Second Appt: You will be asked to return to see the provider for a follow-up appointment to review the results of your CD3 laboratory test and your CD5 ultrasound. The provider will also want to review your Creighton Model System (CrMS ) chart to look for specific biomarkers which will help make a diagnosis.
Be sure to always add the length of your post-peak phase and your mucus cycle score (MCS) to the R-hand margin of your CrMS chart. Your Fertility Care Practitioner (FCP) will calculate your MCS for you.
Your provider may be ask you to begin some supplements and/or medications. He/she will more than likely discuss drawing hormone panels. There are two general types of NaPro 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.
Typically, hormone panels require 2 mos of CrMS charting AND the patient must be able to confidently identify her Peak day.