Natural & Safe The Workbook Sensiplan

Table of contents :
Natural & Safe: The Workbook
......Page 1
Q Malteser
......Page 3
Natural & Safe: The Workbook Family Planning with Sensiplan
......Page 4
Natural & Safe: The Workbook
......Page 5
Foreword
......Page 8
Preface
......Page 9
Sensiplan -
......Page 11
Observing signs of fertility
......Page 13
III'*
......Page 16
The cycle chart
......Page 17
Observing cervical mucus and recording on the cycle chart
......Page 18
» Susanne P., who does not wish to become pregnant this cycle, has decided to learn Sensiplan; this is the first cycle she is recording.
......Page 21
» Susanne P. measures her basal body temperature every morning between 6 and 7 o'clock with an analog thermometer- She measures her temperatures rectally.
......Page 23
Enter the temperature
......Page 25
Recording temperature and cervical mucus observations
......Page 27
Recording temperature and cervical mucus observations
......Page 29
Cervical mucus abbreviations
......Page 31
» Using the cervical mucus abbreviation table, Julia T, entered the cervical mucus abbreviations on her cycle chart.
......Page 33
Measuring temperature
......Page 35
Temperature Quiz Solution
......Page 36
Observing the cervix and other signs, and recording on the cycle chart
......Page 37
The infertile time after ovulation
......Page 39
Another option
......Page 41
Identifying the cervical mucus
......Page 43
Identifying the cervical mucus shift
......Page 45
recently completed her first cycle chart using Sensiplan.
......Page 47
» Angelica B. is a pediatric nurse. She has two children and is undecided whether or not she wants to conceive,
......Page 51
» Kirsten O. is a 27-year-old medical assistant with no children. She is not trying to conceive and has been using Sensiplan for about three years.
......Page 55
Sabine B. is a 32-year-old teacher. She has no children and would like to have children in about one year.
......Page 59
» Daniela W. is a 26-year-old cosmetologist*
......Page 63
» Stephanie W. is a 22-year-old administrator 5he has no children and would like to avoid getting pregnant.
......Page 67
Olivia E. is a 29-year-old part-time employee. She has one child.
......Page 71
» Eliza S. is a 24-year-old business administration student.
......Page 75
» Corinna L. is a 31-year-old salesperson. She has two children, and would like to avoid getting pregnant,
......Page 79
The infertile time at the beginning of the cycle
......Page 83
Sensiplan for the beginner:
......Page 84
» Karen J. is a 38-year-old mother of two children. This is her first cycle using Sensiplan.
......Page 87
» Julia K. is a 26-year-old administrator and has one child. This is her seventh cycle using Sensiplan. She observed a temperature shift in her sixth cycle.
......Page 91
» Vanessa N. is a 24-year-old journalist. She has been using Sensiplan for more than a year. She observed a temperature shift in her last cycle.
......Page 95
» Annette W. is a 38-year-old geriatric nurse and mother of two children. This is her fifth cycle using Sensiplan,
......Page 99
» This is Annette W.'s 6th cycle using Sensiplan.
......Page 103
» Marta M. is a 25-year-old designer.
......Page 107
» This is Renate S.'s 69th cycle chart.
......Page 119
Special life circumstances and cycle patterns
......Page 123
Monophasic cycles
......Page 124
After discontinuing hormonal contraceptives
......Page 125
» Rachel R is a 15-year-old student. She is learning how to observe her body's signs of ovulation using Sensiplan.
......Page 127
» Stephanie W. is a 30-year-old mother of one child; she is currently on maternity leave.
......Page 131
Prolonged follicular phase
......Page 133
» Lydia G. is a 31-year-old nurse with no children. She has been trying to conceive for 6 months.
......Page 135
Short luteal phase
......Page 137
» Cristina L. is 31 years old and has been trying to conceive for four cycles.
......Page 139
Trying to conceive
......Page 143
Breastfeeding
......Page 149
» Regina M. is a 47-year-old teacher. She has two children and has been using Sensiplan for seven years.
......Page 151
Perimenopause
......Page 153
» Lisa P. is a 28-year-old florist who has been on the pill for several years. She has decided to stop taking the pill and to learn Sensiplan.
......Page 155
» This is Lisa P/s next cycle.
......Page 159
» Lakshmi is a wardrobe director and is currently in her 11th cycle using Sensiplan. She does not have children.
......Page 163
And finally... Sensiplan in practice!
......Page 165
» If you would also like to identify the infertile time at the beginning of the cycle in Chapter 2, the solutions are provided here: (All solutions assume a temperature shift in the previous cycle.)
......Page 166
How is the cervical mucus sign evaluated?
......Page 167
» How to measure your temperature
......Page 168
The Minus-20 Rule
......Page 169

Citation preview

Natural & Safe: The Workbook Fam ily Planning w ith Sensiplan™ with chart examples from puberty to menopause

sensi

Malteser Arbeitsgruppe NFP Natural & Safe: The Workbook Family Planning with Sensiplan

Q Malteser ...weilNahe zahlt.

Natural & Safe: The Workbook Family Planning with Sensiplan Copyright © 2019 CydeForth LLC All rights reserved. No part of this book may be reproduced in any manner without permission except for brief quotations in articles or reviews. ISBN 978-1-7336878-2-9 (soft cover) ISBN 978-1 -7336878-3-6 (e-book) CydeForth publishes the English language editions of Natural & Safe: The Handbook, Family Planning with Sensiplan and Natural & Safe: The Workbook, Family Planning with Sensiplan, and coordinates provision of education in the Sensiplan method with Reply Ob/Gyn & Fertility. Please visitwww.replyobgyn.com/services/sensiplan. Malteser Arbeitsgruppe NFP is an interdisciplinary team that operates as part of Malteser Health Promotion and Prevention. Arbeitsgruppe NFP is focused on development of natural family planning ("NFP") and quality assurance in NFP consulting and training. Original German title: Arbeitsgruppe Naturliche Familienplanung (NFP), Naturlich und Sicher: Das Arbeitsheft, 10th revised edition 2015 © 2004, 2015 TRIAS Verlag in MVS Medizinverlage Stuttgart GmbH 8c Co. KG, OswaldHesse-StrafJe 50, 70469 Stuttgart, Germany © 1st-6th edition, Ehrenwirth in der Verlagsgruppe lubbe GmbH 8c Co. KG DISCLAIMER: Information in this book is for educational purposes only without representations or warranties of any kind, express or implied. Instruction with a certified fertility educator is recommended for those seeking to use Sensiplan for family planning. None of this information constitutes, or is a substitute for, professional medical advice, diagnosis, or treatment. A physician should be consulted for medical advice.

Malteser Arbeitsgruppe NFP

Natural & Safe: The Workbook Family Planning with Sensiplan -- Safe and effective family planning with Sensiplan™ - With sample cycles from puberty to menopause

Learning Sensiplan 8 Introduction 8 How does Sensiplan work? 8 8 9 9

Basal Body Temperature Cervical Mucus The Cervix Sensiplan - the symptothermal method

9 How can women and men learn Sensiplan? 9 About this W orkbook

11 Chapter 1: Observing signs of fertility 13 Observing and recording signs of fertility 15 The cycle chart 16 Observing cervical mucus and recording on the cycle chart 17 Observing basal body temperature and recording on the cycle chart 17 How to measure your temperature 17 What can disturb or affect temperature? 17 Special features o f digital thermometers

37 Chapter 2: The infertile time after ovulation Identifying the infertile time after ovulation 38 38 38 39

Recording cervical mucus observations 18 Training 1 Recording temperature 20 Training 2 and Solution Training 1 22 Solution Recording temperature and cervical mucus abbreviations 24 Training 3 26 Solution Cervical mucus abbreviations 28 Training 4 30 Solution Measuring temperature 33 Training 5: Quiz on measuring temperature 34 Solution 35 Observing the cervix and recording on the cycle chart 35 Observing and recording other body signs on the cycle chart

Evaluating cervical mucus observations Evaluating cervix observations Evaluating temperature measurements Identifying the infertile time after ovulation Another option Identifying the cervical mucus shift

40 Training 6 42 Solution 44 46 48 50 52 54 56 58 60 62 64 66 68 70 72 74 76 78

Infertile time after ovulation Training 7 Solution Training 8 Solution Training 9 Solution Training 10 Solution Training 11 Solution Training 12 Solution Training 13 Solution Training 14 Solution Training 15 Solution

121 Chapter 4: Special life circumstances and cycle patterns 122 Cycle patterns 122 Cycles with short luteal phase 122 Monophasic cycles 123 123 123 123 123

81 Chapter 3: The infertile time at the beginning of the cycle 82 Identifying the infertile time at the beginning of the cycle Infertile time at the beginning of the cycle 84 86 88 90 92 94

Training 16 Solution Training 17 Solution Training 18 Solution Infertile time at the beginning of the cycle and after ovulation

96 98 100 102 104 106 108 110 112 114 116 118

Training 19a Solution Training 19b Solution Training 20 Solution Training 21 Solution Training 22a Solution Training 22b Solution

Special life circumstances Trying to conceive After giving birth and during breastfeeding Perimenopause After discontinuing hormonal contraceptives

Monophasic cycles 124 Training 23 126 Solution Prolonged follicular phase 128 Training 24 130 Solution Short luteal phase 132 Training 25 134 Solution 136 138 140 142

Trying to conceive Training 26a Solution Training 26b Solution

Breastfeeding 144 Training 27 146 Solution Perimenopause 148 Training 28 150 Solution 152 154 156 158

After discontinuing hormonal contraceptives Training 29a Solution Training 29b Solution And finally - Sensiplan in practice!

160 Training 30 162 Solution 164 Additional solutions to chapter 2

165-167 Sensiplan at-a-glance

Foreword Sensiplan is a fertility awareness-based method of family planning, known also as natural family planning ("NFP"). It was developed in Germany over a period of decades by the "Arbeitsgruppe NFP/' or "NFP Working Group/' at the international aid agency Malteser International, and with help from the German Ministry of Health. Natural & S a fe : Th e H a n d b o o k and Natural & S a fe : Th e W orkb oo k are two important Sensiplan resources, translated now for the first time in English. Th e H a n d b o o k describes the method and how it complements the function of a woman's body, while The W orkb oo k provides practice charts, case examples, and specific instruction for using the method throughout various phases of life. CycleForth LLC is the Des Moines, Iowa-based company that introduced Sensiplan in the United States in 2016, and now is making available the Natural & Safe companion texts. CycleForth specializes in development of cooperative and restorative health care products and services, and coordinates provision of Sensiplan and other fertility awareness-based methods through fertility educators at Reply Ob/Gyn & Fertility. For their decades of commitment to development of Sensiplan, we thank Malteser Arbeitsgruppe NFP. For their trainings in Sensiplan and many contributions to this project, we especially thank our German colleagues Dr. Ursula Sottong and Petra Klann-Heinen. For their work on this English translation and introducing Sensiplan in the U.S., we thank fertility educators Lori Hartley, Donna Zubrod, Emily Kennedy and Dr. Rachel Urrutia, and for her tireless efforts on graphics and layout of this text, we thank Barri Burch. To learn more about Sensiplan's established record of effectiveness, or to inquire about learning the method with a certified fertility educator either in clinic or via telehealth, please contact:

Reply Ob/Gyn & Fertility Sensiplan Instruction, Suite 105 7535 Carpenter Fire Station Road I Cary, NC 27519 919-230-2100 I [email protected] I www.replyobgyn.com/services/sensiplan For information about Sensiplan instruction offered globally, please contact:

Malteser Arbeitsgruppe SENSIPLAN Erna-Schefflerstr.2 I 51103 Cologne www.nfp-online.de I www.sensiplan.de

Preface Sensiplan is a natural method of family planning developed and scientifically evaluated by the Malteser Arbeitsgruppe, or "Working Group," for Natural Family Planning. It has been established through prospective clinical research conducted over a period of many years and published in peer-reviewed medical journals. Users can begin using Sensiplan during the first cycle, however, the user must understand the Senisplan rules and feel comfortable making and recording observations. A detailed overview of the Sensiplan method and rules are found in the companion book, Natural & S a fe : Th e H a n d b o o k , Fam ily Planning with Sen siplan , This W orkb oo k includes a wide range of life situations and cycle examples a woman may experience over the course of her lifetime, and is an important prerequisite for the effective and safe application of Sensiplan. Natural & S a fe : Th e W orkb oo k was first published in German in 1988, and was completely revised for the first time ten years later. This current edition, now translated into English for the first time, relies on more than 20 years of teaching experience with Arbeitsgruppe Sensiplan and the observation of 42,000 cycles from which data were collected and scientifically evaluated. We would like to extend our thanks to Dr. Siegfried Baur and Dr. Ursula Sottong, who, alongside Regina Jager, have revised the W orkb oo k and given it a new layout. We also would like to give our special thanks to everyone who has enabled the work of the Arbeitsgruppe Sensiplan task force, and who has supported the group in various ways, as well as the men and women who have provided us with their experiences and cycle charts.

