedure can vary depending on the practice or fertility clinic, affecting their chances of success. A recent episode of Lynn Schulte’s podcast featured Dr. Rebeca Segraves, who shared her personal experience of undergoing IUI for several months without success, only to discover, after moving to a new clinic and doing her own research, that the timing of her procedures had been off.
By taking control of your fertility through cycle tracking, you can advocate for yourself and support your own fertility, rather than relying solely on clinics that often do not prioritize individualized care or have your best interests at heart.
Resources to Deepen Your Understanding
If you’re looking to get started with cycle tracking or want to expand your knowledge, here are some excellent resources:
The Fifth Vital Sign: Master Your Cycles & Optimize Your Fertility by Lisa Hendrickson-Jack
Peaceful Periods: Holistic Womb Care for Teens by Chantal Blake
Whether you are trying to conceive naturally or pursuing medical assistance, tracking your cycle is an essential tool in your fertility journey. A pelvic floor therapist can help you learn the skills needed to track effectively and interpret your body’s signals. The more informed you are, the better equipped you will be to make decisions about your reproductive health with confidence.
If you’re ready to take control of your fertility and learn more about cycle tracking, I would love to help. Book an appointment today, and let’s work together to support your journey with personalized guidance and expert care.