Taking Charge of Your Fertility

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Taking Charge of Your Fertility Page 53

by Toni Weschler


  Aches (achiness), 68, 69, 399

  Acne, 139, 140, 316, 404

  Acupuncture, 220, 321

  Adenomyosis, 298, 300

  Adolescence, anovulation in, 114

  Age (aging), and fertility issues, 153–55, 222

  Aging eggs, and ovarian reserve, 238–40, 241

  AIDS, 163, 395

  Alcohol, 214–15, 255

  Alternative therapies

  for PMS, 321–22

  for pregnancy achievement, 150–51, 220

  American Birth Control League, 347

  American Cancer Society, 286

  American Society for Reproductive Medicine, 153–54

  Amniocentesis, 199

  Analgesics, 321

  Annie Hall (movie), 301

  Anovulation, 49, 113–24, 402

  in adolescence, 114

  Basic Infertile Pattern and, 451–54, 462, 463

  bleeding, reasons for, 294–95

  breastfeeding and, 115–16, 445, 446

  causes of temporary, 118–21, 461

  characteristics of, 116

  different phases of, 114–16

  exercise and, 120

  Fertility Awareness and, 124

  illness and, 118–19

  medical causes of, 122–24

  PCOS and, 122, 138

  Peak Day and, 87

  Pill or other hormones and, 115, 461

  pregnancy achievement and, 216

  pregnancy and, 115–16

  premenopause and, 116, 461

  spotting or bleeding during, 456–57

  stress and, 121, 173, 223, 224–25

  waking temperature and, 195, 196

  weight issues and, 120–21

  Antibiotics, 215, 264

  Antibodies

  miscarriages caused by, 266

  sperm, 258

  Antidepressants, 323

  Antihistamines, 61, 217, 321

  Antimalarial drugs, 215

  Antimullerian hormone (AMH), 139, 269

  Antimullerian hormone (AMH) test, 156, 239, 241

  Antiprostaglandin medication, 323

  Antral follicle count, 156–57, 157, 239, 241, 336

  Antral follicles, 139, 156, 241

  Appendicitis, 274

  Arem, Ridha, 378n

  Arms, Suzanne, 348

  Aromatherapy, 321

  Arousal fluid, 61, 170

  Artificial insemination (AI), 243–45

  Artificial lubricants, 216, 305, 307

  Assisted reproductive technologies (ART), 243–45, 246–51, 259, 349–52

  Association of Fertility Awareness Practitioners (AFAP), 473

  Atresia, 46, 409

  Atropine, 217

  Autoimmune diseases, 275

  Babymaking vs. lovemaking, 228

  Baby oil, 216

  Bartholin’s glands, 38

  Basal body temperature. See Waking temperature

  Basal Body Temperature (BBT) Method of birth control, 423

  Basic Infertile Pattern (BIP), 53, 79, 368

  anovulation and, 451–54, 462, 463

  breastfeeding, 115–16

  premenopause, 339, 461

  Bath streams, for experiencing orgasm, 302

  Belladonna, 217

  Bicycling, 221

  Billings, John and Evelyn, 352n

  Billings Ovulation Method, 352n, 420, 423

  Bioidentical hormones, 151, 333

  BIP. See Basic Infertile Pattern

  Biphasic chart, 53, 63n, 93

  Birth control. See also Pill, the

  abstaining when using, 396

  contraceptive fittings, 289

  contraceptive resources, 474

  for endometriosis, 135

  method failure and user failure, 14–16, 414, 414n

  methods available today, 12

  responsibility for, 11–14, 16–17

  sexuality and, 311

  side effects and physical ramifications, 12–14

  women’s health movement and ramifications of, 346–48

  Birth control with FAM, 163–79, 396–97

  abstinence or barrier method during fertile phase, 164–65, 176

  breastfeeding and, 442–49

  chart, sample, 76

  charting of fertility signs and, 166–75

  cheating, risks associated with, 418–19

  contraceptive effectiveness, 413–20

  “dating and honeymoon” effect, 164

  Dry Day Rule, 169–71, 179, 183

  First 5 Days Rule, 167–68, 179

  I-Just-Know-When-I’m-Fertile Mentality, 184

  menopause and, 336–39

  minimum charting with maximum reliability, 180–84

  Peak Day Rule, 172–73, 179

  postovulatory infertile-phase rules, 172–75, 179

  preovulatory infertile-phase rules, 167–71, 179

  summary of rules, 179

  Thermal Shift Rule, 174–75, 177, 179

  vaginal infections and, 175

  Birth defects, 250

  Blackish spotting, 295, 364

  Bladder, 41

  Bleeding, 361–67

  after office procedures, 295

  anovulatory bleeding, 118, 294–95, 299, 363

  healthy period overview, 293

  midcycle spotting, 69, 227, 338, 366

  normal, 293–96

  signs of miscarriage, 261, 262

  spotting after intercourse, 392

  spotting anytime from week after ovulation to expected period, 295, 367

  spotting before menstruation, 361

  unusual or problem, 296–97, 298–99, 300, 365

  very light or heavy, 362

  Blighted ovum, 267

  Blocked sperm ducts, 256

  Blood tests, 232, 233, 237

  Body mass index (BMI), 147, 214

  Boston Women’s Health Book Collective, 347

  Breast cancer, 286–87, 289, 332, 334

  Breast changes, normal cystic, 286

  Breastfeeding, 442–49

  anovulation and, 115–16, 445, 446

  bibliography, 499–500

  charting, 446

  deciding type of, 445–46

  duration of, 443–44

  frequency of suckling, 443–44

