In order to be treated using NaProTECHNOLOGY, a woman will typically be asked to learn to chart her menstrual cycle using the Creighton Model FertilityCare™ System (CrMS).
The Creighton Model System is a standardized method of charting a woman’s menstrual cycle where she is taught to track her cervical mucus discharge and bleeding patterns.
Many women with healthy reproductive systems learn to chart using the Creighton model to help them achieve a pregnancy and/or to allow them avoid a pregnancy when there is a seroius reason.
Over 30 years research has been done on the CrMS at the St. Paul VI Institute in Omaha, NE. CrMS is the basis for NaProTECHNOLOGY.
It is very helpful for your NaPro provider if you send a HORIZONTAL image of your CrMS chart, 48 hrs prior to each visit. See Handout 1b on the Patient Handout webpage.
Achieve or avoid pregnancy with a safe and clinically proven alternative to hormonal birth control and IVF.
Next, you will meet every two weeks with your Certified Fertility Care Practitioner (CFCP) to learn how to track your bleeding patterns and cervical mucus using a standardized format of descriptions. The chart will be analyzed for biomarkers that will help the NaPro provider diagnosis and treat your underlying condition.
Uncover the root cause of female gynecological health issues, many of which can be effectively addressed using NaProTECHNOLOGY
Choose a CrMS Fertility Care Practitioner by clicking below.
Lecture by Dr. Theresa Hilger's teaching about the biomarkers used to interpret the Creighton Model charts. Do your patients have irregular menstrual cycles, Polycystic Ovarian Syndrome, recurrent miscarriages, premenstrual spotting, tail-end brown bleeding, or are they having trouble getting pregnant? If so, NaProTECHNOLOGY can help you help them.
FIVE Biomarkers:
1. Length of menstrual cycle
2. Pre-Peak phase
3. Post-Peak phase
4. Mucus cycle scoring
5. Unusual Bleeding
On occasion, a woman will find it difficult to identify her Peak Day, which can happen if she experiences a lot of cervical mucus. The inability to confidently identify a Peak day will delay the important step of obtaining a peri-ovulatory estradiol panel and/or a post-Peak estradiol and progesterone panels, which are necessary in order to allow us to progress through the NaPro diagnostic evaluation process and form an individualized treatment plan.
Most often, your FCP will be able to teach you a CrMS technique called the "Essential Sameness Question" (ESQ), and apply the use of "yellow stamps" (YS), which will almost always solve this problem.
However, on very rare occasions a woman will continue to have difficulty identifying her Peak-day. If this occurs, your NaPro provider can offer you an option to have serial P+3 progesterone levels drawn for a few months, to help you build confidence in your charting. NaPro research has demonstrated the following:
Progesterone Levels to help interpret Peak day:
Most often, after a few months of doing serial P+3 lab draws, the woman will most often be able to confidently identify her Peak day.
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:
MENSTRUAL CUP MEASUREMENTS
**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:
Dr. Sri brilliantly summarizes JPII's encyclical "Love and Responsibility" and his subsequent teachings from "Theology of the Body" to explain to couples the difference between "authentic love" (a deep and sacrificial love directed towards the whole person) and a more superficial love limited to physical expression. During the CrMS program through SPICE, couples are taught to recognize the difference between actions that express "authentic love" (ie: sexual contact) from actions that express physical love (ie: genital contact). Click on the image of the book to be routed to Amazon where it may be purchased if you are interested.