Malteser Arbeitsgruppe NFP Sensiplan Cologne, April 2012

Introduction

Introduction Sensiplan is an established method of fertility awareness, or natural family planning ("NFP"), by which women monitor physical signs that change throughout their reproductive cycles. Understanding these signs allows a woman to identify her fertile and infertile days and include: • C h a n g e s in Body Tem perature • C h a n g e s in Cervical Mucus • The Position of the Cervix A woman who can interpret these signs knows when in her cycle pregnancy is possible, and when it is not. She can plan intercourse with her partner depending on whether or not she is trying to conceive. The use of Sensiplan requires cooperation between both partners.

How does Sensiplan work? For pregnancy to occur, the egg and sperm must meet. The egg is only released once per cycle,

Basal Body Temperature If you track your basal body temperature throughout a cycle,

Mucus is initially thick, partially sticky and creamy, and often has a whitish color. The closer the woman

and can survive up to 24 hours. Sperm, on the other hand, can

you will see that there are two temperature phases. Before

is to ovulation, the more cervical mucus is produced, and the more

survive in the female body for several days around the time of ovulation. During this time the first-morning temperature (basal

ovulation, body temperature is slightly lower. Around ovulation,

liquid and transparent it becomes - almost like raw egg white. This

a woman's basal body temperature noticeably rises. This rise in

consistency allows sperm to pass through the cervix and survive for several days in the womb. After

body temperature), cervical mucus,

temperature allows a woman to

and the cervix undergo observable changes. Women using Sensiplan

identify clearly the beginning of

ovulation, the cervical mucus

the infertile time after ovulation.

learn to monitor these physical signs every day, record them on a "cycle chart," and then evaluate

Cervical Mucus Glands in the cervix excrete

thickens again, seals the neck of the womb with a mucus plug, and is again impenetrable to sperm.

them based on easy-to-apply rules. Sensiplan allows a woman to

cervical mucus of varying quality and quantity during a cycle.

identify her fertile time and to actively choose whether or not to

Generally, women do not notice cervical mucus until a few days after

try to achieve or avoid pregnancy in any given cycle.

menstrual bleeding stops.

The Cervix There is another physical sign by which a woman can observe

How can women and men learn Sensiplan?

About this workbook This Workbook supplements the manual Natural & Safe: The Handbook, Family Planning with

whether or not she is in a fertile time: changes in the position and feeling of the cervix. By regularly feeling the cervix, a woman can

There are two ways to learn: either

Sensiplan (CycleForth 2019). It contains examples and practice cycles, which can help users learn

tell how the position, firmness, and opening of the cervix changes during the cycle. After

by independent study using the books Natural & Safe: The H andbook and Natural & Safe: The W orkbook, or by using the

to use Sensiplan. The W orkbook is divided into four sections. Each chapter builds on the information given in the previous chapter. In the

menstruation, the cervix is closed and hard, and it drops into the vagina. As she gets closer to ovulation, the cervix softens, opens, and slightly rises. After ovulation, the cervix closes again, becomes

books along with the help of certified Sensiplan instructors. Experience has shown that having expert support during the initial learning phase leads to improved use of the rules and increases personal satisfaction with the

first three chapters, there are plenty of exercises with solutions and detailed explanations of the Sensiplan rules. The fourth chapter

hard, and drops lower into the vagina.

method.

contains sample cycles of special life circumstances, such as trying to conceive after discontinuing

Sensiplan -

Although learning time varies among users, many women

hormonal contraceptives.

This method derives its name from observing a combination of

report increased confidence In using the method after completing three charted cycles. The method

Finally, rules are summarized at the end of this W orkbook in the section titled Sensiplan at-a-glance

sym ptoms (cervical mucus or cervix) and basal body temperature: the

first teaches how to make self­ observations, and then how to

on pages 165-167.

symptothermal method. For Sensiplan to be reliable,

use the Sensiplan rules to identify the beginning and end

temperature values and cervical

of the fertile phase.

The symptothermal method

mucus patterns must be evaluated and interpreted according to precise rules. These detailed rules allow the fertile time to be clearly identified. When used consistently Sensiplan can be, as current studies confirm, as reliable as contraceptive methods such as the birth control pill. Additionally, Sensiplan has no harmful side effects.

Also, special situations are discussed including how to recognize pregnancy using information collected from the chart. Experience has shown that almost all couples are able to independently and safely use Sensiplan after three cycles without further instruction.

Chapter 1:

Observing signs of fertility For the safe and reliable use of natural family planning, it is essential to observe and record physical changes during the female cycle. This section explains step by step how and when to make and record your observations.

Chapter 1

Observing signs of fertility

A

late to bed

Occurrences Unusual/special disturbances

Time Midcycle pain Breast symptoms

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Observinq and recordinq siqns of fertility

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While changes in basal body temperature and cervical mucus (or cervix position and feeling) are the primary signs used in Sensiplan, other signs can contribute to understanding a woman's fertility. These signs include mid-cycle pain and breast symptoms. All observations are recorded on a cycle chart and evaluated. The cycle chart is like a personal diary and should include signs of fertility and other factors that could affect observing and interpreting the chart. Earliest first higher temperature reading in the previous cycles 1 5

Minus 8

7

Earliest first higher temperature reading in this cycle

Do you intend to become pregnant in the next cycle? yes no x

Malteser ...weil Nahe zahlt.

Figure 1: Example of a completed cycle chart from an experienced user in the 14th cycle of using Sensiplan

Cycle Chart

Observing signs of fertility

- Enter illness, travel, shift work, for example Occurrences Unusual/special disturbances

Enter measuring time

II II1I11 Midcycle pain Breast symptoms

■Midcycle pain

37,5 37,4

Breast symptom

R

37,3 37,2

Mucus abbreviation

Enter the cervical mucus codes on the 37 *C tine.

3 S ta rt m e a s u r in g 3 te m p e r a t u r e o n th e 3 first d a y o f b le e d in g 36,7 f-j36,6 36,5

Ho

36,4

is £

! Mark the temperature . values with dots and . then connect them. If a reading is missing, leave ■a gap.

t

36'3 The 1st day of 36,2 menstruation is the 36,1 1st day of the cycle

S2

36,0 uo-

Date

___ I

Cycle day

Date: April 2008

20

22

26

28 29 30

8 9

mi

III'* Sensati Enter bleeding

Enter the cervical mucus observations every evening Appearance

3 T OR

Position a r 4^ openn £nter Intercourse Firmne ^ = Intercourse Intercourse

Enter the cervix observations every day

n i n i ri

XXX

Fertile Days

F F Arbeitsgnjppo NFP®1

Enter F for Fertile Days

Mark the onset of _ menstruation and set up a new cycle sheet

The cycle chart The cycle chart looks more complicated than it is. See Fig. 2 for a sample cycle chart with an explanation of entries. The cycle chart begins with the first day of menstruation, which is noted on the row marked "Date." Bleeding is entered on the row marked "Menstruation" by using longer or shorter lines, or dots to indicate how heavy bleeding is.

this cycle

Do you intend to become pregnant in the next cycle? yes

nof x B undecided

Malteser ...weil Nahe zahlt.

Figure 2: The cycle chart with explanation of entries

Observations and Entries

observing signs of fertility

Observing cervical mucus and recording on the cycle chart Making cervical mucus observations requires you to feel, see, and touch your cervical mucus throughout the day and evening. At the end of the day, enter your description of the best cervical mucus quality observed on the rows marked "Mucus." (cf. Manual Natural & Safe: The H andbook). The cervical mucus observations for each day are summarized with a corresponding abbreviation and can be entered on or above the 37 °C line on the cycle chart. (Table 1 and Figure 3). Daily cervical mucus observations should begin toward the end of menstruation.

Table 1: Cervical mucus classifications, observations and abbreviations Feel/Touch Occurrences Unusual/special disturbances

Appearance

Code

dry, rough, itching, unpleasant feeling

and

no visible mucus, no cervical mucus at the vaginal opening

> d

no mucus felt, no moistness, presence of mucus not sensed at the vaginal opening

and

no visible mucus, no cervical mucus at the vaginal opening

O

O

moist

but

no visible mucus, no cervical mucus at the vaginal opening

O

m

moist but presence of mucus not sensed

and

thick, whitish, opaque, creamy, lumpy, yellowish, sticky, milky, non-elastic or tough

moist, but presence of mucus not sensed

and

translucent, transparent, translucent sheen like raw egg white (translucent with white streaks), elastic or stretchy, can be stretched into strands, so liquid that it "runs like water", reddish, red-brown, yellowish-red

wet, slimy, slippery, lubricating, like oil, smooth

and/ or

translucent, transparent, translucent sheen like raw egg white (translucent with white streaks), elastic or stretchy, can be stretched into strands, so liquid that it "runs like water", reddish, red-brown, yellowish-red

Time Midcycle pain 37,5 Breast 37,4 symptoms ^

Mucus abbreviation

37.2 37,1 37,0 36,9 3MS 36.7

+ + + d d m S S 5 s 6 m 0

36.6 * >■=

36.5 36,4

^ 0 H £

3M 36,2

Jf

36.1 36,0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 5 6 8 9 10 11 12 13 14 15 16 17 18 19 20 21 TTTf l|H

imw

Sensation

| 3

1

\

1

1 1

1

Position and Opening

Figure 3: Enter the cervical mucus observations on the cycle chart.

+ t/t

Appearance

1i 1i 11f

elastic elastic

$ s

creamy

3 1

A

Cycle day December Menstruation

+

Date:

If

1

a Observing basal body temperature and recording on the cycle chart First morning body temperature

What can disturb or affect

Special features of digital

(basal body temperature) has two temperature phases during a cycle.

temperature? • Changing thermometer mid-cycle

Before ovulation, in the follicular

• Change in the measuring method

phase, basal body temperature is slightly lower. After ovulation, it

• Different measuring times • Change in the environment (traveling, holiday, vacations, change in climate)

thermometers • Thermometer should have a valid calibration stamp • Continue measuring for three

How to measure your temperature • Immediately after waking and before getting out of bed • After at least one hour of rest or sleep • Ideally every day • By using an analog basal body thermometer or a calibrated digital thermometer displaying two decimal points • Always use the same method: orally, rectally, or vaginally (hold for 3 minutes); never under the arm

minutes after the beep • Use a digital thermometer that measures to two decimal points

• Stress, mental strain, excitement • Unaccustomed alcohol consumption, partying late into the night

• Round the value up or down to half a tenth of a °C

• Late meal in the evening • Unusually late bedtime

second thermometer as a comparison during the cycle

• If the temperature curve is unclear, or if in doubt, use a

• Not sleeping long enough or broken sleep • Shift work • Illnesses and ailments • Some medications All disturbances are noted on the row marked "Occurrences, Unusual/special disturbances."

Figure 4: Enter the temperature values

MU

increases by a few tenths of a °C (cf. Manual Natural & Safe: The Handbook).

Training 1

Observing signs of fertility

Occurrences Unusual/special disturbances

Time Midcycle pain Breast symptoms

Mucus abbreviation

37,4 373 37,2 37.1 37,0 35 g 36,8

a, -g' 3

36,7 36,6

i l

36-5

|

36,3 363 36.1 36,0 Cycle day

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Date: Menstruation

Sensation

3 3 2 u

Appearance

•5 & ^

Position and opening Firmness Intercourse Fertile Days NFP®

V

Recording cervical mucus observations » Susanne P., who does not wish to become pregnant this cycle, has decided to learn Sensiplan; this is the first cycle she is recording. Enter the following in the cycle chart: all important information, cervical mucus observations, and corresponding abbreviations on Temperature taken

the 37 °C line (Solution in Training 2).

1st cycle day: The cycle begins on the first day of menstruation, which is October 11th; her bleeding is heavy.

Earliest first higher temperature reading in the previous cycles

2nd cycle day: Menstrual bleeding is quite heavy 3rd and 4th cycle days: Menstrual bleeding is lighter 5th cycle day: Susanne P. is not bleeding anymore. She feels that her vagina is dry and she does not notice cervical mucus.

6th cycle day: She does not feel anything at her vagina, does not feel "moist," and cannot see any cervical mucus.

7th cycle day: Susanne P. feels moist a few times, but cannot see any Minus 8

cervical mucus.

Earliest first higher

8th and 9th cycle days: She feels moist again and notices white, lumpy cervical mucus that is not elastic.

temperature reading in this cycle

10th cycle day: During the day she notices white cervical mucus and feels moist. In the evening the cervical mucus is transparent and elastic. 11th cycle day: During the day she has the feeling that the toilet paper easily glides across her vagina. Her vagina feels wet, and she notices that her cervical mucus can form threads that are several centimeters long. 12th and 13th cycle days: Susanne P. feels that her vagina is completely wet, and on day 13 she even has the feeling that it is running like water. 14th cycle day: She feels moist all day and notices that she has elastic cervical mucus,

15th cycle day: She still feels moist; however, her cervical mucus looks creamy again.

Malteser ...weil Nahe zahlt.

16th cycle day: Her vaginal area still feels moist, but Susanne see any more cervical mucus.

