Chapter 25: Chronic Discharges and CrMS

Hilgers TW

General Gynecology Clinical Practice

Chapter 25: Chronic Discharges and CrMS

Hilgers TW

The Medical and Surgical Practice of NaProTECHNOLOGY, 293-306, 2004

RRM Academy Synopsis

Three CrMS chart patterns correlate with causes of chronic discharge

A NaProTECHNOLOGY chapter reports that CrMS chart criteria predicted cervical eversion of grade II or larger in about 77 out of 100 women. Cultures were positive in about 83 out of 100 women with frequent 2W observations.

Key Findings

The CrMS criteria for cervical inflammation correctly predicted a grade II or larger cervical eversion in 292 of 381 cases, a positive predictive value of 76.6 percent.
Among 103 women whose charts lacked the criteria, 78 had no grade II or larger cervical eversion, a negative predictive value of 75.7 percent.
Cervical cultures were positive in 15 of 18 consecutive patients with frequent 2W observations (83.3 percent) and in 3 of 4 with a persistent green discharge (75.0 percent).
In 26 women with regular cycles, a normal cervix and continuous Peak-type mucus, ovulation occurred by the third day after the last day of clear in all 47 cycles.
Postpartum, 21 of 110 women after vaginal delivery without repair of minor cervical lacerations (19.1 percent) had a grade II through IV eversion; none of the 17 cesarean patients did.

RRM Context

Restorative reproductive medicine reads a recurring symptom as information about an underlying cause, and evaluation comes before treatment. In NaProTECHNOLOGY, a standardized daily chart gives clinicians and couples a shared record of that signal. A persistent pattern points to the cervix, to infection or to hormone function, and therapy then treats a defined condition while the chart shows whether the pattern changed. Couples gain a clearer reading of their own fertile and infertile phases, and the diagnosis stays tied to their confidence in charting.

Our editorial summary of this paper, not the article's abstract.

Abstract

This chapter describes the management of chronic and continuous discharges in women charting with the CREIGHTON MODEL System (CrMS), including the use of pre-Peak and post-Peak yellow stamps. Hilgers sets out charting criteria for identifying cervical inflammation (cervical eversion) and reports a study in which the criteria correctly predicted a cervical ectropion of grade II or larger in most of the cases examined. The chapter describes treatment of a cervical eversion by hyfrecation and associates the frequent wet without lubrication (2W) pattern and a persistent green discharge with cervical infection. In women with regular cycles and a continuous Peak-type mucus discharge, a study of 47 cycles found the last day of clear to be a reliable substitute for the Peak Day, and the chapter cautions against using that substitution in any other circumstance.

Read the guide

What Is NaProTechnology? A Guide for Patients Looking for a NaPro Doctor

NaProTechnology diagnoses and treats the underlying conditions driving infertility, menstrual disorders, and early pregnancy loss. This guide covers how the method works, published outcomes data, how to find a qualified provider, and what to expect on cost and insurance.

18 min read

Topics

General Gynecology › Clinical Practice › Practice Patterns · Menstrual Cycle › Cycle Biomarkers › Cervical Mucus · Restorative Reproductive Medicine › NaProTechnology › Protocols and Framework

Thomas W Hilgers

Tom Hilgers, T Hilgers

Hilgers et al. 2004, Hilgers 2004

Chapter 25: Chronic Discharges and CrMS

Three CrMS chart patterns correlate with causes of chronic discharge

Key Findings

RRM Context

Abstract

Read the guide

Topics

By this author

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