fertility awareness and natural family planning observing one or more of the body’s natural signs...
TRANSCRIPT
Fertility Awareness andNatural Family Planning
Observing one or more of the body’s natural signs of fertility, and…making couple decisions about whether or not to achieve a pregnancy — on that basis.
A Method of Merit
• Medically safe• Highly reliable• Inexpensive• True family planning• A shared method• Consistent with all religious
traditions
NFP Can Be Successfully Used...
• Regular cycles• Non-typical cycles• Breastfeeding• Peri-menopause• In cases of apparent infertility• For self-knowledge
Couple Fertility
MaleFertility
is constant
FemaleFertility
is in cycles
Sperm
Sperm
Sperm
Cervical Mucus
+Egg
Signs
• Fertility mucus• Basal body temperature
Ovulation andthe Role of Cervical Mucus
• Ovulation is the release of the egg cell.
• It occurs on one day each cycle.• The egg cell lives only 12 to 24 hours.• Sperm need cervical mucus to survive.
• Without it they die within hours.• With good cervical mucus, sperm can live
3 to 5 days.
Progesterone Type Mucus
Estrogen Type Mucus
Cervical Mucus
Fertile TimeInfertile Time
Process of ConceptionFallopian Tube
Conception
Yellow Body
Mucus
(helps sperm to
live)Vagina
Cervix
Uterus
Hormones
Testosterone
LH
FSH
Male Hormone Pattern
Female Hormone Pattern
LH
Progesterone
EstrogenFSH
Blo
od
Levels
Blo
od
Levels
Woman’s Hormonal Sequence
ProgesteroneEstroge
n
LH
FSH
Impact of Progesterone
1. 1. Prevents Prevents OvulationOvulation
Yellow Yellow Body Body
ProgesterProgesteroneone
3. Mucus 3. Mucus PlugPlug
2. Temperature 2. Temperature Rises Rises
& Stays High& Stays High
4. 4. Enriches Enriches Uterine Uterine LiningLining
Each Cycle Has 3 Phases
Onset of True Menses
Start of Fertility
3rd High Temp
Peak Day
Possibly Fertile Time
Relatively Infertile
TimeCompletely
Infertile Time
Tissue-Dry: Ø
Sticky Mucus: MTraits: P, O, ¼, ½, ¾.
Egg-White Mucus: EW-MTraits: 1, OT, T, G.
Tissue Symbols
EWEWMM MMØØ ØØ
Peak DayPeak Day
EWEWMM MMØØ ØØ
dmM L
mM d
Sample ChartClient I.D. #: ___________ Name: _______________ D.O.B.: ________ Gyn. Age: 13 Notes: ____
Children M: 2 F: 0 MC: 1 Temp. Method: Oral Time: 7:00 a.m. Cycle Range: 27-33 This Cycle: 29 Cycle#: 1
Month 2 2 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
Day 17 18 19 20 21 22 23 24 25 26 27 28 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Cycle Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Menses
37.2 99.0 GC
.1 .8
37.0 .6
.9 .4 Sensation d d d L L d d d d d d d d d d d d d d d
.8 .2 EW EW EW EW
.7 98.0 Tissue Ø Ø Ø M M M M M M M M Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø M
.6 .8 P P 1" 2" 2" G Ø Ø36.5 .6 OT T
.4 .4
.3 .2
.2 97.0 Cervix
°C °F
.
mM
mM
mM
mM
PK
6
5 43 2 1
Possibly Fertile Time
Possibly Fertile Time
Implantation Process
Achieving PregnancyGyn Age: 20 M: 0 F: 0 MC: 0Cycle #: 5 Range: 22-36 Temp: Vaginal Time: 6:30 a.m.
Cycle Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
Menses PK
37.2 99.0
.1 .8
37.0 .6
.9 .4
.8 .2 EW EW EW
.7 98.0 Ø Ø Ø Ø M M M M M M Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø
.6 .8
36.5 .6
.4 .4
.3 .2
36.2 97.0
°C °F
Cycle Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
12
3
4
5
6
Identifying PregnancyChildren M: 0 F: 1 Miscarriage: 0 Method: Vaginal Time: 7:30 a.m. Cycle Range: 27-33 Cycle#: 20 Gyn. Age: 23
Cycle Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
Menses PK BT BT BT BT BT
37.2 99.0 GC
.1 .8
37.0 .6
.9 .4 Sensation d d d d d L L L d d d d d d d d d d d d d d d d d d d
.8 .2 EW EW EW EW Ø Ø Ø Ø Ø Ø Ø Ø
.7 98.0 Tissue Ø Ø Ø Ø Ø M M M M M M Ø F T S L Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø
.6 .8
36.5 .6 P R B
.4 .4
.3 .2
.2 97.0 Cervix F F F F F S S S S S S F F F F F F F F F F F F F F F F F F F F F F F F
.1 .8 L L L L L L L H H H H L L L L L L L L L L L L L L L L L L L L L L L L
36.0 .6 C C C C C C O O O O O C C C C C C C C C C C C C C C C C C C C C C C C
.9 .4 Ø Ø Ø Ø Ø M M EWEWEWEW Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø
.8 .2 M M M M
°C °F 5:30 AM Temp1" T
1" T
1" T
1" T
.. . . . . .