P. cannot

17th and 18th cycle days: She cannot feel or see any more cervical mucus.

Training 2

Observing signs of fertility

Occurrences Unusual/special disturbances

Time Midcycle pain Breast symptoms

Mucus abbreviation

37,4 373 37,2 37.1 37,0 35 g

+ + + + + d

0

4 5

6

m s

s

S S

S S S S m

0 0

36,8 a, -g' 3 i

|

l

36,7 36,6 36-5

36,3 362 36.1 36,0 Cycle day

1

2

3

7 8 9 10 11 12 13 14 15 16 17 18 19 2 0 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Date: October 11 12 13 14 15 16 17 18 19 2 0 21 2 2 23 24 25 26 27 28 29 30 31 ‘M 2 Menstruation »|H 111 1ll

3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

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Position and opening Firmness Intercourse Fertile Days NFP®

V

Recording temperature » Susanne P. measures her basal body temperature every morning between 6 and 7 o'clock with an analog thermometer- She measures her temperatures rectally. Enter all important observations on the cycle chart. The solution for training 1 is already entered here. 1st cycle day: Her temperature is between the lines of 36.6 and 36.7. Temperature taken

R

2nd cycle day: Her temperature is 36.7. 3rd cycle day: She forgets to measure. 4th cycle day: The thermometer reads 36.6. 5th cycle day: Susanne P. does not measure until 10 o'clock; also, she had alcohol the evening before at a party. The thermometer reads 36.9.

Earliest first higher temperature reading in the previous cycles

6th cycle day: Her temperature when she wakes up is 36.6. 7th cycle day: Her temperature when she wakes up is 36.6. 8th and 9 th cycle days: Susanne P. reads the thermometer at 36.5.

10th cycle day: Her temperature is between the lines of 36.5 and 36.6.

Minus 8

11th cycle day: Susanne P's temperature when she wakes up is 36.7. Earliest first higher

12th cycle days: Her temperature goes back down to 36.5.

temperature reading in

13th cycle day: The thermometer reads 36.6.

this cycle

14th and 15th cycle days: Her temperature is 36.8 on both days.

Do you intend to become pregnant

17th cycle days: Her temperature is 36.9.

16th cycle day: Susanne P. measures 36.85.

18th cycle day: Susanne P. measures 36.85 again.

in the next cycle? yes

n o fx j undecided

Malteser ...weilNahe zahlt.

Because Susanne P. does not yet know how to identify the infertile phase at the beginning of the cycle, and she has no information from her past cycles, in the 1st cycle, she has to assume that she is fertile starting on cycle day 1. She will enter "F" on the row marked "Fertile Days" each day until she learns to identify the beginning of the infertile time after ovulation using the Sensiplan rules.

Training 2 - Solution

Observing signs of fertility

| Party/Alcohol

\ Occurrences Unusual/special disturbances

Time Midcycle pain Breast symptoms

7

-

10

8

^ ^

37,4 37,3 37,2

Mucus abbreviation

37.1 37,0

d

^69 A

36,8 £

36,7

-□ 5

36.6

i

*-

/

0

+ + + + + m S S S S S S S S m

\

\

£

| fl

0

0

J /

A y

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r

36,3 36.2 36,1 36,0 Cycle day

1 2 3 4 5

6

7 8

9

10 11 12 13 14 15 16 17 18 19 20 21 22 23

nothing

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V

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2

24

25 26 27 28 29 3 0 31 32 33 34 35 36 37 38 39 40

3

4 5 6

7

8

9

10

11 12

13 14 15 16

17 18 19

|

|

s

creamy

£ X)

runs like water elastic

Sensation 3 u 3

nothing

Date: October 11 12 13 14 15 16 17 18 1 9 2 0 21 2 2 23 24 2 5 26 2 7 2 8 2 9 30 31 l|M III' Menstruation III Ilf

1

Position and opening Firmness Intercourse Fertile Days

F F

F F

F

Arbeitsgruppe NFP®

F F

F

F F F

F

V

Enter the temperature » Susanne P. recorded all her measured temperature values. Since she did not measure on the 3rd day of her cycle, the readings from the 2nd and 4th day of the cycle are not connected.

Temperature taken

R X

Earliest first higher temperature reading in the previous cycles

Earliest first higher temperature reading in

-

this cycle

Do you intend to become pregnant in the next cycle?

’5

,o x undecided

Malteser ...w e ilN a h e zahlt.

Training 3

Observing signs of fertility

Occurrences Unusual/special disturbances

Time Midcycle pain Breast symptoms

Mucus abbreviation

^7,4 373 37,2 37.1 37,0

35 g 36,8

a, -g' 3

36,7 36,6

i l

36-5

|

36,3 363 36.1 36,0 Cycle day

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Date: December 12 3 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 l/| 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Mil Menstruation II i l III' II" III III II

•5 ^

| nothing | nothing

1 1 thick

| moist moist stretchy

stretchy

thick

1 1 1

thick

Appearance

5 1

translucent liquid

| moist

1

sticky

moist |moist

moist

moist I moist

Sensation

3 u 3 2

Position and opening Firmness Intercourse Fertile Days

V

37.00 37.00 36.99 36.98 36.97 v. 36.95 36,95 36.94 36.93 36^5 36.91 36.90 36,90 36.69 36.88 36.87 36.86 ;'r, 36,85 36.84 36.83 36.82 36.81 36.80 36.80 36,79 36.78 36.77 36.76 36.75 36.7S 36,74 36.73

Cycle-no*

Temperature taken

m

Earliest first higher temperature reading in the previous cycles

Earliest first higher temperature reading in this cycle

Do you intend to become pregnant in the next cycle?

Malteser ...weil Nahe zahlt.

36! 71 36.70 36.70 36,69 36.6B 36.67 36.66 36.65 36.65 36.64 36,63 36,62 36.61 36.60 36.60 36.59 36,58 36.57 36.56 36.55 36,55 36.54 36.53 36,52 36.51 36.50 36.50 36.49 36.48 36,47 36.46 36.45 36.45 36,44 36.43 36.42 36,41 36.40 36.40 36.39 36.38 36.37 36,36 36.35 36,35 36.34 36.33 36.32 36,31 I t X : 36,30 36.29 36,28 36.27 36.26 36.25 36.25 36.24 it /• 36,22 36.21 36.20 36.20 36.19 36.18 36,17 36,16 36.15 36.15 36.14 36.13 36.12 36,11 36.10 36,10 36.09 36.08 36.07 36,06 36.05 36,05 36.04 36.03 36.02 36.01 36,00 36,00

Recording temperature and cervical mucus observations » Susanne P. recorded all her measured temperature values. Since she did not measure on the 3rd day of her cycle, the readings from the 2nd and 4th day of the cycle are not connected. First, record the cervical mucus abbreviations on or above the 37 °C line on the cycle chart. Then record the following temperatures. Round the temperature values up or down to half a tenth of a °C {cf. Table 2 and manual Natural & Safe: The Handbook). On day 4 of the cycle the digital temperature reading is 36.44. On day 5 of the cycle the digital temperature reading is 36.48. On day 6 of the cycle the digital temperature reading is 36.38. On day 7 of the cycle the digital temperature reading is 36.56. On day 8 of the cycle the digital temperature reading is 36.59. On day 9 of the cycle the digital temperature reading is 36.42. On day 10 of the cycle the digital temperature reading is 36.34. On day 11 of the cycle the digital temperature reading is 36.49. On On On On

day day day day

12 of the 13 of the 14 of the 15 of the

cycle cycle cycle cycle

the digital the digital the digital the digital

temperature temperature temperature temperature

reading reading reading reading

is 36.40. is 36.32. is 36.45. is 36.33.

On day 16 of the cycle the digital temperature reading is 36.55. On day 17 of the cycle the digital temperature reading is 36.66. On day 18 of the cycle the digital temperature reading is 36.74

Table. 2: Rounding off with a digital thermometer Refer to the table at left and the examples below to determine how to round (up or down) individual temperatures taken. 36.50 = 36.50

36.51 = 36.50

36.52 = 36.50

36.53 = 36.55 36.56 = 36.55

36.54 = 36.55 36.57 = 36.55

36.55 = 36.55

36.58 = 36.60

36.59 = 36.60

36.60 = 36.60

Training 3 - Solution

Observing signs of fertility

\ Occurrences Unusual/special disturbances

Time Midcycle pain Breast symptoms

6

-

7

^ ^

37,4 37,3 37,2

Mucus abbreviation

+ + + +

37.1 37,0

m m m S

S S

S S S S S

0 0

^69 36,8

£

36,7

-□ 5

36.6

i

/

£

| fl

A

v

V

36,3 36.2

/

A

A A

V

/ V

v

36,1 36,0 Cycle day

1 2 3 4 5 6 7 8 9 10 ii 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Date: December 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 l/| 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 fi" nit It Menstruation 111 111 III'

1

IIIIII

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F

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liquid thick

moist >O

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111

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Position and opening Firmness Intercourse Fertile Days

F F F

F

F

Arbeitsgruppe NFP®

F F

F

F F

F F

•

•

*

•

V

Recording temperature and cervical mucus observations » In the third cycle, Susanne P. measured her temperature using a digital thermometer. She recorded her temperature values and cervical mucus abbreviations on the cycle chart shown at left. Temperature taken

R X

Earliest first higher temperature reading in the previous cycles

Earliest first higher temperature reading in

-

this cycle

Do you intend to become pregnant in the next cycle?

undecided

Malteser ...w e ilN a h e zahlt.

Training 4

Observing signs of fertility

Occurrences Unusual/special disturbances

Time Midcycle pain Breast symptoms

Mucus abbreviation

^7,4 373 37,2 37.1 37,0 35 g 36,8

a, -g' 3

36,7 36,6

i l

36-5

|

36,3 363 36.1 36,0 Cycle day

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 M 2 3 4 5

Date: January 25 26 27 28 29 30 31 •|Mmi ri" Menstruation 'III III III1

till

•5

&

^

1

1 1 I 1 0 1

1 1 1 I

1

1 1

1 E 1

1 1 1 1

transparent

S:

£ E 1 _2

0 £ P X) 1

yellowish

moist

moist

"a> "o> 3

stretchy

1 1

0

E

yellowish whitish

nothing Nothing

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yellowish

nothing

Sensation

3 3 2 u

Position and opening Firmness Intercourse Fertile Days NFP®

V

Cervical mucus abbreviations

sei

3

» Julia T., a 17-year-old student, would like to learn more about her body. Although she is making cervical mucus observations, she reports having difficulty choosing the correct cervical mucus abbreviations. Enter the abbreviations on or above the 37 °C line.

Temperature taken

Earliest first higher temperature reading in the previous cycles

Minus 8

Earliest first higher temperature reading in this cycle

Do you intend to become pregnant in the next cycle? yes no undecided

Malteser ...weilNahe zahlt.

Training 4 - Solution

Observing signs of fertility

\ Occurrences Unusual/special disturbances

Time Midcycle pain Breast symptoms

^ ^

37,4 37,3 37,2

Mucus abbreviation

+ + +

37.1 37,0

0 0

S S S S s

S s m d

0 0 0 0 0

+ S 0 0 0 m S

^69 36,8

£

36,7

-□ 5

36.6

i

£

| fl

36,3 36.2 36,1 36,0 Cycle day

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 2 3 4 5

Date: January 25 26 27 28 29 3C 31 H 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 mi Menstruation 'III III d" ■■It

•2 4>

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wet

[ moist

moist

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yellowish

£ |

l

) 1111 1\ 1 I 1 11 1 11 1111

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%

1

stretchy

moist

11

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nothing moist

nothing nothing

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yellowish yellowish

III

~c a CL £

2

Position and opening Firmness Intercourse Fertile Days Arbeitsgruppe NFP®

V

Cervical mucus abbreviations » Using the cervical mucus abbreviation table, Julia T, entered the cervical mucus abbreviations on her cycle chart.

Temperature taken

R V

8

Earliest first higher temperature reading in the previous cycles

Earliest first higher temperature reading in this cycle

-

Do you intend to become pregnant in the next cycle?

undecided

Malteser ...w e ilN a h e zahlt.

Training 5

Observing signs of fertility

Measuring temperature Q u iz

Check the corresponding box to indicate if the statement is true or false. Basal body temperature should be measured in the morning after getting out of bed. An analog thermometer can be used to measure basal body temperature. Measuring at different times of the day will always affect the temperature measurement. Times that differ from the usual measuring time must be recorded on the cycle chart. If you wake up during the night, you must sleep or rest for at least an hour before measuring your temperature. Changing your thermometer midway through the cycle will not affect the temperature evaluation. Temperature can be measured in the anus (rectally), in the vagina (vaginally) or in the mouth (orally). The same measuring technique should be used throughout a cycle and noted on the cycle chart. Measuring your temperature rectally takes 10 minutes. You can measure at anytime of the morning without affecting the temperature value. Measuring your temperature after being awake for a few hours will not impact your interpretation of the chart. Changes to your usual habits such as stress, travel, or illness, should be recorded on the cycle chart in the row marked "Occurrences, unusual/special disturbances." If you measure your temperature using a digital thermometer, the exact value shown should be recorded on the cycle chart. Events that may affect your temperature measurement should be entered on the cycle chart on the day they affect.

