FEMM Medical Management

By RRM Academy Reviewed by Dr. Naomi Whittaker, MD, Board-Certified OBGYN, MIGS, NFPMC, FCI Updated May 14, 2026

FEMM Medical Management is the clinical treatment tier of the FEMM (Fertility Education and Medical Management) program, in which trained FEMM Medical Providers use cycle charting data and cycle-timed laboratory evaluation to identify and treat hormonal and reproductive disorders. It is developed and supported by the Reproductive Health Research Institute (RHRI) and represents the physician-level application of FEMM's restorative endocrinology framework.¹

FEMM Medical Providers use the FEMM charting system, which tracks cervical mucus observations alongside urinary hormone testing, to develop a cycle-by-cycle picture of a patient's reproductive health. That picture informs both diagnosis and treatment timing. Conditions addressed through the FEMM Medical Management framework include PCOS, thyroid disorders, luteal phase deficiency, anovulation, recurrent pregnancy loss, and perimenopause. Treatment is targeted to the identified root cause rather than applied generically across all patients with a given diagnosis.¹

FEMM Medical Management is distinct from NaProTECHNOLOGY in its charting method and institutional framework, though both are restorative in principle. FEMM uses a sympto-hormonal approach with integrated LH testing rather than the Creighton-only observation method. Both work from cycle data toward corrective treatment; neither suppresses the cycle as the primary intervention. For couples seeking care through this framework, fertility charting with the FEMM method is the starting point, not an optional add-on.¹

Within the FEMM education system, Medical Management sits at the top of three learning tiers. See FEMM Education Levels for how the program structures access across different audiences, from adolescents to trained clinicians. The Reproductive Health Research Institute supports both the research base and the professional training pathway that leads to FEMM Medical Provider certification.¹

This content is for educational purposes only and does not constitute medical advice. Consult an RRM clinician or healthcare provider for guidance specific to your situation.