Unborn Child
Unborn child at 14 weeks
Temperature PatternCycle Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36
Menses
37.2 99.0
.1 .8
37.0 .6
.9 .4
.8 .2 Biphasic
.7 98.0 (Two Levels)
.6 .8
36.5 .6
.4 .4
.3 .2
36.2 97.0 Monophasic°C °F (One Level)
Let’s Say Peak Day Is Here…
PK
Watch for 3 Temperatures in a Row…
To separate the “initial” highs from the “final” lows
65
4
3
2
1
Full Thermal Shift Level is 0.4°F above the PRB
PRB
65
43
2
1
FTSL
.4°F
*FTSL = 0.36° F/0.2° C
CIT starts the evening of the 3rd post-peak high in a row, if it is on or above the FTSL.
PK
65
43
2
1
PRB
FTSL
.4° F
Completely Infertile
Time
Completely Infertile Time
Post-Ovulatory Phase Constant
Last day of Menstrual
Cycle
2 weeks
2 weeks
2 weeks
Ovulation
Ovulation
Ovulation
23 Days
28 Days
32 Days
Before Ovulation
After Ovulation
When does ovulation occur?
Range of Ovulation
Client I.D. #: _________________ Name: ______________________ D.O.B.: ________ Gyn. Age: 13 Notes: ______
Children #: 0 Temp. Method: Oral Time: 6:30 a.m. Cycle Range: 27-36 This Cycle: _________ Cycle#: 38
Cycle Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Menses
37.2 99.0
.1 .8 3 2 1 PK 1 2 3
37.0 .6
.9 .4 Sensation
.8 .2 EW EW EW EW
.7 98.0 Tissue Ø Ø Ø M M M M M M M M Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø M
.6 .8 Ø Ø36.5 .6
.4 .4
.3 .2
.2 97.0 Cervix
°C °F
.. . . ..
. .
Surprise Pregnancy?
Client I.D. #: ______________ Name: _________________________________ D.O.B.: ________ Gyn. Age: 23 Notes: ______ Year: ______
Children #M: 0 #F: 3 Miscarriage: ____ Temp. Method: Rectal Time: 7:00 a.m. Cycle Range: 27-32 Cycle#: 8
Cycle Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
Menses PG37.2 99.0 X X X
.1 .8 Sensation
37.0 .6 EW EW
.9 .4 Tissue Ø ? M M M M •
.8 .2
.7 98.0
.6 .8
36.5 .6
.4 .4
.3 .2
36.2 97.0
°C °F Cervix
The Periodic Abstinence Question
• Intimacy is more than genital expression.
• It’s typically 8 to 12 days per cycle.
• The Spontaneity Myth.
Availability of IntercourseClient I.D. #: ______________ Name: _________________________________ D.O.B.: ________ Gyn. Age: 14
Children #M: 1 #F: 2 Miscarriage: 2 Temp. Method: Oral Time: 6:30 a.m. Cycle Range: 27-36 Cycle#: 38
Cycle Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 1 2 3 4 5 6 7 8 9 10 11
Menses
37.2 99.0 X X X PK X X X X X X X X X X
.1 .8 Sensation d d d L L d d d d d d d d d d d
37.0 .6 EW EW EW EW
.9 .4 Tissue Ø Ø Ø M M M M M M M M Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø M Ø Ø Ø Ø Ø Ø Ø M
.8 .2
.7 98.0
.6 .8
36.5 .6
.4 .4 6 3 2 1
.3 .2 5 4
36.2 97.0
°C °F Cervix FC FC SC SO SO SO SO SO SO SO FC FC FC FC FC FC FC FC FC FC FC FC FC FC FC FC FC FC SO
Cycle Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 1 2 3 4 5 6 7 8 9 10 11
Anytime End of day
Understanding BleedingTRUE MENSES
HIGH TEMPERATURE (1-2 WEEKS)
OVULATION SPOTTING OR BLEEDING
UNDIAGNOSED BLEEDING
Two Major Concerns About NFP Livability
• How well does it work?
• Is periodic abstinence possible?
Definitions
• Method Effectiveness • Rules are correctly understood and
followed
• Use Effectiveness• Actual use including
misunderstanding and carelessness
NFP Effectiveness
• Method Effectiveness – 97-99+ percent
• Use Effectiveness – 90-99+ percent
Use Effectiveness of NFP Depends Upon…
• Course of instruction with follow-up
• Consistent and correct charting
• Knowing and following the rules especially complete abstinence from all genital contact
Reasons for Using NFP
How can Priests promote the Church’s moral teaching on
NFP?
• Maintain prayer life.• Preach NFP from the pulpit.• Educate in confession.• Provide NFP Intro Course to
your married and engaged couples.
• Introduce NFP to adult converts in the RCIA program
• Educate Pro Life Ministry