TRUE

FALSE

Training 5 - Solution

Observing signs of fertility

Temperature Quiz Solution Check the corresponding box to indicate if the statement is true or false.

TRUE

X

Basal body temperature should be measured in the morning after getting out of bed. An analog thermometer can be used to measure basal body temperature.

FALSE

X

Measuring at different times of the day will always affect the temperature measurement.

X

Times that differ from the usual measuring time must be recorded on the cycle chart.

X

If you wake up during the night, you must sleep or rest for at least an hour before measuring your temperature.

X

X

Changing your thermometer midway through the cycle will not affect the temperature evaluation. Temperature can be measured in the anus (rectally), in the vagina (vaginally), or in the mouth (orally).

X

The same measuring technique should be used throughout a cycle and noted on the cycle chart.

X

Measuring your temperature rectally takes 10 minutes.

X

You can measure at any time of the morning without affecting the temperature value.

X

Measuring your temperature after being awake for a few hours will not impact your interpretation of the chart.

X

Changes to your usual habits such as stress, travel, or illness, should be recorded on the cycle chart in the row marked "Occurrences, unusual/special disturbances."

X

X

If you measure your temperature using a digital thermometer, the exact value shown should be recorded on the cycle chart. Events that may affect your temperature measurement should be entered on the cycle chart on the day they affect.

(For reasons and detailed explanation, please see manual Natural & Safe: The Handbook)

X

Observing the cervix and other signs, and recording on the cycle chart Like cervical mucus and temperature, the cervix also undergoes changes throughout the cycle. Changes of the cervix can be monitored as an alternative to cervical mucus observations. It is recommended that you do not use this method until you have mastered making and recording cervical mucus observations. In our experience, this typically takes at least two observation cycles. How is the cervix exam ined? • Once a day • In the same position and always with the same finger • In a slightly stooped position What is assessed ? • The width of the opening of the cervix (closed, partially open, completely open) • The position (lower/higher) • The firmness (hard or soft)

Other body signs

r

Other body signs can contribute to a woman understanding her fertility. These signs may include breast tenderness, mid-cycle pain, spotting, skin symptoms, water retention (edema), weight fluctuations, physical performance changes, or an increase or

Occurrences Unusual/special disturbances

assigned lines on the cycle chart. Other symptoms are recorded on

8 6 B

37*2 37,1 Mucus 37,0 abbreviation 34,9 36,8 36.7 36,6 i ■g 2 1 J S S 2 2

cannot be evaluated using a hard and fast rule, however, they may

Breast symptoms (B) and mid-cycle pain (M) should be noted on the

MM

Mldcyde pain 37.5 Breast 37,4 symptoms J7 3

decrease in libido. These signs

give women additional valuable information.

i

I a a

Time

Date:

*s 36.4 36,3 36.2 36.1 36.0 Cycle day ' 2 3 4 s 6 7 6 9 to n 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 3e 35 36 37 38 39 40 June 3 4 5 6 7 8 9 to U 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Menstruation P Hi P iPI

| i Appearance

Figure 5: Make and record observations of the cervix and other signs

■p

Position Arid Opening

*3

Firmness Intercourse

o ■s 1 1

hors

unusual/special disturbances."

O0

i 2 it 8 1

s 1

0 1

■E 2 2

!

18 2

hard

the row marked "Occurrences,

Chapter 2:

The infertile time after ovulation The fertile and infertile times are identified using signs of fertility. This chapter explains how the infertile time after ovulation can be identified using a double check with cervical mucus and basal body temperature.

Chapter 2

The infertile time after ovulation

Identifying the infertile time after ovulation Fora Sensiplan beginner, identifying the infertile time after ovulation is the easiest part of learning Sensiplan; this is done using cervical mucus and temperature recordings. The shift of cervical mucus quality and the increase in basal body temperature are used to mark the end of the fertile time, using the double check principle.

Evaluating cervical mucus observations Rule: Shift of the cervical mucus sign The cervical mucus shift is the last day of your best quality cervical mucus before it shifts to a lower quality. Determining the day of this shift (Peak day) can only be done after it has happened. On the chart below, the letter "P" shows the Peak day, or the last day of the best

How is the cervical mucus sign evaluated?

Appearance

First, determine the last day of your best quality cervical mucus before it shifts to a lower quality and mark it with a "P" above the cervical mucus abbreviation. Then mark the next

M •g 3

Position and opening Firmness

. i

2

o 0

1 8

O

%% 1

1 1

Fertile Days

Figure 7: Evaluating the position of the cervix

Evaluating cervix observations

Evaluating temperature measurements

Cervix

i

Intercourse V

three days as 1 - 2 - 3 (cf. Natural & Safe: The Handbook). (Figure 6)

R u le :

1 2 3 •

o

Rule: Temperature shift

If you choose to use the cervix sign instead of the cervical mucus sign, the infertile time after ovulation begins on the evening of the third

A temperature shift can be confirmed when three consecutive readings are all higher than the six previous readings, and the 3rd higher reading

day with a closed and hard cervix, using a double check with

is at least 2 boxes (2710°C) above the previous six lower-temperature

temperature measurements (cf. Natural & Safe: The Handbook)

readings. (Figure 8)

(Figure 7)

quality cervical mucus before the shift to a lower quality.

Figure 6: Shift in the cervical mucus symptom

Figure 8: Evaluation of the temperature shift

How is it done? R u le :

Each day your new

te m p e ra tu re :

Identifying the infertile time after ovulation -

F ir s t e x c e p t io n to t h e ru le o n

temperature measurement is compared with the temperature measurements from the six previous

If the 3rd temperature

R u le :

measurement is not 2^10 °C higher than the cover line, a 4th

mucus and temperature

days. Temperature measurements where there have been

temperature measurement must be used. This also must be higher

"disturbances" are put in brackets and are not taken into account.

than the cover line, but it does not necessarily have to be 2/10°C higher. (Figure 9)

Look for the temperature that is higher than any of the previous six temperature measurements. A cover line is drawn at the level of the highest of these six previous lower values. The next day's temperature must be higher than the cover line.

S e c o n d e x c e p t io n t o t h e ru le o n te m p e ra tu re :

Out of three required higher temperature measurements, one

Double check of cervical

The infertile time after ovulation begins on the evening of the 3rd day after the cervical mucus shift or the evening of the 3rd higher temperature measurement, whichever comes last (cf. Natural S Safe: The Handbook). The beginning of the infertile time after ovulation is marked with an F/ in the row marked "Fertile Days."

measurement may fall down to or below the cover line. This value

Another option

If the criteria for the rule have been met and the third higher

must not be taken into account and is therefore not triangled. The third

R u le : Double check of cervix position and temperature

measurement is 7A 0 °C above the

value, however, must be at least 2/io

cover line, draw a triangle around the three higher readings on the

°C (2 boxes) above the cover line. (Figure 10)

cycle chart. The temperature evaluation is now complete (cf. Natural S Safe; The Handbook).

Figure 9: First exception to the rule

The first and second exceptions to the rule cannot be used together in the same cycle.

The infertile time after ovulation begins on the evening of the 3rd day with a closed and hard cervix, or the evening of the 3rd higher temperature measurement, whichever comes last (cf. Natural & Safe: The Handbook).

Training 6

The infertile time after ovulation

+ + d d d m 5 5 5 S 5 d d d d

5 S S S S S s s m S m m m

d d m m S S d d d d d d d

0 0 m S s s s s s mm d d

+ d d m S s s s s m m 0 0 0

0 0 0 mm S S S s s s s 0

m m m m m m S m mm m 0 0 0

d d 0 0 0 mm m 0 0 0 d d

+ +

-i- +

+

+ + +

sensifLANa

Identifying the cervical mucus Every woman has her own individual cervical mucus pattern. While most women notice S+ quality cervical mucus in each cycle, some rarely or never observe this type of cervical mucus. These women can still learn how to determine the shift in their cervical mucus. At left, are some examples.

Evaluate the cervical mucus observations by marking the shift with a "P" above the abbreviation and numbering the next three days (P -1 -2 -3).

Malteser

Training 6 - Solution

The infertile time after ovulation

1

2

3

m

S

m m m

P 1 2 3 + + d d d m S S S s s d d d d

s

p 1 2 3 d d m m S S d d d d d d d

p 1 p 1 2 3 + + + 0 0 m S S s s s 5 m m d d

p 1 2 3 + d d m S S S s s mm 0 0 0

p 1 2 3 + + + 0 0 0 mm S 5 5 5 S 5 5 0

p 1 2 3 m m m m m m S m mm m 0 0 0

p 1 2 3 d d 0 0 0 mm m 0 0 0 d d

p

+ + 5

S

S

s

s

s

s

s Identifying the cervical mucus shift The examples show that even with lower quality cervical mucus the shift in the cervical mucus symptom can be reliably identified.

Training 7

The infertile time after ovulation

Occurrences Unusual/special disturbances

"5 JC

Time Midcycle pain Breast symptoms

Mucus abbreviation

630

7

630 630

7 7 10 7 7

630 630 630

7 7 7 7

7 7

630 630

7 7

^7,4 373 37,2 37.1 37,0 35 g

36,7 36,6

i l

36-5

|

36,3 363 36.1 36,0 Cycle day

630 630 7

v

36,8 a, -g' 3

630 630

A /

\

\

/

** n /

AX V

A

V

V

7

630

7

v.

V

/ v

7

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27

Date: November 18 19 20 21 22 23 24 25 26 27 28 29 30 4" Menstruation lill lill 1111

111

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moist

| moist

1 1 I

sticky

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£ E

1 1 1 I

stretchy

3 ^ >. Cl Q-

2

translucent thick

1 1 I

whitish stretchy

Appearance

I moist I moist

£ T3 £

| moist

Sensation

3 3 2 u

Position and opening Firmness Intercourse

X

Fertile Days NFP®

X

u

Identifying the infertile time after ovulation » Michaela S. is a 23-year-old businesswoman who recently completed her first cycle chart using Sensiplan. 1. Enter the cervical mucus abbreviations and identify the shift in the cervical mucus sign.

Temperature taken

2. Are there any disturbances or special circumstances? 3. Identify the earliest first higher temperature reading and enter this in the column on the right. 4. Determine the beginning of the infertile time after ovulation and mark all fertile days with an "F."

Earliest first higher temperature reading in the previous cycles

Do you intend to become pregnant in the next cycle? yes no x undecided

Malteser ...w e ilN a h e zahlt.

Training 7 - Solution

The infertile time after ovulation

\ Occurrences Unusual/special disturbances

■S

I

)

N-/ Time Midcycle pain Breast symptoms

Mucus abbreviation

630 630

7

630 630

7 7

io)

7 7

630 630 630

7 7 7 7

37,4 37,3 37,2

7 7

d d m S S s

s

s

630 630

7 7

630

7

S S S 0 0 0 v

^69

£

36,7

-□ 5

36*6

TT7 w

\

¥ r

( /

\

£

| fl

630 630

P 1 2 3 + + +

37.1 37,0 36,8

i

7 7

630 630

^ ^

s,

A' V

v

V

v

J

v

6 5 4 3 2 1 36,3 36.2 36,1 36,0 Cycle day

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Date: November 18 19 20 21 22 23 24 25 26 27 28 29 30 i2/i 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Menstruation p Ml'

III III

III

•2

CL. £

F

F F

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11 2 stretchy

I

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l

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Position and opening Firmness Intercourse Fertile Days

X F F

F F

F F

A rbeitsgruppe N F P ®

F F

F F

F

F F

F

X

V

Identifying the infertile time after ovulation 1. The shift of the cervical mucus sign is on cycle day 14. 2. The temperature measurement on cycle day 8 is a disturbance and is put in brackets. The disturbance is noted because "late to bed" and a later-than-usual temperature measurement were Temperature taken

recorded.

R X

3. The earliest first higher temperature reading is on cycle day 16. 4. The infertile time after ovulation begins on the evening of cycle day 18 and is marked by “ W.“

Note:

Earliest first higher

•

temperature reading in the previous cycles

Earliest first higher temperature reading in this cycle

Do you intend to become pregnant in the next cycle?

’5

,o

x

undecided

Malteser ...w e ilN a h e zahlt.

Since Michaela S. is observing her first cycle using Sensiplan, fertility is assumed starting Cycle Day 1.

Training 8

The infertile time after ovulation

Occurrences Unusual/special disturbances

Time 630 Midcycle pain Breast symptoms

Mucus abbreviation

~

S0ft)Z a

0 « E

1

_o

7

^7,4 373 37,2 37.1 37,0 35 g

+ + + + + +

s s s s s

S S S S S S

36,8 a, -g' 3

36,7 36,6

i l

36-5

|

36,3 363 36.1 36,0 Cycle day

0 0 0 0 A

V

\a

V

J.

