Intro to Charting

“Learning NFP for me was also transformative for my career as a nurse practitioner, especially because I am very passionate about women’s health.”

Charting enables a woman and her physician to track her health by monitoring the physical signs of her cycle. This knowledge can be used in two main ways:

Hormonal Health Monitoring

Hormonal Health Monitoring

External signs or biomarkers provide an overview of reproductive functioning. Observing and recording this information routinely allows women to be active participants in monitoring their health. Irregularities such as change in cycle length, painful periods, abnormal bleeding, inability to conceive, or other gynecologic concerns may reflect underlying hormonal abnormalities.

Charting this information each day can provide key information to help trained clinicians diagnose health problems and assist in treating various conditions. [main goal here: go from hormones are a sign of health > then to irregularities – Sierra’s question: Do you still need this bracketed note here?]

Fertility and Family Planning

Fertility and Family Planning

These daily observations of physical signs or biomarkers that change throughout a woman’s menstrual cycle indicate when a woman may be fertile.

Healthy men are almost always fertile.  Healthy women are almost always infertile.

Using this information, couples may time sexual intercourse according to their desire to achieve or avoid a pregnancy. Instructions have been developed to provide reliable effectiveness rates for avoiding pregnancy and are collectively often referred to as natural family planning (NFP), fertility awareness, or fertility awareness based methods (FABMs).

What signs can women observe and track?

Cervical Fluid

Cervical fluid secretions can be noted throughout the day, either through sensation and/or visual observations. Variations in cervical mucus reflect hormonal changes that affect the cervix.

Learn more.

Cervical fluid methods

Symptothermal methods

Symptohormonal methods

Basal Body Temperature

An increase in the resting body temperature is an indicator of rising progesterone that can be detected after ovulation.

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Urinary Metabolites

Byproducts of the hormones present can be measured in the urine stream, just as one would take a pregnancy test.

Learn more.

Cycle Days

Short, regular, or long cycles can be defined by knowing your total cycle length.

Learn more.

How to start tracking

Cervical Fluid Methods

Based on a woman’s daily, external observations of her cervical fluid. 

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SymptoThermal Method

Based on a combination cervical fluid observations and basal body temperature.

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SymptoHormonal Method

Based on monitoring urinary hormone metabolites with or without cervical fluid observations.

Learn more.

Standard Days Method

Identifies a fixed fertile window in the woman’s cycle when a couple could become pregnant if they have sexual intercourse during that time.

Learn more.

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