Transcript Natural Family Planning

Fertility Awareness &
Natural Family Planning
• Overview of NFP basics – how it works, why it works
• Meaning of marriage and sex in light of Church teaching
• Living , preaching and supporting NFP
NFP is…
Observing one or more of the body’s signs of
fertility and…
making couple decisions about whether or
not achieve a pregnancy – on that basis.
A Method of Merit
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Medically safe
Highly reliable
Inexpensive
True family planning
A shared method
Consistent with all religious traditions
NFP Can Be
Successfully Used...
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Regular cycles
Non-typical cycles
Breastfeeding
Peri-menopause
In cases of apparent infertility
For self-knowledge
Reasons for using NFP
80
Moral/Religious
Health
Mutual
Dissatisfied ABC
70
60
50
Moral/Ethical
Psychology
40
30
Biological
20
10
0
Philosophical/Religious
Reasons Peoples Use NFP
Hormones
LH
FSH
LH
FSH
Estrogen
Testosterone
Male Hormone
Pattern
Female Hormone Pattern
Blood Levels
Blood Levels
Progesterone
Role of Cervical Mucus
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Ovulation = release of the egg.
Occurs only on ONE DAY each cycle.
EGG lives only 12-24 hours.
SPERM need MUCUS to survive:
– Without fertile mucus, sperm die within hours.
– With the best mucus, sperm live 3-5 days.
Signs
• Fertile mucus: observed by sensation and
tissue
• Basal body temperature: taken in the morning
when you wake up
Cervical Mucus
Infertile Time
Progesterone
Type Mucus
Fertile Time
Estrogen Type
Mucus
Process of Conception
Fallopian Tube
Conception
Uterus
Cervix
Yellow Body
Mucus
Vagina
(helps sperm
to live)
Impact of Progesterone
4. Enriches
Uterine
Lining
3. Mucus Plug
2. Temperature Rises
& Stays High
1. Prevents
Ovulation
Yellow Body
Progesterone
Tissue Symbols
Tissue-Dry:
Ø
Sticky Mucus:
M
Traits: P, O, ¼, ½, ¾.
Egg-White Mucus:
EW-M
Traits: 1, OT, T, G.
Sample Chart
Client I.D. #: ___________ Name: _______________ D.O.B.: ________ Gyn. Age: 13 Notes: ____
Children M: 2 F: 0 MC: 1 Temp. Method: Oral Time: 7:00 a.m. Cycle Range: 27-33 This Cycle: 29 Cycle#: 1
Month
Day
Cycle Day
2 2 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
17 18 19 20 21 22 23 24 25 26 27 28 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
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
Menses
37.2
99.0
.1
.8
37.0
.6
.9
.4
.8
.2.
.7
.8
36.5
.6
.4
.4
.2
°C
PK
Sensation
98.0 Tissue
.6
.3
GC
.2
97.0 Cervix
°F
d d d
m
M
m
M
m
M
m
M
L L d d d d d d d d d d d d d d d
EW EW EW EW
ØØØMM M M M MMM
P
P 1" 2" 2" G
OT T
3
6
5 4
2 1
ØØØØØØØØØØM
ØØ
Tissue Observation
Ø
M
EW
M
Ø
Implantation Process
Achieving Pregnancy
Gyn Age: 20 M: 0 F: 0 MC: 0
Cycle #: 5 Range: 22-36 Temp: Vaginal
Cycle Day 1
Menses
37.2
99.0
.1
.8
37.0
.6
.9
.4
.8
.2
.7
98.0
.6
.8
36.5
.6
.4
.4
.3
.2
36.2
97.0
°C
°F
Cycle Day 1
2
3
4
5
6
7
8
Time: 6:30 a.m.
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
PK
EW EW EW
Ø Ø Ø Ø M M M M M M Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø
3
5
6
2
3
4
5
6
7
8
4
2
1
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
Identifying Pregnancy
Children M: 0 F: 1 Miscarriage: 0 Method: Vaginal
Cycle Day 1
2
3
4
5
6
7
8
99.0
.1
.8
37.0
.6
.9
.4
.8
.2
.7
PK
.8
36.5
.6
.4
.4
.3
.2
.2
BT BT BT BT BT
GC
Sensation
98.0 Tissue
.6
Cycle#: 20 Gyn. Age: 23
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
Menses
37.2
Time: 7:30 a.m. Cycle Range: 27-33
97.0 Cervix
d d d d d
L L L
d d d d
d .d .d . d .d .d . d d d d d . d d d d
EW EW EW EW
ØØØØØØØØ
F T S L Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø
ØØØØØMM M M M M Ø
P R B
F F F F F S S S S S S F F F F F F F F F F F F F F F F F F F F F F F F
.1
.8
L L L L L L L H H H H L L L L L L L L L L L L L L L L L L L L L L L L
36.0
.6
C C C C C C O O O O O C C C C C C C C C C C C C C C C C C C C C C C C
.9
.4
.8
.2
Ø Ø Ø Ø Ø M M EWEWEWEW Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø
M M M M
°C
°F
5:30 AM Temp
1" 1" 1" 1"
T T T T
Temperature Pattern
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
Menses
37.2 99.0
.1
.8
37.0
.6
.9
.4
.8
.2
Biphasic
.7
98.0
(Two Levels)
.6
.8
36.5
.6
.4
.4
.3
.2
36.2 97.0
°C
°F
Monophasic
(One Level)
Identify Peak Day
PK
Identify High & Low Temps
2
5
6
3
4
1
Post-Ovulatory Phase Constant
When does ovulation occur?