V

V

1 2

A

V

3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Date: February 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 M 2 3 4 5 6 7 8 9 10 11 12 13 14 M" nn llll Menstruation ;;; 111 iii>

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10 0 1 0 to £ E0 E0 1 ty 3

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3 3

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Position and opening Firmness Intercourse

X

Fertile Days NFP®

X

X

X

X

X

V

Identifying the infertile time after ovulation » Angelica B. is a pediatric nurse. She has two children and is undecided whether or not she wants to conceive, 1. Identify the shift in the cervical mucus sign, 2. Are there any disturbances or special circumstances?

Temperature

3. Identify the earliest first higher temperature reading and enter this in the column on the right. 4. Determine the beginning of the infertile time after ovulation and mark all fertile days with an "R" Earliest first higher temperature reading in the previous cycles 1 4

Minus 8

9

Earliest first higher temperature reading in this cycle

Do you intend to become pregnant in the next cycle? yes

undecided X

Malteser ...w e il N ahe zahlt.

Training 8 - Solution

The infertile time after ovulation

\ Occurrences Unusual/special disturbances

-

Time Midcycle pain Breast symptoms

Mucus abbreviation

-□ 5

7

37,4 37,3 37,2 37,1 37,0

_P_ _2_ _3_ + + + + + + _s_ T _S_ _S_ S _S_ S_ Y Y ¥ 0_

T si

^69 36,7

v Y

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o Oj E

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A* 2 2 1

36,3 36,2 36,1 36,0 Cycle day T T T Y T

~6 T

T T

Z 10 Y Y Y

14 15 16 17 Y Y

20 21 22 li" 24 25 26 27 28 29 30 Y

32 33 34 35 ~36 37 38 39 40

•2 u_ y E _3 "to £

I

elastic transparent

1

moist moist

s

lumpy

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Date: February 4 5 6 T 8 _9_ JO _n_ J i J3_ J4 J5_ 16 17 18 19 20 A 22 2i. 24 25 26 27 28 29 a _2_ _3_ 4 _5__6_ •FT fJTT *•* mr Menstruation W ill! 1

I

I

I

_8_ 9_ JO Jl_ 12 J3_ 14

I

I

Position and opening Firmness Intercourse Fertile Days

_ Y

Y

Y 2

Arbeitsgruppe NFP®

Y

Y

Y y

/

Identifying the infertile time after ovulation 1. The shift of the cervical mucus sign is on cycle day 16. 2. On cycle days 6 and 10, potential disturbances are entered. Since the temperature measurements were not affected, they are not bracketed. Temperature taken

R X

3. The earliest first higher temperature reading is on cycle day 15. 4. The infertile time after ovulation begins on the evening of cycle day 19.

On cycle days 15 and 16 there is light mid-cycle bleeding. Earliest first higher temperature reading in the previous cycles [l

4

Earliest first higher temperature reading in

imi

this cycle

Do you intend to become pregnant in the next cycle?

undecided [x

Malteser ...w e ilN a h e zahlt.

Training 9

0

pimple pimple

edema

argument

Occurrences Unusual/special disturbances

£

"8

diarrhea

The infertile time after ovulation

Time 630 Midcycle pain Breast symptoms

Mucus abbreviation

M B B B ^7,4 373 37,2 37.1 37,0 35 g

A

f A

36,8 a, -g' 3

36,7 36,6

i l

36-5

|

36,3 363 36.1 36,0 Cycle day Date: March Menstruation

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J

A

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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 22 23 24 25 26 27 28 29 30 31

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III(II

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X X

Fertile Days NFP®

X X

X

X X

V

Identifying the infertile time after ovulation » Kirsten O. is a 27-year-old medical assistant with no children. She is not trying to conceive and has been using Sensiplan for about three years. 1. Enter the cervical mucus abbreviations and identify the shift in the Temperature taken

R X

cervical mucus sign. 2. Are there any disturbances or special circumstances? 3. Identify the earliest first higher temperature reading and enter this in the column on the right. 4. Identify the beginning of the infertile time after ovulation.

Earliest first higher temperature reading in the previous cycles 1 4

Minus 8

9

Earliest first higher temperature reading in this cycle

Do you intend to become pregnant in the next cycle? yes

undecided

Malteser ...weil Nahe zahlt.

Training 9 - Solution

The infertile time after ovulation

E w

)

Mucus abbreviation

1 ■8

X X /

Identifying the infertile time after ovulation 1. The shift of the cervical mucus sign is on cycle day 12. 2. On cycle day 10 an argument is entered as a disturbance, which leads to a rise in temperature. The value is put in brackets and does not count when counting back over the previous six lower Temperature taken

R X

VJ

measurements. Kirsten O. notes water retention (edema) as a disturbance on cycle days 12 and 13 of the cycle, however, her temperature measurements on these days were not affected and measurements are not bracketed* 3. The earliest first higher temperature reading is on cycle day 16. 4. The infertile time after ovulation begins on the evening of cycle

Earliest first higher

day 18,

temperature reading in the previous cycles

Earliest first higher temperature reading in this cycle

Do you intend to become pregnant in the next cycle?

’5

,o

x

undecided

Malteser ...w e ilN a h e zahlt.

Training 10

The infertile time after ovulation

8-

Occurrences Unusual/special disturbances

0 1

■3 Time Midcycle pain Breast symptoms

Mucus abbreviation

650 7 7 7 7 730 7 6 630 630 630 630 6 7 7 7 630 6 7 7 7

7 7 6 6

^7,4 373 37,2 37.1 37,0 35 g 36,8

a, -g' 3

36,7 36,6

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|

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V A

1 2 3 4 5 6 7 8

9

\

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V

/ / / X

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Date: April 30 M 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Menstruation )| 111III III

I

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X

Fertile Days NFP®

;
3

366

v

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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Date: June Menstruation

22 23 24 25 26 27 28 29 30 v, 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

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Position and opening Firmness Intercourse Fertile Days NFP®

V

Identifying the infertile time after ovulation » Daniela W. is a 26-year-old cosmetologist* 1. Identify the shift in the cervical mucus sign. 2. Are there any disturbances or special circumstances? Temperature taken

R X

E

Earliest first higher temperature reading in the previous cycles

1 6 Minus 8

9

Earliest first higher temperature reading in this cycle

Do you intend to become pregnant in the next cycle? yes

undecided

Malteser ...weil Nahe zahlt.

3. Identify the earliest first higher temperature reading and enter this in the column on the right. 4. Identify the beginning of the infertile time after ovulation.

Training 11 - Solution

The infertile time after ovulation

\ Occurrences Unusual/special disturbances

Time 630 Midcycle pain Breast symptoms

Mucus abbreviation

7

^^ 37,4 37,3 37,2

P 1 2 3 + + d d 0 m S S S S S S m 0 0

37.1 37,0

/

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36,8 £

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36,1 36,0 Cycle day

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Date: June 22 23 24 25 26 27 28 29 30 7/. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 in Menstruation iii > llll

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V

moist

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D u 3

nothing moist

III III III III

Position and opening Firmness Intercourse Fertile Days

s Arbeitsgruppe NFP®

V

Identifying the infertile time after ovulation 1. The shift of the cervical mucus sign is on cycle day 13. 2. No disturbances or special circumstances are recorded. 3. The earliest first higher temperature reading is on cycle day 15, one day earlier than any previous earliest first higher temperature Temperature taken

R X

VJ

reading. 4. The infertile time after ovulation begins on the evening of cycle day 18.

Note: Earliest first higher

•

temperature reading in the previous cycles

[l

6

Earliest first higher temperature reading in

imi

this cycle

Do you intend to become pregnant in the next cycle?

’5

,o

x

undecided

Malteser ...w e ilN a h e zahlt.

The temperature is evaluated using the first exception to the rule.

Training 12

The infertile time after ovulation

Occurrences Unusual/special disturbances

Time Midcycle pain Breast symptoms

Mucus abbreviation

630 630 7 7 730 6 6 6 6 7 7 730 6M 6 6M 6 6 630 6

^7,4 373 37,2 37.1 37,0 35 g 36,8

a, -g' 3

36,7 36,6

i l

36-5

|

36,3 363 36.1 36,0 Cycle day

VV V s,

r

v

v

/ /

V

A VV-

J.

vv

V

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Date: October 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 H" nii Menstruation llll llli III

% 2

3 4 5 6 7 8

111

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5

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creamy

creamy

thick

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I moist

0 £

thick

moist

moist | moist

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3 3 2 u

0 1 1 l

E

1

11

I

Position and opening Firmness Intercourse

X

X

Fertile Days NFP®

V

Identifying the infertile time after ovulation » Stephanie W. is a 22-year-old administrator 5he has no children and would like to avoid getting pregnant. 1* Enter the cervical mucus abbreviations and identify the shift in the cervical mucus sign. Temperature

2. Are there any disturbances or special circumstances? 3. Identify the earliest first higher temperature reading and enter this in the column on the right. 4. Identify the beginning of the infertile time after ovulation. Earliest first higher temperature reading in the previous cycles

Minus 8

9

Earliest first higher temperature reading in this cycle

Do you intend to become pregnant in the next cycle? yes

undecided

Malteser ...weil Nahe zahlt.

Training 12 - Solution

The infertile time after ovulation

\ Occurrences Unusual/special disturbances

Time 630 630 630 7 7 730 6 6 6 6 7 7 730 6M 6 630 6 6 630 6 Midcycle pain Breast symptoms

Mucus abbreviation

^ ^ 37,4 37,3 37,2 S s

£

36,7

-□ 5

36.6

0 0 0 -V

v \

\

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/

vV

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| fl

1 2 3

s S S S S S S S

^69 36,8

i

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37.1 37,0

fr

w

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6 5 4 3

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2 1

36,3 36.2 36,1 36,0 Cycle day

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

•2

V

moist

moist creamy creamy

>. a_ a_ E E _3 _3

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thick

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thick

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moist moist

III III III

moist___________ 1

Date: October 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 »/, 2 3 4 5 6 7 8 il" il" Menstruation

I I

I

I

1

I 1

Position and opening Firmness Intercourse Fertile Days

X

X >

Arbeitsgruppe NFP®

V

Identifying the infertile time after ovulation 1. The shift of the cervical mucus sign is on cycle day 15. 2. No disturbances or special circumstances are recorded. 3. The earliest first higher temperature reading is on cycle day 15, two days earlier than any previous earliest first higher temperature Temperature taken

R X

reading. 4. The infertile time after ovulation begins on the evening of cycle day 18.

Notes: Earliest first higher temperature reading in the previous cycles

i ^

Earliest first higher temperature reading in

imi

this cycle

Do you intend to become pregnant in the next cycle?

’5

,o

x

undecided

Malteser ...w e ilN a h e zahlt.

•

The temperature is evaluated using the second exception to

•

the rule. In this cycle, no $+ quality cervical mucus is observed. However, a shift can still be identified.

Training 13

The infertile time after ovulation

Occurrences Unusual/special disturbances

Time Midcycle pain Breast symptoms

Mucus abbreviation

6 6 6 6 650 6

6 6M 6M 6 6 6 6

6 7 6 7 6 6 6 9 6 6 6 7 M B B

^7,4 373 37,2 37.1 37,0 35 g

B B B B

36,8 a, -g' 3

36,7 36,6

i l

36-5

|

36,3 363 36.1 36,0 Cycle day

\

\

v

f v A

\

V -A v

/

V

r

A,

/

\

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Date: March 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 M 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Menstruation >111 llll III III

•5 ^

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i

1 l

1 1 I

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I moist I moist

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l

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QJ Cl Cl

transparent transparent

2

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3 3

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1 1

1

1 1 1

Position and opening Firmness Intercourse

X

Fertile Days NFP®

X

X X

X

V

Identifying the infertile time after ovulation »

Olivia E. is a 29-year-old part-time employee. She has one child.

1,

Enter the cervical mucus abbreviations and identify the shift in the cervical mucus sign.

^ 1

R

Temperature taken

2. Are there any disturbances or special circumstances? v x

0

3. Identify the earliest first higher temperature reading and enter this in the column on the right. 4, Identify the beginning of the infertile time after ovulation.

Earliest first higher temperature reading in the previous cycles

‘ 3 Minus 8

Earliest first higher temperature reading in this cycle

Do you intend to become pregnant in the next cycle? yes no x undecided

Malteser ...w e ilN a h e zahlt.

Training 13 - Solution

The infertile time after ovulation

\ Occurrences Unusual/special disturbances

N

Time Midcycle pain Breast symptoms

Mucus abbreviation

t -6 7 6 7 6 6 6 6M 6M 6 6 6 6 6( 9 ) 6 6 6 7 M B B B B 8 6

6 6 6 6 6» 6

^ ^ 37,4 37,3 37,2

P

1 2 3

+ + +

37.1 37,0

d

0 0

m

s

S

S

S

S

S

s 0 0 0 0 0 0 s

S

0 0 0 0

^69 36,8

£

36,7

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36.6

i

\-*

£

| fl

5 36,3 36.2

\ v

A

/

V A

/

5 4 3

6

36,1

f

—

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\

V

V

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1

36,0 Cycle day

1 2 3 4 5 6 7 8 9 10 ii 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

\.

