Fertility Awareness · Methods

Chapter 7: Basic Charting and Chart Reading

Hilgers TW

The Medical and Surgical Practice of NaProTECHNOLOGY, 153-164, 2004

RRM Academy Synopsis

Creighton Model charts track mucus, bleeding and Peak Day daily

A NaProTECHNOLOGY textbook chapter teaches the Creighton Model FertilityCare System (CrMS) chart, a daily record kept by the couple. Couples record the most fertile sign of each day with stamps and short codes. The last day of Peak-type mucus is marked as the Peak Day.

Key Findings

  • Mucus counts as Peak-type when it shows at least one of three traits: clear, stretchy or lubricative. A single trait, or any mix of them, qualifies.
  • The Peak Day is the final day that Peak-type mucus appears. The couple writes "P" on the chart once the mucus has changed on a later day.
  • Four basic stamps mark bleeding days, infertile dry days, mucus days, and dry days that are fertile within the three-day count after the Peak Day.
  • The vaginal discharge recording system writes each observation as numbers and letters. The chapter says it is a means of recording and that higher numbers should not be used to judge fertility.
  • Teachers read a chart day by day to find errors. Medical consultants read it globally, for cycle length, phase lengths, mucus intensity, continuous discharge and abnormal bleeding.

RRM Context

Restorative reproductive medicine works from a woman's own cycle observations. In NaProTECHNOLOGY, the chart is the timeline that hormone and disease findings are read against. The chapter suggests both partners' names go on it, since it is their record.

Abstract

This chapter outlines the basic principles of charting and chart reading in the CrMS, describing the front, back and inside of the chart and the red, green, white baby and green baby stamps. Hilgers defines Peak-type mucus as any mucus discharge that is clear, stretchy or lubricative, and the Peak Day as the last day of any such discharge. The chapter presents the Vaginal Discharge Recording System (VDRS), a standardized set of numbers and letters for recording observations that Hilgers states should not be called a scoring system. Hilgers gives separate principles of chart reading for teachers, who read each description day by day, and for medical consultants, who read the chart globally for patterns, and closes with a worked example of chart correction.

Topics

By this author

Related research

Fertility Awareness › Methods › Creighton Model · Restorative Reproductive Medicine › Reading the Chart › Mucus Pattern Interpretation · Menstrual Cycle › Cycle Biomarkers › Cervical Mucus
Thomas W Hilgers
Tom Hilgers, T Hilgers
Hilgers et al. 2004, Hilgers 2004