Before
Ovulation Ovulation
After
Ovulation
2 weeks
Ovulation
Ovulation
23 Days
2 weeks
28 Days
2 weeks
32 Days
Last day of
Menstrual Cycle
Range of Ovulation
Client I.D. #: _________________ Name: ______________________ D.O.B.: ________ Gyn. Age: 13 Notes: ______
Children #: 0 Temp. Method: Oral Time: 6:30 a.m. Cycle Range: 27-36 This Cycle: _________ Cycle#: 38
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
Menses
37.2
99.0
.1
.8
37.0
.6
.9
.4
.8
.2.
.7
.8
36.5
.6
.4
.4
.3
.2
°C
Sensation
98.0 Tissue
.6
.2
3 2 1 PK 1 2 3
97.0 Cervix
°F
EW EW EW EW
ØØØMM M M M MMM
.
.
.
.
.
.
ØØØØØØØØØØM
ØØ
.
Surprise Pregnancy?
Client I.D. #: ______________ Name: _________________________________ D.O.B.: ________ Gyn. Age: 23 Notes: ______ Year: ______
Children #M: 0 #F: 3 Miscarriage: ____ Temp. Method: Rectal Time: 7:00 a.m. Cycle Range: 27-32 Cycle#: 8
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
PG
Menses
X
37.2 99.0
.1
.8
37.0
.6
.9
.4
.8
.2
.7
98.0
.6
.8
36.5
.6
.4
.4
.3
.2
Sensation
EW EW
Tissue
36.2 97.0
°C
X
X
°F Cervix
Ø ? M
M M M
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Two Major Concerns
• How well does it
work?
• Is periodic abstinence
possible?
Definitions
• METHOD EFFECTIVENESS = rules are correctly
understood and followed.
• USE EFFECTIVENESS = actual use including
misunderstanding and carelessness.
Natural Family Planning
• Method Effectiveness = 97 - 99+%
• Use Effectiveness
= 90 - 99+%
These Effectiveness
Figures Depend Upon…
• A course of instruction with follow-up.
• Consistent and correct charting.
• Knowing and following the rules; especially
complete abstinence from genital contact
during the method-defined fertile time.
Effectiveness of NFP
• “Increasingly studies show that rates equivalent to those
with other contraceptive methods are readily achieved in
the developed and developing worlds. Indeed, a study of
19,843 poor women in India had an (unintended)
pregnancy rate approaching zero. Natural family
planning is cheap, efficient, without side effects, and may
be particularly acceptable to and efficacious among
people in areas of poverty.”
Dr. R. E. J. Ryder
British Medical Journal, Sept. 18, 1993
The Periodic
Abstinence Question
• Intimacy is more than sexual expression.
• It’s typically 8 to 12 days per cycle.
• The Spontaneity Myth.
Availability of Intercourse
Client I.D. #: ______________ Name: _________________________________ D.O.B.: ________ Gyn. Age: 14
Children #M: 1 #F: 2 Miscarriage: 2 Temp. Method: Oral Time: 6:30 a.m. Cycle Range: 27-36 Cycle#: 38
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 1 2 3 4 5 6 7 8 9 10 11
Menses
37.2
99.0
.1
.8
37.0
.6
.9
.4
.8
.2
.7
98.0
.6
.8
36.5
.6
.4
.4
.3
.2
36.2
97.0
°C
°F
X X
PK
X
d d d
Sensation
X X
X
X
X
X
X
L L d d d d
X X
X
d d d d d d d
EW EW EW EW
Ø Ø Ø M M M M M M M M Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø M
Tissue
6
Ø Ø Ø Ø Ø Ø Ø M
3 2 1
5 4
Cervix
Cycle Day 1
2
FC FC SC SO SO SO SO SO SO SO FC FC FC FC FC FC FC FC FC FC FC FC FC FC
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 1
Anytime
FC FC FC FC SO
2
3
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5
6
7
8
9 10 11
End of day
What does the
Church really say?