1

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1 1

II

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2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

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\_ L

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Date; September 23 24 25 26 27 28 29 30 »/, 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Menstruation •in 'III II III' iim 4" II

...

•5 ^

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1

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yellow

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0

£

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moist moist yellowish yellowish

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yellowish yellowish

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3 3 2 u

1

Position and opening Firmness Intercourse Fertile Days NFP®

V

Identifying the infertile time after ovulation » Eliza S. is a 24-year-old business administration student. 1. Identify the shift in the cervical mucus sign. 2. Are there any disturbances or special circumstances? Temperature taken

R X

E

Earliest first higher temperature reading in the previous cycles

1 6 Minus 8

9

Earliest first higher temperature reading in this cycle

Do you intend to become pregnant in the next cycle? yes

undecided

Malteser ...weil Nahe zahlt.

3. Identify the earliest first higher temperature reading and enter this in the column on the right. 4. Identify the beginning of the infertile time after ovulation.

Training 14 - Solution

The infertile time after ovulation

\ /

Time Midcycle pain Breast symptoms

Mucus abbreviation

1

36,8

T F ___ I T

£

| fl

F F

F

^69 36,7

F

_6_

8

7

7

7

_ 8 8 7 8 7 6

7

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F T T F

37,1 37,0

36.6

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bi

-np

i i to r 18,i r

37,4 37,3 37,2

£

i

7 7

I

(V 8 8 8' g)V 8

^ ^

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\ tonsillitis

Occurrences Unusual/special disturbances

F F

F F

+ + + + S_ S_ S_ s_ F

' _.

_4_ ±_

S

F

2

F

F -

|T7 y a z a

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a

3

2 2_ _1_

36,3 36,2 36,1 36,0 Cycle day

1 2 T T T F

T F

Date: September 23 24 25 26 27 28 29_ 30 TTT rp r Menstruation TTT I I 1

F

z 10 F F

H _2_

F

F F

F F

18 F

20 I T F

23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 F

3_ _4_ _5_ 6_ 7_ 8_ _9_ 10 _y_ 12_ 13_ 14__15_ 16_ YJ_ 18_ 1Z 20 21_ 22 23_ 24_ 25_26 27_ 28 29_ 30 31_ I

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yellowish yellowish

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1 1

stretchy

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5 o

1

1

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_.

Intercourse Fertile Days

> 1 Arbeitsgruppe NFP®

y

Identifying the infertile time after ovulation 1. The shift of the cervical mucus sign is on cycle day 16. 2. On cycle days 7-11 Eliza has tonsillitis and a fever. These temperatures are put in brackets and not taken into account when counting the six previous lower temperatures. Temperature taken

R X

VJ

Earliest first higher temperature reading in the previous cycles

[l

6

Earliest first higher temperature reading in

'E 0

this cycle

Do you intend to become pregnant in the next cycle?

’5

,o x undecided

Malteser ...w e ilN a h e zahlt.

3* The earliest first higher temperature reading is on cycle day 16. 4. The infertile time after ovulation begins on the evening of cycle day 19.

Training 15

The infertile time after ovulation

late to bed

A Occurrences Unusual/special disturbances

0 s

Time S« Midcycle pain Breast symptoms

Mucus abbreviation

-

7

^7,4 373 37,2 37.1 37,0 35 g

-g' 3

36,7 36,6

i l

36-5

a,

J. /

A v

|

A

A A

36,8

A

/

/ V

/

1

/

36,3 363 36.1 36,0 Cycle day

1 2

3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Date: August 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 M 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 f|Mnit Menstruation "i« Ilf! llh IIM l|M •Ml

•5 ^

0 E

yellowish yellowish

moist

0 E

5 E

yellowish

slippery

0 E

yellowish yellowish

elastic elastic

moist moist slippery creamy

I

moist

moist translucent

Tj 5

whitish whitish

moist moist Appearance

yellowish yellowish

Sensation 3 u 3 2

1 1

l

1

Position and opening Firmness Intercourse

X X

Fertile Days NFP®

X

X X

X

(X

V

Identifying the infertile time after ovulation » Corinna L. is a 31-year-old salesperson. She has two children, and would like to avoid getting pregnant, 1. Enter the cervical mucus abbreviations and identify the shift in the cervical mucus sign. Temperature

2. Are there any disturbances or special circumstances? 3. Identify the earliest first higher temperature reading and enter this in the column on the right. 4. Identify the beginning of the infertile time after ovulation. Earliest first higher temperature reading in the previous cycles

‘ 3 Minus 8

9

Earliest first higher temperature reading in this cycle

Do you intend to become pregnant in the next cycle? yes

undecided

Malteser ...weil Nahe zahlt.

Training 15 - Solution

The infertile time after ovulation

1late to bed

\ Occurrences Unusual/special disturbances

O

S

o

Time 5* Midcycle pain Breast symptoms

Mucus abbreviation

7

^ ^ 37,4 37,3 37,2

P S

s

S

S

s

S

S

^69 36,7

-□ 5

36*6

P 1 2 3 + + S

S

S

S

ST7

36,8 £

/

r

4

A

A

i £ | fl

1 2 3

+ +

37.1 37,0

V

/

-/ v

6 5 4 3

36,3 36.2

\

V

S

S

a s,

S

/

0 0

A

/ V

2 1

36,1 36,0 Cycle day

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

•2 JIJ lll> M"

III

•2 4>

V

'

11 1

whitish

Appearance

t> % -s M 5 5 ? s

1I

C _g

moist

1I

s

| whitish whitish | liquid

moist

1

moist

Sensation 3 u 3

I

o o E E

l

l

Position and opening Firmness Intercourse Fertile Days

F

F F

F F

Arbeitsgruppe NFP®

F F

F F

F F

F

F F

F F

F F

V

Identifying the infertile time at the beginning of the cycle 1. Because Karen J. is in her first cycle using Sensiplan and has no prior charting experience, she must assume that she is fertile starting on cycle day 1 of this cycle. 2. The temperature measurement on cycle day 5 is a disturbance ("meeting/late to bed") and is put in brackets.

Earliest first higher temperature reading in the previous cycles

Earliest first higher temperature reading in this cycle

Do you intend to become pregnant in the next cycle?

’5

,o

x

undecided

Malteser ...weilNahe zahlt.

Training 17

The infertile time at the beginning of the cycle

Occurrences Unusual/special disturbances

-

Time Midcycle pain Breast symptoms

Mucus abbreviation

730

^7,4 373 37,2 37.1 37,0 35 g

S S S S S S S S S m m m m

36,8 -g' 3

36,7 36,6

i l

36-5

|

36,3 363 36.1 36,0

a,

Cycle day

A v

V V

v

/

/

\

JL

>

J

/ /

-J -

V v

V

V

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Date: April 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 5/, 2 r|i 1 M" Menstruation 'III III! 111 1111

•5 & ^

5

E

moist

0

E

moist

moist creamy

creamy

| moist moist moist creamy

| moist

I moist I moist little lumpy whitish

thick

Appearance

whitish creamy

moist I moist yellowish

Sensation 3 u 3 2

1 1 I

Position and opening Firmness Intercourse

X

X

Fertile Days NFP®

V

Identifying the infertile time at the beginning of the cycle » Julia K. is a 26-year-old administrator and has one child. This is her seventh cycle using Sensiplan. She observed a temperature shift in her sixth cycle. 1. Identify the last infertile day at the beginning of the cycle and mark Temperature taken

the first fertile day with "F." 2. Identify the shift in the cervical mucus sign. o x ]

3. Are there any disturbances or special circumstances? 4. Identify the earliest first higher temperature reading and enter this in the column on the right.

Earliest first higher temperature reading in the previous cycles

1 6 Minus 8

9

Earliest first higher temperature reading in this cycle

Do you intend to become pregnant in the next cycle? yes

undecided

Malteser ...weil Nahe zahlt.

5. Identify the beginning of the infertile time after ovulation. 6. Record the earliest first higher temperature reading.

Training 17 - Solution

The infertile time at the beginning of the cycle

\ Occurrences Unusual/special disturbances

Time 630 Midcycle pain Breast symptoms

Mucus abbreviation

730

^ ^ 37,4 37,3 37,2 37.1 37,0

S

P 1 2 3 S S S S m m m m

S S S S

^69 36,8

£

36,7

-□ 5

36.6

i

v

£

| fl

y

V >

'V V

/

v-

36,3 36.2

_

'

Sr-

6 5

4

w

.

v

£ £

V

v 3 2

i

36,1 36,0 Cycle day

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 2 4 25 26 27 28

Date: April 12 13 14 15 16 17 18 19 2 0 21 2 2 23 2 4 2 5 2 6 2 7 2 8 2 9 3 0 v, 2 TH l|li Menstruation 'III 111 111in1

N e x t C y c le

59 40

s

Cycle-no*

V

o E

1moist

moist

moist

o E

Temperature taken

00

creamy

creamy

creamy

whitish creamy

little lumpy whitish

| yellowish

thick 4>

o 5 E £

v Appearance

•2

o o E E

moist

s

moist

moist moist

Sensation 3 u 3

I

Position and opening

Earliest first higher temperature reading in the previous cycles

Firmness Intercourse Fertile Days

1

X

X F

Arbeitsgruppe NFP®

A

0 0 F F

F

F F

F

F F

F F

F

i

i

i

i

r

n

i

i

L7

Identifying the infertile time at the beginning of the cycle

set

1. The infertile phase at the beginning of the cycle was identified using the 5-day rule in double check with the cervical mucus sign. The last infertile day is cycle day 5.

Cycle-no*

2. The shift of the cervical mucus sign is on cycle day 15. Temperature taken

3. No disturbances or special circumstances are recorded. 4. The earliest first higher temperature reading is on cycle day 15, one day earlier than any previous earliest first higher temperature reading. 5. The infertile time after ovulation begins on the evening of cycle day 18.

Earliest first higher temperature reading in the previous cycles

1 6

□□ iest first higher emperature reading in this cycle

Do you intend to become pregnant in the next cycle?

’5

®[x undecided

Malteser ...weilNahezahlt.

6. The earliest first higher temperature reading this cycle has caused a shift from cycle day 16 to cycle day 15 in future cycles.

Training 18

The infertile time at the beginning of the cycle

Occurrences Unusual/special disturbances

ai -C a -a CI

1 Time 6*s 6* 630 7 10 7 6« Midcycle pain Breast symptoms

Mucus abbreviation

6 9 6» 630

^7,4 373 37,2 37.1 37,0 35 g 36,8

a, -g' 3

36,7 36,6

i l

36-5

A

A \

\ V

A

s/

\

t

!

v

|

A

J

V

%

V

36,3 363 36.1 36,0 Cycle day

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Date: August 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 •in Menstruation ' I I I in '

%

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

m o is t

2

Appearance 1

•5 ^

1

“5

3

s tr e t c h y

m o is t

1

tra n s lu c e n t

m o is t

t

s tic k y

n o th in g

Sensation

3 u 3

n o th in g

111

Position and opening Firmness Intercourse

X

Fertile Days NFP®

X

V

Identifying the infertile time at the beginning of the cycle » Vanessa N. is a 24-year-old journalist. She has been using Sensiplan for more than a year. She observed a temperature shift in her last cycle. 1. Identify the last infertile day at the beginning of the cycle and mark Temperature taken

R X

the first fertile day with "F." 2. Are there any disturbances or special circumstances?

Earliest first higher temperature reading in the previous cycles

1 8 Minus 8

9

Earliest first higher temperature reading in this cycle

Do you intend to become pregnant in the next cycle? yes

undecided

Malteser ...weil Nahe zahlt.

Training 18 - Solution

The infertile time at the beginning of the cycle

\ Occurrences Unusual/special disturbances

Time Midcycle pain Breast symptoms

Mucus abbreviation

$ 1 ( fj l 6^ 6« 630 7 10 7

0

s s

+ +

37.1 37,0

d

0

m S

^69 !.

36,8 36,7

-□ 5

36*6

i £ fl

630 630

37,4 37,3 37,2

£

|

6« 630 6

^ ^

A n vv A , 1 V

7

A v

%

36,3 36.2 36,1 36,0 Cycle day

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Date: August 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 i|u r|ii Menstruation >JIJ in'

9/i

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Appearance

•2 4>

V

11 1

moist

moist

o E

“5 2

'

sticky translucent | stretchy

£* T3

s

nothing

Sensation 3 u 3

nothing

III

F

F F

Position and opening Firmness Intercourse Fertile Days

X Arbeitsgruppe NFP®

X F

V

Identifying the infertile time at the beginning of the cycle 1. Since Vanessa N. has 12 previously recorded temperature shifts, the infertile phase at the beginning of this cycle is identified using the Minus-8 Rule in double check with the cervical mucus sign. The last infertile day at the beginning of the cycle is cycle day noticed cervical mucus on cycle days 9 and 10. Temperature taken

8

because she

R X

VJ

2. It appears that for Vanessa N., taking her temperature later than usual affects her temperature measurements on cycle days 5 and 10 and these are counted as disturbances. The headache she reported on cycle day 5 also may have had an effect on her temperature.

