Lesson 11 – How to Record Cervical Changes

Lesson Objectives:

  • Learn how to record the position of the cervix
  • Learn how to observe cervical changes such as firmness and openness

Major Points in this Lesson:

  • The cervix changes throughout a woman’s menstrual cycle. 
  • Cervical position may be low, medium, or high.
  • The texture of the cervix may be soft or firm.
  • During a woman’s cycle, the cervix may be open, slightly open, or closed.

How to observe and record cervical changes

Throughout your menstrual cycle, record the position, openness, and firmness of your cervix to help determine your level of fertility.

Cervix position

Depending on where you are in your menstrual cycle, your cervix may be low, medium, or high. As you approach your most fertile time, the cervix heightens becoming harder to reach with your fingers. It can take time to notice a pattern of changes. Each month, record your findings using the following guidelines:

  • Low: A “low” cervix typically represents your least fertile time. When your cervix is low, it can be more easily felt with your fingers.
  • Medium: Record a “medium” position when your cervix is between a “low” and “high” position.
  • High: Your cervix is considered “high” when it’s hardest to reach with your fingers. In some cases, you may not be able to reach it at all. In addition to being high, the cervix may feel open, soft, and wet. This is your most fertile time.

Cervix firmness

Tissue changes also occur throughout the menstrual cycle. To understand the pattern of your unique cervical changes, check your cervix firmness when you are fertile, indicated by egg white cervical fluid, and again when you’re not fertile, indicated by three high temperatures. When you’re least fertile, the cervix will feel firm and hard, similar to the tip of your nose. As ovulation nears, the cervix will soften and feel similar to your lips. To record your cervix firmness, choose between firm, medium, and soft.

  • Firm: Record your cervix as “firm” if it feels firm and hard. At this point in your cycle, your cervix position should also be low.
  • Medium: A “medium” firmness should be between “firm” and “soft”. You may have a medium firmness before your most fertile time before ovulation, as well as after ovulation.
  • Soft: You’ll want to record “soft” as your cervix firmness if your cervix feels high, soft, and wet. It may also feel open and be more difficult to reach. This is your most fertile time.

Cervix openness

While not all women are able to easily observe this sign, you may notice that your cervix is opened or closed at certain times during your cycle. The cervix is most open when you’re fertile and closed when you’re not. You can also cross-check the openness of your cervix with other signs, such as its position and firmness. 

You can also crosscheck your cervix with other fertility signs, such as a raised BBT. To make checking your BBT a cinch, try YONO. Simply wear an earbud device as you sleep and in the morning, connect it to its base. Sync the base from an application on your smartphone and all of your temperature data from the previous night is uploaded. 

It’s important to note that women who have given birth may have a cervix that always feels slightly open. Women who have never given birth may have a cervix that only slightly opens even at their most fertile time. Record how open or closed your cervix is using the following guidelines:

  • Open: Record your cervix as “open” when it’s at its most open position. This is when you’re most fertile.
  • Medium: A “medium” recording means a cervix that is between open and closed, or slightly open.
  • Closed: When your cervix feels at its most closed, record “closed”.

Cervical position is an optional fertility sign that can tell you a lot about your fertility status. These cervical changes occur in response to the hormone estrogen, which will ebb and flow throughout your cycle. Learning and understanding these cervical changes is important when recording fertility signs.