• Sexual Intercourse is a
sacred expression of a
sacramental reality
– Love-giving/Unitive
– Life-giving/Procreative
• Fertility is a gift of
personhood.
Theology of the Body
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Human persons are made in God’s image
Our bodies are an outward expression of who we are
We give and receive love through our body
“Law of the Gift” of self
Opposite of loving is using
Marital chastity is fulfilling the “law of the gift”
- George Weigel, Witness to Hope
What is the difference?
Birth Control
NFP
• Suppresses fertility
• Places barriers to
deliberately prevent the
transmission of life
• Sex is no longer totally selfgiving
• Pregnancy occurs in spite of
the couple’s actions
• Accepts fertility
• Always open to the
possibility of life
• Sex is total self-giving
• Pregnancy occurs because
of the couple’s actions
The end may be the same, but the means are not equal.
Abstain vs. Sterilize
“The choice to abstain from a fertile act of
intercourse is completely different from the
willful choice to sterilize a fertile act of
intercourse. NFP simply accepts from God’s
hand the natural cycle of infertility that He has
built into the nature of woman.”
-Archbishop Chaput
The difference…
Familiaris Consortio, 32 (1981)
“…between contraception and recourse to the rhythm of
the cycle: it is a difference which is much wider and deeper
than is usually thought, one which involves in the final
analysis two irreconcilable concepts of the human person
and of human sexuality. “
Birth Control Pill
Becomes Available (1960)
The U.S. Food and Drug Administration approves
the sale of an early version of the birth control
pill
People expected:
•Fewer unwed pregnancies
•Happier marriages
Pope Paul VI
Humanae Vitae, 17 (1968)
“Responsible individuals will quickly see the truth of the Church’s
teaching about contraception, if they consider what consequences will
follow from the methods of contraception and the reasons given for
the use of contraception…”
•Justification of behavior leading to marital infidelity
•Gradual weakening of the discipline of morals, especially among the
young.
•Loss of respect for women; use of women by men to serve men’s
desires.
•Disregard for women’s psychological and physical equilibrium.
•Coercive population control policies by governments.
In Our Culture Today
• Exclusivity and permanence are no longer the norms
for sexual relationship
• STIs have increased in number of diseases, in
infection rates, in decreased treatability
• Infertility rates have increased
• NY: 39% of pregnancies end in abortion (2000)
• Abortifacient potential of contraceptives
• Morning after pill
US Catholic Bishops
A Campaign in Support of Life, 2001
• We address this issue because some promote widespread use of
contraception as a means to reduce abortions and even criticize the
Church for not accepting this approach.
• It is noteworthy that as acceptance and use of contraception have
increased in our society, so have acceptance and use of
abortion…Tragically, our society has fallen into a mentality that views
children as a burden and invites many to consider abortion as a
“backup” to contraceptive failure. This is most obvious in efforts to
promote as “emergency contraception”: drugs that really act as early
abortifacients.
The Abortifacient Potential
Any hormonal
contraceptive can
potentially destroy new
life by interfering with
implantation
Authentic Marital Embrace
• We are saying that our marital embrace is so valued in its authenticity as a
sign of our total gift to each other… that we want no rubber walls between
us; no spermicides, no coils or loops, no risky drugs to louse it up.”
• “In a time of abstinence, I am able to ‘say’ to my beloved something that
could not be said in another way about the quality of our love. I am, in a
sense, able to ‘prove’ something that might not be verified in any other
way. For the choice of this (NFP) means to her that I love her with a love
that goes far beyond an appreciation of some useful service she provides
for me, that I love her not for some sexual pleasure she gives to me, but
rather with a love for her as she is in herself. In short, this means of family
planning can become a time when I am able to live out a truly
transcendent love.”
- Clayton Barbeau, marriage/family therapist and author
Pastoral Concerns
“I can’t use NFP because…”
•Irregular cycles
•Doctor recommends contraception as medical
treatment
•Circumstances make use difficult
We can’t forget
• Open to Life
• Prayerful Discernment for God’s will
• Responsible Parenthood
- Couple continues to apprise the situation
their entire reproductive life, prayerfully
- Factors: physical and emotional health of
each person and family members, $, support,
social factors (war, famine), etc..
– HV (10)
Think Eternal…Teach the Truth
Afraid of losing people?
“Let me turn that around…”
-Archbishop Chaput
How can Priests promote NFP?
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Maintain prayer life.
Preach NFP from the pulpit.
Educate in confession.
Provide NFP Intro Course to
your married and engaged
couples.
• Introduce NFP to adult converts
in the RCIA program
• Educate Pro Life Ministry
Diocese of Phoenix
NFP Promo Video
NFP Video
https://www.youtube.com/watch?v=WIrQwjCUbf0