Fertility Awareness · Methods

Chapter 8: Charting Continuous Discharges

Hilgers TW

The Medical and Surgical Practice of NaProTECHNOLOGY, 165-173, 2004

RRM Academy Synopsis

Creighton Model charting can find fertile days in continuous discharge

The Creighton Model can identify fertile and infertile days despite continuous mucus discharge. The NaProTECHNOLOGY textbook chapter teaches yellow stamps for these cycles. The program reports more than 25 years of experience with them.

Key Findings

  • A continuous mucus pattern differs from the standard pattern of pre- and post-Peak dry days. The chapter states the true mucus cycle can still be identified with certain teaching techniques.
  • The Creighton Model began work with yellow stamps in 1976 and reports over 25 years of experience with them.
  • For pre-Peak yellow stamps, the woman looks for an essential sameness pattern (ESP), which the chapter says indicates ovarian quiescence. A point of change (POC) indicates a follicle beginning to develop.
  • Women using pre-Peak yellow stamps were included in all five CrMS use-effectiveness studies. Nothing in those studies suggested any adverse effect on overall effectiveness.
  • In the only hormone study of women using pre-Peak yellow stamps, ten pooled cycles showed the point of change coincided with the break in the estrogen curve.

RRM Context

Charting-informed care starts from the idea that mucus patterns carry information about ovarian activity. The chapter shows a Creighton Model teacher working with the pattern each woman presents. The chapter adds that when post-Peak mucus of a non-Peak type (not pasty discharge) is linked to cervical inflammation, having a physician check and treat the cervix is an option while yellow stamps manage it.

Abstract

This chapter describes how the CrMS is applied when a woman's chart shows a continuous mucus pattern, using yellow stamps in place of green stamps to distinguish the days of infertility from the days of fertility. Hilgers explains that post-Peak use of yellow stamps rests on confident identification of the Peak Day, while pre-Peak use depends on an essential sameness pattern (ESP) in the mucus and the identification of a point of change (POC). The chapter limits pre-Peak yellow stamps to regular length cycles with a mucus cycle greater than eight days, long cycles greater than 38 days, and breast feeding before the first menstrual period. Hilgers cites a study by Cvetkovich in which, in a composite of ten menstrual cycles, the point of change coincided with the break in the estrogen curve toward active follicular growth, with a slope of 1.34 from the day before the point of change and 4.46 from the point of change to the day after.

Topics

By this author

Related research

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