Earliest first higher temperature reading in the previous cycles

1 8

HTol Earliest first higher temperature reading in this cycle

-

Do you intend to become pregnant in the next cycle?

’5

,o x undecided

Malteser ...weilNahe zahlt.

Training 19a

The infertile time at the beginning of the cycle

c "5

Occurrences Unusual/special disturbances

3

1 y> E Time 6 6 630 6 6* 7 8 8 7 6W630630 7

Midcycle pain Breast symptoms

Mucus abbreviation

^7,4 373 37,2 37.1 37,0 35 g

36,7 36,6

i l

36-5

|

36,3 363 36.1 36,0 Cycle day

630 7 7 6 6 6 6 7 7 6

+ + 0 m S S S S

36,8

a, -g' 3

i l £ l •S

J

/ >

A

S m m m0

AV

/

S S

v /

/

A »-

\

/

V

V

/ /

s

V

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Date: January 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 lk 2 3 4 5 6 7 8 9 mi Menstruation 'III 1111!»'

•5

& ^

moist

1 1 1 1

whitish

1

whitish

moist

| moist moist

| moist

elastic elastic

moist I moist

I moist I moist whitish whitish

1 1

whitish whitish

Appearance

0

£

4s;oui

1

moist

Sensation 3

u 3 2

Position and opening Firmness Intercourse

X X

Fertile Days NFP®

X

X X

V

Identifying the infertile time at the beginning of the cycle and after ovulation » Annette W. is a 38-year-old geriatric nurse and mother of two children. This is her fifth cycle using Sensiplan, Temperature taken

R V

Trainings 19a and 19b are two successive cycles. Annette W. observed a temperature shift in her previous cycle.

0 1

.

2

.

the first fertile day with "F."

Earliest first higher temperature reading in the previous cycles

3. 4, the column on the right. 5.

Minus 8

Earliest first higher temperature reading in this cycle

Do you intend to become pregnant in the next cycle? yes

no[xJ undecided ;dded

Malteser teser I -~ u u ...weilNahe zahlt.

Identify the beginning of the infertile time after ovulation.

Training 19a - Solution

The infertile time at the beginning of the cycle

' \ Occurrences Unusual/special disturbances

Time Midcycle pain Breast symptoms

Mucus abbreviation

1

6 6

6 6is 7

630 630 7

7

'> 3

366

*•'

A V

|

A V

/

V A

*

J

-A

V A

S S

V

/

36,3 36,2 36,1 36,0 Cycle day

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Date: January 25 26 27 28 29 30 31 M 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 M 2 3 4 5 i|" llfl Menstruation Hit >11/ 1111 111'

moist

moist

1

whitish

moist

1 I

1

whitish

moist

moist moist moist moist

moist moist

1

2

moist moist

Sensation

3 3

u

•5 & ^

elastic

elastic elastic

whitish

1 1

whitish whitish

Appearance 1

Position and opening Firmness Intercourse

X X

Fertile Days NFP®

X X

X X

V

Identifying the infertile time at the beginning of the cycle and after ovulation » This is Annette W.'s 6th cycle using Sensiplan. 1. Identify the last infertile day at the beginning of the cycle and mark Temperature

the first fertile day with "R" 2. Identify the shift in the cervical mucus sign. 3. Are there any disturbances or special circumstances? 4. Identify the earliest first higher temperature reading and enter this in the column on the right.

Earliest first higher temperature reading in the previous cycles

Minus 8

Earliest first higher temperature reading in this cycle

Do you intend to become pregnant in the next cycle? yes

undecided

Malteser ...weil Nahe zahlt.

5. Identify the beginning of the infertile time after ovulation.

Training 19b - Solution

The infertile time at the beginning of the cycle

\ Occurrences Unusual/special disturbances

Time 6M 630 7 7 Midcycle pain Breast symptoms

Mucus abbreviation

37,4 37,3 37,2

6

630

7 6is 7 6is 615

^69 36,8 36,7

-□ 5

36*6

6

S S

VI A,

¥ j ■A

A

V

£

| fl

7 7 7

P 1 2 3 + + + 0 m S S S s s S m m m 0

37.1 37,0

£

i

630 615 630

^ ^

A

V /

—

*57 v

% V —

V

elastic elastic

•2

1 1

5 E

whitish

Appearance

whitish whitish

I

s

moist moist

Sensation D u 3

Position and opening Firmness Intercourse Fertile Days

X X F Arbeitsgruppe NFP®

F F

X X

X X

V

Identifying the infertile time at the beginning of the cycle and after ovulation 1. Because the first higher temperature reading in a previous cycle was on cycle day 1 2 , the infertile time at the beginning of the cycle is no longer identified using the 5-Day Rule (day 12 - day 8 = day Temperature taken

R X

4, which is earlier than the 5-Day Rule). The Minus-8 Rule in double check with the cervical mucus sign shows the last infertile day as cycle day 4. 2. The shift of the cervical mucus sign is on cycle day 13. 3. No disturbances or special circumstances are recorded.

Earliest first higher

4. The earliest first higher temperature reading is on cycle day 14,

temperature reading in the previous cycles

5. The infertile time after ovulation begins on the evening of cycle

1

2

LH Earliest first higher temperature reading in

'E

0

this cycle

Do you intend to become pregnant in the next cycle?

’5

,o x undecided

Malteser ...weilNahe zahlt.

day 16.

Time Midcycle pain Breast symptoms

Mucus abbreviation

6 6 6 6 8 8 6 6 6 6 6 9 8»

^7,4 373 37,2 37.1 37,0 35 g 36,8

-g' 3

36,7 36,6

i l

36-5

|

36,3 362 36.1 36,0

a,

Cycle day

J

A \

J

A N / A >

V

J

/

V

weekend weekend

weekend

6 6 6 6 750 930 6 & 6 6 6 8M 9

A v / < /

A

ys

A V

L 1

LA

L__

V

4

6

✓

S,

1 2 3

weekend

weekend

weekend

Occurrences Unusual/special disturbances

weekend

The infertile time at the beginning of the cycle

weekend

Training 20

A,

A

v

I

v

5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Date: April 25 26 27 28 29 30 Menstruation ' I I I 111' ‘in

M

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

mi

•5 & ^

moist moist

1 1

1 1

0

moist moist

E

£*

■a

1 p I ! 1 .a s I ■3 1

f

whitish

1

1

whitish

■5

E

whitish

1

0

S i

whitish

P 1

whitish

yellowish

yellowish yellowish

1 1

0

E

2 3

c

I I Appearance

■5 ai 2 2

moist

E

| moist moist

0

whitish thick

0

I moist

0

whitish

0

E E E

moist

2

moist

| nothing I nothing

Sensation 3 u 3

I moist I moist

111 III 111

Position and opening Firmness Intercourse

X

Fertile Days NFP®

X

X X

X

X

X

V

Identifying the infertile time at the beginning of the cycle and after ovulation » Marta M. is a 25-year-old designer. A temperature shift was observed in the previous cycle. Temperature taken

1. Identify the last infertile day at the beginning of the cycle and mark the first fertile day with "F." 2. Identify the shift in the cervical mucus sign. 3. Are there any disturbances or special circumstances?

Earliest first higher

4. Identify the earliest first higher temperature reading and enter this in the column on the right.

temperature reading in the previous cycles

*

5

Minus 8

9

Earliest first higher temperature reading in this cycle

Do you intend to become pregnant in the next cycle? yes

undecided

Malteser ...weil Nahe zahlt.

5. Identify the beginning of the infertile time after ovulation.

Training 20 - Solution

The infertile time at the beginning of the cycle

Mucus abbreviation

1

^ ^

37.1 37,0

0 0

^69

£

36,7

-□ 5

36*6

s

S s

A

J

\

| weekend

{A■A,

1

f ( \>

X

/

| weekend

>weekend

| weekend

P 1 2 P 1 2 3 + + + + S S s S S s s m S S s

w

-v

m S S

s, *

V

$

■A \

£

1

V/

f v

V

I

A s y-

1

\ \

£

| fl

8» 6 6 6 6 6 7® 9»; 6 6 6 6 6 8»

6 6 6 6

35

37,4 37,3 37,2

36,8

i

1weekend

I weekend

Time too 6 6 6 Midcycle pain Breast symptoms

| weekend

\ Occurrences Unusual/special disturbances

6

5 4 3

2 1

36,3 36.2 36,1 36,0 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 2 3

moist moist

moist

moist

moist

moist

1

l

1

11

tough whitish

whitish

i

whitish thick |whitish

!

| whitish

| 1

|tough

i .ccn 1 < _o 1 1O)

| whitish whitish

1 1

4> V

1 1 1

kt\

j

Appearance

•2

1 1 1

[moist

u33 s

moist moist

nothing nothing

Sensation

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 rill

moist

III/III

moist moist

2

moist [moist

1

yellowish yellowish yellowish

Cycle day

Date: April 25 26 27 28 29 30 /in Menstruation 'III li III'

X

X

Position and opening Firmness Intercourse Fertile Days

X

X

F Arbeitsgruppe NFP®

X

F F

F F

F

F F

F F

F F

F F

F

X

X

V

Identifying the infertile time at the beginning of the cycle and after ovulation 1. There are two shifts in the cervical mucus sign - on cycle days 14 and 18. Temperature taken

R X

VJ

2. The infertile time at the beginning of the cycle was identified using the Minus-8 Rule in double check with the cervical mucus sign. The last infertile day is cycle day 7. 3. It appears that taking temperatures later than usual on the weekends affects Marta M.'s temperature measurements on cycle days 5, 6 , 12, 13, 19, 20, 26, and 27 and are counted as distubances.

Earliest first higher

4. The earliest first higher temperature reading is on cycle day 21.

temperature reading in the previous cycles

D 5

LH

5. The infertile time after ovulation begins on the evening of cycle day 23.

Note: • The mucus shift on cycle day 18 is used for the double check because

Earliest first higher temperature reading in this cycle

iaa

Do you intend to become pregnant in the next cycle?

’5

,o x undecided

Malteser ...weilNahe zahlt.

the best quality cervical mucus is present again before the temperature evaluation has been completed.

Time Midcycle pain Breast symptoms

Mucus abbreviation

7

6 7 9 9 7 7 630 7 630 6 6 7 7 730 7 7 7

7 7

^7,4 373 37,2 37.1 37,0 35 g

a, -g' 3

36,7 36,6

i l

36-5

|

36,3 362 36.1 36,0 Cycle day

J

A v

36,8 N

r A

/ 'S

/

/

S

A Nr" A v >•

vacation vacation vacation

vacation

stress

late to bed

Occurrences Unusual/special disturbances

vacation vacation

The infertile time at the beginning of the cycle

vacation

Training 21

7 7

7 7

V

s.

K

V

V

\

v

/

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Date: November 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 12/| 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 l|M Menstruation 111 III' Ilf

0

E

I

1

I

1

1

0

E

moist

moist moist moist

£* ■ a

3 2

moist moist

moist moist

Sensation 3

u

.!=>

•5

& ^

C 1

| ■ Ci 2

P

1

thick thick

1

whitish

1

thick thick creamy

1

creamy

% Appearance

Position and opening Firmness Intercourse Fertile Days NFP®

V

Identifying the infertile time at the beginning of the cycle and after ovulation » Nala O. is a 29-year-old accountant. She has been using Sensiplan for over a year. Temperature taken

R

A temperature shift was observed in the previous cycle.

vg 0

1. Enter the cervical mucus abbreviations and identify the shift in the cervical mucus sign. 2. Identify the last infertile day at the beginning of the cycle and mark the first fertile day with "F."

Earliest first higher

3. Are there any disturbances or special circumstances?

temperature reading in the previous cycles 1

6

4. Identify the earliest first higher temperature reading and enter this in the column on the right. 5. Identify the beginning of the infertile time after ovulation.

Minus 8

9

Earliest first higher temperature reading in this cycle

Do you intend to become pregnant in the next cycle? yes no undecided x

Malteser ...weil Nahe zahlt.

Training 21 - Solution

The infertile time at the beginning of the cycle

Time Midcycle pain Breast symptoms

Mucus abbreviation

-□ 5

i

7 630 6 7 > : V

7

37,4 37,3 37,2

7 6M 7 630 6 6 7 7

730

7

7

7

vacation

| vacation | vacation

| vacation vacation

7 7

P

7

7

1 2 3

+ +

37.1 37,0

d

d m s

+ +

s S s s S s 0 0 0

^69 36,7 36*6

\

f ,) j

s.

