Queen of Hearts NaPro Technology- Natural Treatments for Women

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Queen of Hearts NaPro Technology- Natural Treatments for Women

Queen of Hearts NaPro Technology- Natural Treatments for WomenQueen of Hearts NaPro Technology- Natural Treatments for WomenQueen of Hearts NaPro Technology- Natural Treatments for Women
Home
Infertility
PCOS
endo
PMS
menopause
Patient Handouts
Progesterone & Pregnancy
FHA
Mental Health
Thyroid Problems
Vitamin D
Chronic Pelvic Pain
Abnormal Uterine Bleeding
Osteoporosis
Education
Semen Analysis
Laparoscopy
NaPro Symposiums
CrMS
FCP webpage
Nutritionists
My favorite Prayers
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Chronic Pelvic Pain

What is Chronic Pelvic Pain?

Chronic Pelvic Pain (CPP) is generally defined as pain in the pelvic areat that is persistent for three to six months or longer, is severe enough to cause functional disability or require treatment, and it unrelated to pregnancy.

What Causes of Chronic Pelvic Pain?

1. Endometriosis: is a condition where a woman has endometrial tissue outside the uterus. This by far the most common cause of CPP. Women will often associated symptoms of nausea, urinary frequency, and/or loose stools during their periods. They may have dysparunea (painful sex on deep penetration), dyschezia (deep pelvic pain with bowel movements), mid-cycle spotting (pink spotting with ovulation) and/or post-coital spotting (spotting after intercourse). The research is somewhat variable, but Napro surgeons will find endometriosis about 80% of the time in women who experience CPP. To learn more about  NaPro surgery click here.


2. Intra-abdominal Adhesions: the term "adhesions" refers to scar-like formation within in the pelvic or abdominal cavity, which forms when the body perceives something foreign or infectious is present and /or after an injury is perceived. Adhesions have been reported to develop following more than 90 % of abdominopelvic surgeries. Adhesions can attach to the organs and/or pelvic side walls and completely distort the anatomy. My Intro to NaProlecture will briefly discuss both endometriosis and adhesions. 


3. Adenomyosis: is a condition in which endometrial tissue is found within the smooth muscle layer of the uterus. The ectopic implants can induce abnormal changes in the myometrium, and cause abnormal uterine bleeding and dysmenorrhea (painful periods). Women who have adenomyosis often also have endometriosis. 


4. Pelvic Inflammatory Disease (PID): results from an acute, subacute, or chronic infection in the genital track that ascended through the vagina, into the upper reproductive organs. PID can involve uterus, fallopian tubes, and/or the  ovaries. The CPP associated with PID is believed to be caused by a prior infection that perhaps went untreated for a period of time. About as 30 % of women with PID will  develop CPP. 


5. Pelvic Congestion Syndrome (PCS): is a vascular disorder where the veins of the pelvic region become engorged due to improper drainage of blood out of the region. PVC often presents very similarly to endometriosis with some or all of the following symptoms: dysparunea, dyschezia, urinary frequency, nocturia, or chronic pelvic pressure, and/or lower leg swelling, that is worse after standing for a while. PVC is more common in women who have had multiple pregnancies. 


6.  Uterine Fibroids: area benign growths in the muscle layer of the uterus that can cause abnormal uterine bleeding, dysmenorrhea (painful periods), "bulk" symptoms, such as urinary frequency, leakage of urine with cough or sneeze, and nocturia (having to urinate in the middle of the night). Fibroids can also cause pelvic pressure. In the study linked to the button below, chronic pelvic pain was reported to be nearly 15 % in women with fibroid as compared to only 3% of women without fibroids. 

Prevalence, symptoms and management of uterine fibroids: an international internet-based survey of 21,746 women

Pelvic Congestion Syndrome (PCS)- Medical Professional Lecture

Rick Kennedy, PA-C, MHS, is a clinical provider and CEO for the Center for Vascular Medicine in Greenbelt, MD. During this lecture Rick will discuss the common causes of pelvic pain with a focus on those of a vascular origin. Rick will review diagnosis, imaging, treatment options and health maintenance for Pelvic Congestion Syndrome. 

What will the NaPro appointment be like?

Your appointments at MyCatholicDoctor with me will be one FULL HOUR in length. Generally speaking, NaPro appts will follow a typical protocol as outlined below. However, every individual is different and your situation may warrant a more expeditious process. Please know, the Creighton Model System (CrMS) is very important. Your CrMS chart will help direct me to what diagnostic tests and imaging tests should be done and what treatment plan would be most appropriate. 

First Appt: I will take a comprehensive medical history and provide you with education about normal healthy reproduction and oftentimes about a condition I suspect you may have after we have talked a while. 


I will order a pelvic ultrasound which I will ask you to schedule on day 5 of your next menstrual cycle. I will order a series of laboratory tests. Click the "laboratory tests" button below to learn more. 


You will be asked to begin charting your menstrual cycles using the Creighton Model System (CrMS). Please choose a Fertility Care Practitioner (FCP)  by clicking the "Fertility Care Practitioners webpage" button below to learn more about scheduling an Introductory Session to get started. 


Please consider joining me as I pray for you here.

Fertility Care Practitioners webpage

Second Appt:  You will be asked to return to the office in 2 mos for a follow-up appointment to review the results of your imaging and laboratory tests. Together we will also review your Creighton Model System (CrMS ) chart to look for specific biomarkers which will help me make a diagnosis. 


Please upload an image of your CrMS chart two days prior to all follow up visits and send to me via the portal. 


Please add the length of your post-peak phase and your mucus cycle score (MCS) to the R-hand margin of the chart. Your Fertility Care Practitioner (FCP) will calculate your MCS for you. 


