Restorative Reproductive Medicine · The Care Team

Chapter 83: Family Physician's Experience

Hilgers TW, Danis P

The Medical and Surgical Practice of NaProTECHNOLOGY, 1101-1114, 2004

RRM Academy Synopsis

Family doctors can run a NaProTechnology practice, a chapter says

A family doctor's 2004 chapter says a family practice can treat infertility, miscarriage, and cycle problems with NaProTechnology. It tracks that doctor's patients for five years.

Key Findings

  • The chapter names a care team that includes a certified FertilityCare Practitioner, a primary care physician, a pharmacist, and an obstetrician-gynecologist for difficult or surgical cases.
  • The infertility workup begins with the couple learning the Creighton Model FertilityCare System and charting for several cycles. The male partner has a semen analysis.
  • The chapter applies the approach to infertility, threatened and recurrent miscarriage, premenstrual syndrome, abnormal vaginal bleeding, and continuous mucus discharge.
  • The author reports that few of the practice's problems needed referral to an obstetrician-gynecologist, and that most received active treatment.
  • The tables for that practice sort outcomes into successful, no response, or lost to follow-up. The adjusted success rate leaves out patients lost to follow-up.

RRM Context

Dr. Thomas W. Hilgers formalized NaProTechnology and the Creighton Model FertilityCare System, and this chapter sits in the textbook on NaProTechnology practice. The workup starts with cycle charting and includes the male partner. That order follows the restorative principle of finding the cause before treating. The chapter places this evaluation in primary care.

Abstract

This chapter presents a family physician's experience with NaProTECHNOLOGY and describes how it can be practiced within a normal family practice office, supported by a team that includes a FertilityCare Practitioner, a pharmacist and an obstetrician/gynecologist. The chapter gives primary care protocols for infertility, threatened and recurrent miscarriage, premenstrual syndrome, abnormal vaginal bleeding and continuous mucus discharges, with infertility evaluation beginning with the couple learning the CREIGHTON MODEL FertilityCare System. Over five years, one family physician tracked 106 referred patients with 187 reproductive or gynecologic problems, and the reported success ranged from 78.0 to 88.6 percent for abnormal vaginal bleeding and from 51.4 to 60.0 percent for infertility. The chapter also sets out the author's critical view of hormonal and surgical family planning and presents natural family planning as one of the best resources available to a family physician.

Topics

By this author

Related research

Restorative Reproductive Medicine › The Care Team › Coordinating With Conventional Care · Clinical Practice Operations › Care Team and Roles › Physician Role
Peter G Danis, Thomas W Hilgers
Pete Danis, P Danis, Tom Hilgers, T Hilgers
Hilgers et al. 2004, Hilgers 2004