~y

/

£

| fl

| stress

| late to bed 7

^ ^

36,8 £

7 630

| vacation vacation

\ Occurrences Unusual/special disturbances

V; —

V

6 5

VT7 r W V

S S A

\r-

v

\

w V

\

——

?

s

4 3 2 1

36,3 36.2 36,1 36,0 Cycle day

1 2 3 4 5

6

7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Date: November 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 'V, 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 mi i|" Menstruation 111 Hi' III

F F F

F F

F F

F

\

I

1I I

o E

moist

IE

1

1

thick

moist

s

whitish

\.

o 5 E £ translucent

•2 4> V

4*4

o

E

creamy creamy

1

moist

Appearance

moist moist

TtJ £7 1

thick

Sensation

D u 3 s

IE

Position and opening Firmness Intercourse Fertile Days Arbeitsgruppe NFP®

F F

F

V

Identifying the infertile time at the beginning of the cycle and after ovulation 1. The shift of the cervical mucus sign is on cycle day 13. 2. The infertile time at the beginning of the cycle is identified using Temperature taken

the Minus-8 Rule in double check with the cervical mucus sign. The

R

last infertile day at the beginning of the cycle is cycle day 6. V@ 3. On cycle day 6, "late to bed" did not affect the temperature measurement and was not counted as a disturbance. However, on cycle days 9 and 10, the late temperature measurement did cause a disturbance and is put in brackets. These values are not taken into account when counting the six lower temperatures.

Earliest first higher temperature reading in the previous cycles

[l

4. The earliest first higher temperature reading is on cycle day 15, 6

Ts]

one day earlier than any previous earliest first higher temperature reading. Enter this in the column on the right. 5* The infertile time after ovulation begins on the evening of cycle day 18.

Earliest first higher temperature reading in this cycle

Note: • The temperature shift is evaluated using the first exception to the rule.

Do you intend to become pregnant in the next cycle?

undecided x

Malteser ...weilNahe zahlt.

Training 22a

The infertile time at the beginning of the cycle

A Occurrences Unusual/special disturbances

Time Midcycle pain Breast symptoms

Mucus abbreviation

6

-

7 M B B B 8 B 8 B 8 8

37,4 373 37,2 37.1 37,0 35 g

/

36,7 36,6

i l

36-5

|

36,3 362 36.1 36,0 Cycle day

/

A

36,8 a, -g' 3

A

\ \

A v /

c V

V

V

A

V \

• v

/

___J

7

v

/ /

A \ v

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Date: June 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 M 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 mi «|Mf|M nn Menstruation 'III till III! 1ll>

Sensation

3 3

u 2

Appearance

Intercourse

-C X X

Fertile Days NFP®

•

• 2=

0

0 0 0 d= £

0 8

£ 0

O O O

O

* it 0 0 m

O

0

it 8

£ 0

0 it

0 m

O ■ t

8

*

•

•

hard I

Firmness

•

hard |

& ^

hard |

Position and opening

hard |

•5

X X

X

X

X X X

V

Identifying the infertile time at the beginning of the cycle and after ovulation

Temperature taken

R X

vQ

» Renate S. is 41 years old and has been using Sensiplan for several years. Because she had several days of bleeding in the beginning of her cycle, and she typically observes small amounts of cervical mucus throughout her cycle, she identifies the beginning and end of the fertile time using the cervix sign. Trainings 22a and 22b are two successive cycles. Renate S. did not observe a temperature shift in the previous cycle.

Earliest first higher temperature reading in the previous cycles 1 5

T

the first fertile day with "F." 2.

Are there any disturbances or special circumstances? Identify the earliest first higher temperature reading and er the column on the right.

Minus 8

3.

Earliest first higher

4. Identify the beginning of the infertile time after ovulation.

temperature reading in this cycle

Do you intend to become pregnant in the next cycle? yes

n o fx B undecided

Malteser ...weilNahe zahlt.

Training 22a - Solution

The infertile time at the beginning of the cycle

\ Occurrences Unusual/special disturbances

Time Midcycle pain Breast symptoms

Mucus abbreviation

6

7

M 8 8 8 8 8 8 8 8 8

37,4 37,3 37,2

A /r

37.1 37,0

^69 -v

36,8 £

-

^^

36,7

-□5 i £

36*6

| fl

36,3 36.2

\ A V

/

A V

VT7 A

_

\ \

\

v

v

/

\ \ \ /

s/

V

/ t

T

V

V

5* r

s

v

6 5 4 3 2 1

36,1 36,0 Cycle day

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Date: June 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 % 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

V

V

Cycle day

A

t

A

V

i V

\

/

si

1 2 3 4 5 6 7 8 9 10 11 i2 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Date: August 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 9/| 2 3 4 5 6 7 8 Menstruation ■I" tin llll 1111 mi

9

10 11 12 13 14 15 III

III

r|H

Intercourse

Fertile Days NFP®

|

hard 1 hard 1

1•C

hard

hard

h a rd

%%%1

2

reddish

2

0 h a rd

ZL 8

moist

0 h a rd

S x:

■5 ti

tough

X I X I X5 X I X I X I

translucent

moist

XI

1 1 1 I I 1 1 1

hard

hard

8

hard

8

XI

| | | | |

0

| |

| | hard hard

hard 1

| | 1•C

a 2

tough

I I l I

2

elastic

d ry

X3

moist

moist

moist

XI XI

elastic

c re a m y

1 1 1 1 1

hard

1JZ

h a rd

hard 1

Firmness

\

0 0

| hard | hard | hard |

^

Position and opening hard

•5

1 1 1 1

tXI X) XJ XI

thick

Appearance

£ T5 ■a x> X)

elastic creamy

£

moist

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3 3 2 u

0

1

s s

V

Prolonged follicular phase » Stephanie W. is a 30-year-old mother of one child; she is currently on maternity leave. There was a temperature shift in the previous cycle.

Temperature taken

1. Identify the beginning and end of the fertile time and mark this phase with "F."

R

2. Are there any disturbances or special circumstances?

V

3. What do you notice?

Earliest first higher temperature reading in the previous cycles

*

5

Minus 8

9

Earliest first higher temperature reading in this cycle

Do you intend to become pregnant in the next cycle? yes

undecided

Malteser ...weil Nahe zahlt.

Training 24 - Solution

Special life circumstances and cycle patterns

lots of stress

lots of stress

lots of stress

lots of stress

lots of stress

lots of stress

lots of stress

lots of stress

lots of stress

lots of stress

\ Occurrences Unusual/special disturbances

? (

)

Time Midcycle pain Breast symptoms

M

^ ^

P

37,2

1

2

3

P

+

37.1 Mucus abbreviation

8

B 8

1

2

3

S

d

d

37,4 37,3

d

37,0

d

d

d d

S

d

d

d

d

S

B 8

8

+ + S

d

d

s

d d

S

S

8

+ + d

d

d

d

d

t

S

V

V k

S

s

^69 36,8

£

36,7

-□ 5

36*6

i«

S

|

fl

A

r> 1 \

36,4 36,3 36.2 36,1

(* )

V

/

A I/ ' \

A

V

/

1

Cycle day Date:

August

Menstruation

1

2

7

8

111

III

3

4 5 6

7

8

/

j

\

V

\

36,0

f

>

f

VT7

A

A v

V

\

7

A \ V

1 1

\ \

\

6 5 4 3 2 1 V J 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Vi 2 'll' •I"

3

4

5

6

7

8

9 10 11 12 13 14 15 «l" in

III

|in

Arbeitsgruppe NFP®

F F F

F

F

F

F

F

reddish

tough

translucent

F

1

[softer

tough

elastic

elastic F

[hard

|

F

-C

[hard

F

o o ■ aE -C

[hard

F

3

[hard

F

Intercourse Fertile Days

2

[hard

F

1

[hard

F

1 -C

o> Pa 1 1 1 j=

1 1 1 1 1 \ 1 1

[hard

F

!

0 0 o o o |softer |

hard

F

1 _c -C

[hard

|

F

|hard

F

{hard

{hard

| |hard

|hard

|hard

Firmness

V. d -C

3

|hard |

2

1

thick

creamy

1

Position and opening

"S a JL.

1 1 1

[hard

I

elastic

1 1 I

[softer |

creamy

1 1 1 1

1 1 |

£ -O £* T3 T3

moist

moist

wet

4ap

V

/Op

/

/

36,1

7

V

/

A

\

A

2

3 4

5 6 7

Date: October 13 14 15 16 17 18 19 l|ll i|n ii Menstruation 111 Ilf III' 111

V" A

—

A \

\

/ V

/

\ / 5 4 3 2 13 14 15 16 17 18 19 6

1

A

vj V

f, £

f

/

\V/

36,0

V

J

A

36,4

Cycle day

/

r -? A k

36,8 £

J30 6

^ ^

37,3 37,2 Mucus abbreviation

\

8

9

10

20 21 22

ii

12

23 24 25 26 27 28 29 30 31

1 20 21 22

H

2

23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

3 4

5

6

7

8

9

10 11 12 13

14 15 16 17 18 19

2 0 21

inr

•2

. Q QE £ _3

moist moist

moist moist yellowish

moist

1

yellowish

11

yellowish yellowish

1\ 1 Appearance

I

A

/ V

V

Sensation

s

*■ -V

r

llll llll llll li"

3

m m m m m m m m

_/ A

Date: August 24 25 26 27 28 29 30 Menstruation

u 3

s

T3 n

0

E

I

0

E

moist moist

36,3 362 36.1 36,0

S S S S

moist

|

+ + + + + + S

moist

36-5

s s s

-> 8 8

M

f - "A

36,7 36,6

i l

+

+ +

0 0 S S S S S s m m m m S S S S S S

36,8 a, -g' 3

8 8 7 M M

moist

Mucus abbreviation

8 7 750

7*5 7‘5 8 7

7 M

moist

Midcycle pain Breast symptoms

I 1

sick day sick day

cold

1

$

sick day

Occurrences Unusual/special disturbances

nosebleed

Special life circumstances and cycle patterns

I I l I l I

Position and opening Firmness Intercourse Fertile Days NFP®

J

After discontinuing hormonal contraceptives Cycle-no*

1

Post pill

» Lisa P. is a 28-year-old florist who has been on the pill for several years. She has decided to stop taking the pill and to learn Sensiplan. Trainings 29a and 29b are the first two cycles after stopping the pill.

R

Temperature taken

V X

oH

1. Identify the beginning and end of the fertile time and mark this phase with "R" 2. Are there any disturbances or special circumstances? 3. What do you notice?

Earliest first higher temperature reading in the previous cycles

Minus 8

9

Earliest first higher temperature reading in this cycle

Do you intend to become pregnant in the next cycle? yes

no[xJ undecided ;cided

Malteser teser I -~ u u ...weilNahe zahlt.

Solution

2

Mucus abbreviation

?

9

i

1 ?

6«

^ ^

T53^

V

\ 7" 7 M

!1

\

s 7* 7's 8 7 ?

\ 8 7 7« ?

)

P 1 2 3 + +

37.1 37,0

0 0

s

s

S S S

S m m m m S

P 1 2 3 + + + + + + + S S S S S S S S S S S s S s m m m

_ iT7 \r

^69 w

36,8 36,7

-□ 5

36*6

w

«

36,4

| fl

36,3 36.2

/

A

V

A,

J

A

A r-1

S

\ 8 8 ?

8 8 7

M M M

37,4 37,3 37,2

£

i

1

Time

$

V\*

2 8 Midcycle pain Breast symptoms

| nosebleed

o

*PP

Occurrences Unusual/special disturbances

Special life circumstances and cycle patterns

Iwent to bed at 2:00am1

-

sick day

Training 29a

A J V7 7

V

V*

,

V

IS Jt

Y

%

m m m m f VA

V

f- —

— \

a.

1 i (7 V*

6 5 4 3 2 1

36,1 36,0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 io/; 2

\.

>. QE _2

1 I

1

-C

>>. >- >. Cl. O- a_ Cl. £ £ E E _2 ~ s _3

F F

F F

F F

1

1 1 1 1

1 1

1 1 1 -a T3 -o T3 -O 3 J" 3 a- 3- 3 g,g-

moist

1 1 1 1

moist

1 1 1 1

yellowish

>. Q. E J3

I 1

yellowish yellowish

F F

yellowish

F F

1 l

slippery slippery

E 2 2 2

Position and opening

^

Firmness Intercourse

•

*

-E 1 0 .c -t X X

Fertile Days NFP®

0 0 £

8 8

whitish thick

like egg white

thick

thick

1 1

0

E

I I

l

I I

I I ' I

1

0 O O O •

8 8 8

hard |

•5

11

soft

Appearance

thick thick

|

moist

elastic translucent

moist

moist moist

£QJ Q_Q

thick thick

moist moist

1

moist

Sensation

3 3 2 u

X

X

V

And finally... Sensiplan in practice! » Lakshmi is a wardrobe director and is currently in her 11th cycle using Sensiplan. She does not have children. There was a temperature shift in the previous cycle. 1. Identify the beginning and end of the fertile time and mark this phase with "F." Temperature

2. Are there any disturbances or special circumstances? 3. What do you notice?

Earliest first higher temperature reading in the previous cycles

1 2 Minus 8

9

Earliest first higher temperature reading in this cycle

Do you intend to become pregnant in the next cycle? yes

undecided

Malteser ...w eil N ahe zahlt.

Training 30 - Solution

Special life circumstances and cycle patterns