Restorative Reproductive Medicine NaProTechnology

Chapter 15: Scientific Foundations of the CrMS

Hilgers TW

The Medical and Surgical Practice of NaProTECHNOLOGY, 183-261, 2004

RRM Academy Synopsis

Cervical mucus acts as a sperm valve and Peak Day falls near ovulation

A 2004 book chapter that reviews mucus, hormone, and ultrasound studies reports that the Peak Day falls within a few days of ovulation. The author's own institute supplied some of the ultrasound data.

Key Findings

  • An in vitro test found no significant sperm penetration of mucus until the third day prior to the LH surge, and none again on the third day following it.
  • Hormone data from 65 hormonally normal cycles put estimated ovulation near the Peak Day. A table of five published studies lists ovulation from P-3 to P+3.
  • Ultrasound in 33 women with infertility showed follicle rupture close to the Peak Day. In 47 infertile patients, pregnancies occurred from Peak -2 through Peak +3.
  • Serial ultrasound over 2,000 menstrual cycles at the author's institute observed no pregnancy before P-2 or after P+3.
  • In a preliminary study of 600 menstrual cycles from 100 women, a Peak Day was observed in 94.0 percent of cycles.

RRM Context

The chapter comes from a NaProTechnology textbook and calls the CrMS the hub of that approach. Restorative reproductive medicine is cycle-charting-informed. The mucus sign is a marker a woman can see each day from her own body. NaProTechnology builds its cycle evaluation on that observation.

Abstract

This chapter reviews the scientific basis of the CREIGHTON MODEL FertilityCare™ System (CrMS), which it traces to a 1976 independent investigation of the Billings Ovulation Method at St. Louis University School of Medicine. Hilgers presents the cervix as a “biological valve” that allows sperm entry at certain times of the cycle and bars it at others, and reviews fern and channel studies, the work of Professor Erik Odeblad on cervical mucus types, sperm penetration studies, and hormonal, ultrasound, and vaginal cytology correlations with the Peak Day. In an ultrasound study of women with infertility (n=33), follicular rupture showed a close association with the Peak Day within a range of P-2 to P+3, and the chapter states that the study has since been expanded to 432 cycles with the same results. The chapter also presents a mucus observation survey of 130 women, statistical parameters from 600 cycles, client evaluations of the teaching system, and a five-study meta-analysis of 1,876 couples in which the 5-study composite method effectiveness to avoid pregnancy at the 12th ordinal month was 99.5.

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Topics

By this author

Related research

Restorative Reproductive Medicine › NaProTechnology › Protocols and Framework · Menstrual Cycle › Cycle Biomarkers › Cervical Mucus · Reproductive Endocrinology › Ovulation Physiology › Follicular Development
Thomas W Hilgers
Tom Hilgers, T Hilgers
Hilgers et al. 2004, Hilgers 2004