The Treatment Process

NAPROTECHNOLOGY®

Infertility is not a disease in itself, but rather a symptom that may indicate one or more underlying medical conditions requiring diagnosis and treatment. Restoring procreative health therefore requires an individualized, interdisciplinary, and cause-directed approach—the foundation of NaProTECHNOLOGY®.

Treatment integrates:

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cycle charting using the Creighton Model FertilityCare™ System,

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comprehensive evaluation of both the woman and the man,

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evidence-based medical and surgical treatment, when clinically indicated.

Depending on the underlying diagnosis, the treatment process typically takes 6 to 24 months and consists of three stages.

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Stage I – Identifying the Underlying Cause

learning to chart the menstrual cycle using the Creighton Model FertilityCare™ System,
laboratory testing, including hormone profiles correlated with the woman’s cycle chart,
comprehensive semen analysis,
an initial consultation with a physician trained in NaProTECHNOLOGY® for both partners, including ultrasound examination and the initiation of targeted diagnostic evaluation and treatment,
consultation with a registered dietitian, including an individualized nutrition plan designed to reduce inflammation where appropriate and optimize nutritional status based on laboratory findings and medical history,
evaluation by a pelvic floor physical therapist to assess functional disorders of the pelvic floor.

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Stage II – Restoring Reproductive Health

regular follow-up visits with the treating physician,
continued Creighton Model charting,
prescribed medical therapy,
individualized nutritional therapy,
microbiological testing and treatment when indicated,
diagnostic and therapeutic procedures such as laparoscopy, hysteroscopy, hysterosalpingography (HSG) or sonohysterosalpingography (HyCoSy/Sono-HSG), and microsurgical varicocele repair for appropriately selected male patients, using adhesion-prevention strategies whenever applicable.

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Stage III – Maintaining Healthy Cycles

ongoing cycle chart reviews with a FertilityCare Practitioner,
continued medical therapy and nutritional recommendations when indicated,
achieving and maintaining healthy cycle characteristics, including
- 1. optimal Peak +7 hormone levels
    - (Progesterone: 18–31 ng/mL [60–100 nmol/L];
    - Estradiol: 109–283 pg/mL [400–900 pmol/L]),
  2. healthy cervical mucus patterns,
  3. normal menstrual bleeding,
  4. effective management of premenstrual symptoms (PMS),
  5. ultrasound confirmation of ovulation (follicular rupture),
appropriately timed intercourse during the fertile window when pregnancy is desired,
stress awareness and healthy stress-management strategies,
regular, moderate physical activity,
ongoing follow-up with the treating physician.