During this appointment, you may be asked to begin some supplements and/or medications. We will also discuss drawing a full set of hormone panels. We will make a decision if you should have a peri-ovulatory estradiol panel, a post-Peak estradiol & progesterone panel, or both panels. 


 Hormone Panels: 

  • Peri ovulatory estradiol panel: start on CD8, go to the lab EOD for an estradiol draw, until you have one draw post-peak. 
  • post-Peak estradiol and progesterone panel: P+3, 5, 7, 9, and 11. See Handout #3 on the the Patient Handout webpage. 
  • Hormone panels require 2 mos of CrMS charting AND the patient must be able to confidently identify her Peak day.


Many patients will be asked to consider working with a dietitian or a nutritionist to help optimize your reproductive health. Oftentimes I may also recommend a mental health appointment to help with anxiety, depression and/or disordered eating habits. 

recommended Dietitians and Nutritionists
Primary Care-Mental Health Appointments

Third Appt: You will return to the office in 2 mos to review the results of your hormone panels as well as the biomarkers on your CrMS chart. Most often at this time I will have made one or more more diagnoses to identify the root cause of your symptoms. Together we will discuss a treatment plan, which will be implemented. 

Follow Up Appts:  You will return to the office every 2 months. During this time, I will conduct a comprehensive medical interview to ensure your symptoms have resolved, and to ensure you are responding well and not having any negative responses to the management plan. Depending on the individual patient and your individual diagnosis, I may need to monitor your progress with serial laboratory tests and/or serial imaging. 

After 6 -9 months: If medical management has not been successful, it is likely you will need a diagnostic laparoscopy. Therefore, I will refer you to a NaPro surgeon.  On occasion, I may come to know a surgical evaluation will be of benefit to you earlier on in this process, and an expedited surgical referral will have been recommended. NaPro surgeons typically book out 5 mos to one full year. At any time, if you feel you would like an expedited surgical referral, please feel free to discuss this with me. 


Please review my laparoscopy page. You will notice NaPro surgeries are done very differently as compared to laparoscopies done by mainstream medicine surgeons. We use a near contact approach and a near adhesion-free technique", which has been described as pelvic surgery of the pelvis.  

At any point in time, if a diagnosis has been made, treatment initiated, and/or you are satisfied with the medical management we have implemented, you can schedule annual or biannual visits, per your choice. 

BLEEDING KEY: How do I Measure Period Flow on my CrMS Chart?

I will be asking you to tell me very specifically how much you are bleeding. An example of a "detailed flow" is: M, M, H, L, L, VL/B


TAMPON or PADS: 

  • Very Heavy (VH): changing a full pad/tampon every 1-2 hours
  • Heavy (H): changing a full pad/tampon every 3-4 hours 
  • Moderate (M): changing a full pad/tampon every 5-7 hours
  • Light (L): changing a full pad/tampon every  8-12 hours
  • Very Light (VL): changing pad/tampon less than every 12 hours


MENSTRUAL CUP MEASUREMENTS

  • Very Heavy (VH): 60 cc in a 24 hours
  • Heavy (H): 40 cc in 24 hours
  • Moderate (M): 20 cc in 24 hours
  • Light (L): 10 cc in 24 hours
  • Very Light (VL):  5 cc in 24 hours


**The Diva Cup comes in 20, 30 and 32 ml cups 32 being the largest but other cups may vary. 1 ml = roughly 1 cc 


Other important information about your flow: 

  • Tail End Brown Bleeding (TEBB): brown bleeding at tail end of period. 
  • Premenstrual bleeding: pink spotting or brown spotting at the prior to a full period starting. 
  • Intermenstrual bleeding: bleeding between periods. 

What type of laboratory tests may be done?

Pharmacological treatments for Chronic Pelvic Pain

What type of laboratory tests may be done?

laboratory tests

What type of imaging tests may be done?

Pharmacological treatments for Chronic Pelvic Pain

What type of laboratory tests may be done?

imaging tests

Pharmacological treatments for Chronic Pelvic Pain

Pharmacological treatments for Chronic Pelvic Pain

Pharmacological treatments for Chronic Pelvic Pain

Pharmacological Treatments

Laparoscopy to loof for Endometriosis or Adhesions

Urinary LH-monitor (ClearBlue)- Why I would not recommend use

Pharmacological treatments for Chronic Pelvic Pain

Laparoscopy

Urinary LH-monitor (ClearBlue)- Why I would not recommend use

Urinary LH-monitor (ClearBlue)- Why I would not recommend use

Urinary LH-monitor (ClearBlue)- Why I would not recommend use

No LH-monitors - Yes P+3 Progesterone!

N-acetyl-cysteine Mitigates Endometriosis Pain (OPEN Access)

NAC on Endometriosis-Related Pain, Size Reduction of Ovarian Endometriomas, and Fertility Outcomes (pdf)

Download

Dietary supplements for treatment of endometriosis- A review (pdf)

Download

Pharmaceuticals targeting signaling pathways of endometriosis as potential new treatment- A review (pdf)

Download

For Medical Professionals- Naltrexone Research

Low dose naltrexone- Effects on medication in rheumatoid and seropositive arthritis. A nationwide register-based controlled quasi-experimental before-after study (pdf)

Download

Low dose naltrexone in multiple sclerosis- Effects on medication use. A quasiexperimental study (pdf)

Download

Cochrane Review- Low dose naltrexone for induction of remission in Crohn's disease (pdf)

Download

Safety and efficacy of low dose naltrexone in a long covid cohort; an interventional pre-post study (pdf)

Download

Copyright © 2025 Queen of Hearts Fertility Care  & Napro Technology - All Rights Reserved---Ocean Video image courtesy of Sitthijate Poonboon. 

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