Session Three Review of the SymptoThermal Rule and
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Session Three • • • Review of the Sympto-Thermal Rule and 6 -5 -0 Day Rule Identify Early Cycle Infertility Evaluate Bleeding Know about the Basic Mucus Rule Practice Couple Decision-Making
CIT starts the evening of the 3 rd post-peak high in a row, if it is on or above the FTSL. PK FTSL . 4° F PRB 2 5 6 3 4 1
If the 3 rd post-peak high is not on or above the FTSL, wait until the evening of the 4 th post-peak high to assume the CIT.
S-T Rule: Pk+5/2 Higher Temps 5
Availability of Intercourse Anytime End of day
Do Activity # 7 • This is a review of the 6 -5 -0 Day Rule and the Sympto-Thermal Rule.
Relatively Infertile Time
Sixth Last Low Temperature Crosscheck
Early Dry Days Rule • To avoid pregnancy while using the preovulatory Relatively Infertile Time, crosscheck tissue, sensation, and cervix and assume fertility with any change from • Ø to M or EW-M • d to m or L M • F, L, C, Ø to S, H, O, M or EW-M – Whichever comes first
First Fertile Day?
First Fertile Day?
First Fertile Day?
First Fertile Day? Not Fertility Related
Alternate Dry Evenings
Cervix as a Guide
Do Activity # 8 • Look at the cycle range and the onset of fertility. Mark the first change of fertility by tissue, sensation, or cervix with a wavy, vertical line.
Understanding Bleeding
Delayed Ovulation PK PK 6 4 5 3 1 2
Delayed Ovulation with Bleeding PK PK PK 6 5 4 3 1 2
Application of BMR PK 1 2 3 4
Review of the Rules Relatively Infertile Possibly Fertile Time § 6 -5 -0 Day Rule § Early Dry Days Rule § Basic Mucus Rule § Focused Intercourse for couples who are achieving § Abstinence for avoiding Completely Infertile Time § Sympto. Thermal Rule § Temperature Only Rules
Is Day 6 Fertile?
When Does the Post-Ovulatory Infertile Time Begin? 5 6 PK 1 2 4 2 3 4 1 3 5
Is Day 8 Fertile?
Where is the Fertile Time? PK 1 3 2 6 4 5
Can We Apply the 6 -Day Rule to Day 29?
Where is the Fertile Time?
Where is the Fertile Time?
Where is the Fertile Time?
Do Activity #9 • This is a reflection and discussion activity to look at some of the other non-technical issues associated with the practice of Natural Family Planning
Final Assignment 1. Send in your chart each cycle. 2. Submit copies of your charts for six cycles. 3. Check with your NFP Provider for a review between 6 and 12 cycles.
