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Natural Family Planning by XvkK39d

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									              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


  •   Medically safe
  •   Highly reliable
  •   Inexpensive
  •   True family planning
  •   A shared method
  •   Consistent with all religious traditions
NFP Can Be
Successfully Used...



   •   Regular cycles
   •   Non-typical cycles
   •   Breastfeeding
   •   Peri-menopause
   •   In cases of apparent infertility
   •   For self-knowledge
Reasons for using NFP

 80
                                Moral/Religious
 70                             Health
                                Mutual
 60                             Dissatisfied ABC
                                                     Philosophical/Religious
 50
                                                       Moral/Ethical
 40                                                   Psychology

 30
                                                   Biological
 20

 10

 0
      Reasons Peoples Use NFP
  Hormones




                                                   Progesterone
                   FSH                       LH
Blood Levels




                                                                  Blood Levels
                   LH                               Estrogen
                              FSH


               Testosterone

               Male Hormone         Female Hormone Pattern
                  Pattern
Role of Cervical Mucus


•   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   Fertile Time




  Progesterone     Estrogen Type
  Type Mucus           Mucus
Process of Conception
                                   Fallopian Tube

                                       Conception
   Uterus


      Cervix
                         Yellow Body
                        Mucus
                        (helps sperm
      Vagina              to live)
Impact of Progesterone

  4. Enriches                 1. Prevents
   Uterine                    Ovulation
     Lining


                           Yellow Body
          3. Mucus Plug
                           Progesterone

    2. Temperature Rises
        & Stays High
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          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
       Day       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
 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                                                                      GC
  .1      .8                                                        PK
 37.0     .6
                                                m   m   m   m
  .9      .4    Sensation           d d d       M   M   M   M   L L d d d d d d d d d d d d d d d
  .8      .2.                                           EW EW EW EW
  .7     98.0 Tissue                ØØØMM M M M MMM                            ØØØØØØØØØØM
  .6      .8                                    P   P 1" 2" 2" G          ØØ
 36.5     .6                                            OT T
                                                    6           3
                                                                    2 1
  .4      .4
  .3      .2                                            5 4
  .2     97.0 Cervix
  °C     °F
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        Time: 6:30 a.m.

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
 Menses                                                      PK
37.2   99.0
 .1     .8
37.0    .6
 .9     .4
 .8     .2                                           EW EW EW
 .7    98.0                        Ø Ø Ø Ø M M M M M M Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø
 .6     .8
36.5    .6
                                                     5       3
 .4     .4
 .3     .2                                       6       4        2
                                                                      1
36.2   97.0
 °C    °F


 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
       Identifying Pregnancy
Children M: 0 F: 1 Miscarriage: 0 Method: Vaginal              Time: 7:30 a.m. Cycle Range: 27-33   Cycle#: 20 Gyn. Age: 23
 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
      Menses                                                           PK              BT BT BT BT BT
37.2    99.0                                              GC
 .1      .8
37.0     .6
 .9      .4    Sensation           d d d d d           d d d d   d .d .d . d .d .d . d d d d d . d d d d
                                                                  L L L
 .8      .2                                EW EW EW EW ØØØØØØØØ
 .7     98.0 Tissue                ØØØØØMM M M M M Ø           F T S L Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø
 .6      .8
36.5     .6                                                                             P R B
 .4      .4
 .3      .2
 .2     97.0 Cervix                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                        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
 .8      .2                                      M M M M
                                                               1" 1" 1" 1"
 °C      °F                                5:30 AM Temp
                                                                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                                                                          Monophasic
°C     °F                                                                            (One Level)
Identify Peak Day


                    PK
Identify High & Low Temps




                   2
       5
   6           3       1
           4
Post-Ovulatory Phase Constant


            When does ovulation occur?
               Before                       After
              Ovulation Ovulation         Ovulation
                                                       Last day of
                                    2 weeks
                                                      Menstrual Cycle
                                        23 Days
                       Ovulation
                                    2 weeks
                                        28 Days
                       Ovulation

                                    2 weeks
                                         32 Days
 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                                         3 2 1 PK 1 2 3
37.0     .6
 .9      .4    Sensation                                                                  .   .        .    .   .
 .8      .2.                                        EW EW EW EW
                                                                                          .   .
 .7     98.0 Tissue                ØØØMM M M M MMM                          ØØØØØØØØØØM
 .6      .8                                                           ØØ
36.5     .6
 .4      .4
 .3      .2
 .2     97.0 Cervix
 °C      °F
       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
  Menses                                                                                                                         PG
37.2 99.0                                 X      X                   X
 .1     .8    Sensation
37.0    .6                                                EW EW
 .9     .4    Tissue                      Ø ? M            M M M                         •
 .8     .2
 .7    98.0
 .6     .8
36.5    .6
 .4     .4
 .3     .2
36.2 97.0
 °C    °F Cervix
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                X X         X                     PK          X X      X        X     X       X           X       X X         X
 .1     .8    Sensation            d d d                   L L d d d d                                                   d d d d d d d
37.0    .6                                           EW EW EW EW
 .9     .4    Tissue               Ø Ø Ø M M M M M M M M Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø Ø M                                       Ø Ø Ø Ø Ø Ø Ø M
 .8     .2
 .7    98.0
 .6     .8
36.5    .6
 .4     .4                                       6         3 2 1
 .3     .2                                           5 4
36.2   97.0
 °C    °F     Cervix               FC FC SC SO SO SO SO SO SO SO FC FC FC FC FC FC FC FC FC FC FC FC FC FC                           FC FC FC FC SO
 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




                                                                                         Anytime                                 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

•   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             • Accepts fertility
• Places barriers to               • Always open to the
  deliberately prevent the           possibility of life
  transmission of life             • Sex is total self-giving
• Sex is no longer totally self-   • Pregnancy occurs because
  giving                             of the couple’s actions
• Pregnancy occurs in spite 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?


                       • 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

								
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