This article presents a case study of a woman in her 30s suffering from a number of chronic disorders including headaches, back pain and depression as well as erratic ovulation and possible early menopause. Treatment involved both acupuncture and Chinese herbal medicine and focussed initially on her general health and on regulating her menstrual cycle with specific fertility treatments commencing two years later. The case study highlights many of the sorts of questions which practitioners have to deal with in trying to help women seeking treatment to aid fertility, and provides a good example of how useful the information from basal body temperature (BBT) charts can be and how it can influence the course of treatment.