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Rt Rev Anthony Ireri Mukobo
Our third day of the Rome conference began with a session on Fertility Awareness Based Methods (FABM) - transforming Obstetrics and gynaecology. An examination of the transforming role played by modern FABM’s when applied to our specialties and focus on how each method is transforming women’s health care. A panel discussion followed on how FABMs are changing a fertility unaware culture and factors which promote and impede them. Chairs: Dr B Miller, Dr E Šeman. Obstetricians and Gynaecologists (Australia) These presentations will feature in our pregnancy resources page shortly.
The session followed with a presentation from Dr Ludmila Lázničková, Brna, Czech Republic, "NAPROHELP Treating infertility successfully, minimizing harm".
She stated that, "Infertility is not exclusively a woman's issue. Both women and men may have problems which, collectively, cause the couple to be infertile. The causes can be hormonal, anatomical, immunological or other, and affect one or both members of the couple.The commonest cause of infertility is abnormal ovulation as a result of hormonal dysfunction. Medical textbooks often cite “irregular or absent menses” as indicators of anovulation. But, is there more to it? What can we accept as a “regular” menstrual cycle? Must the cycle length be 28 days? Must ovulation occur on day 14? In a 2012 CENAP “Study of timing ovulation and conception” involving 221 women, only 21% of women ovulated on day 14 or 15 of the cycle. Ovulation occurred after day 23 in 22% and after day 16 in 70%,This means that longer cycles are not necessarily anovulatory. It also depends on how we determine ovulation. There are several ways of achieving this: ultrasound and hormone testing - very expensive. urinary LH tests - not reliable. using the symptom-thermal method (STM). NAPROHELP uses the symptom-thermal method to confirm when ovulation occurs and avoids the use of ultrasound folliculometry and blood hormone tests. Women are quite comfortable with this simple, home-based approach." Her full presentation is available here.