  intensity of, 444–45

  natural birth control while, 448

  Breastfeeding spotting, 295

  Breast self-exams, 286, 287, 288, 289

  Breast tenderness, 68, 211, 286, 338

  Brown, Rita Mae, 279

  Caffeine, 214–15, 255

  Calcium, 141, 320, 335

  Cancer

  breast, 286–87, 289, 332, 334

  endometrial, 142, 332

  ovarian, 242n, 285

  Candida, 215

  Canola oil, 216

  Castleman, Michael, 307

  Centers for Disease Control and Prevention, 259

  Cervical caps, 66, 168, 289, 421

  Cervical crypts, 36, 57n, 105, 370

  Cervical erosion, 296

  Cervical eversion, 281, 300

  Cervical fluid, xviii, 52–61, 425

  aging and, 222

  charting. See Cervical-fluid charting

  checking before ovulation, 426–29

  conception and, 51

  creamy fluid, 53, 55, 56, 57, 85

  development pattern, 54–55, 56, 58–60

  differentiation of basic vaginal secretions and, 61, 396

  doctors’ failure to recognize importance of, 20–21

  dryness, 54–55, 56, 84

  eggwhite quality, 28, 53, 55, 56, 57, 59, 85, 206n, 398

  factors potentially masking, 61

  functions of, 54

  identification of quality of, 60, 61

  limited fertile-quality, remedies for, 217–18

  lubricative quality, 58, 60

  menopause and, 336, 338

  Pill and, 104, 370

  potential for conception with different types
of fluid, 396

  potential problems. See Cervical fluid, problem situations

  sperm survival and, 55, 57

  sticky fluid, 53, 55, 56, 85, 396

  terminology concerns, 8–9, 53

  on underwear, 55, 58

  vaginal infections vs., 280–82

  women’s need to know about, 60–61

  Cervical fluid, problem situations, 368–76

  absence of any eggwhite-quality fluid, 370

  continual sticky fluid day after day (Basic Infertile Pattern), 368

  continual wet-quality fluid day after day, 369

  infection masking, 375

  patches of wet fluid interspersed over long cycles, 372

  watery quality rather than creamy, 370

  wet, creamy fluid well after ovulation, 374

  wet fluid found at cervix but not at vaginal opening, 376

  wet sensation or eggwhite before menstruation, 374

  Cervical-fluid charting, 78–88, 106–7

  charting procedures, 84–86, 107

  internally before ovulation, 426–29

  minimal charting, 181

  observation procedures, 80–82, 106–7

  Peak Day, determination of, 86–89, 107–8

  terminology, 53

  Cervical-fluid ferning test, 232, 237

  Cervical mucus. See Cervical fluid

  Cervical os, 36, 446, 457n

  Cervical polyps, 282, 392

  Cervical position, 66–67

  birth control with FAM and, 175

  changes during cycle, 66–67

  charting. See Cervical-position charting

  contraceptive efficacy and, 419

  importance of checking, 398

  typical pattern, 67

  women who should check, 99

  Cervical-position charting, 99–102, 109–10

  charting procedures, 102, 110

  menopause and, 338, 340

  minimum charting rule, 182

  observation procedures, 99–101, 109–10

  Cervicitis, 300, 392

  Cervix, 36, 57

  bumps on surface, 390

  incompetent cervix condition, 265

  missing (never fully closing), 389

  nabothian cysts on, 101, 282, 390

  partially open, 389

  vaginal delivery, effects of, 101

  Change of life, 326

  Charting of fertility signs, 6–7, 11, 72–110, 166–75. See also Cervical-fluid charting; Cervical-position charting; Waking-temperature charting

  advantages of, 73

  after special circumstances, 75

  birth control chart, sample, 76

  birth control with FAM and, 166–75

  breastfeeding and, 446

  due date, determination of, 199

  first day of charting, 74

  logistics for, 103

  man’s participation, 311–12

  master charts, 518–19

  menopause and, 337–39, 340

  minimum charting with maximum reliability, 180–84

  premenstrual syndrome and, 318, 318

  Charts, 264, 281

  Chemical pregnancy, 267

  Childbirth

  charting of fertility signs and, 75

  mother’s control of, 348

  Chinese medicine, 150, 220, 321

  Chocolate, 319

  “Chocolate cyst” (endometrioma), 131, 133

  Choreplay, 313

  Chromosomal miscarriages, 263–64

  Cigarettes, 214–15, 255

  Cilia, 50

  Clearblue Easy Fertility Monitor, 192

  Climacteric, 326

  Clitoral stimulation, 307, 308–9, 314

  Clitoris, 37, 38, 39, 301–2, 306, 307

  positions best stimulating, 308–9

  Clomid, 23, 187–88, 217, 242, 243, 253, 273

  Clomid challenge test, 237, 240

  Coagulation disorders, 298

  Colonoscopies, 60

  Community organizations, resources, 472

  Complementary health care

  for PMS, 321–22

  for pregnancy achievement, 150–51, 220

  Conception, 50–51, 411

  charting temps indicating, 199–202

  drugs facilitating, 243

  identifying due date, 199

  Condoms, 176, 312, 394, 413, 414, 416, 417

  Contraceptive pill. See Pill, the

  Contraceptive resources, 474

  Contraceptives. See Birth control

  Corpus luteum, 47, 264, 295, 298, 361, 386, 407, 411

  Corpus luteum cyst, 129, 130

  Cough mixtures, 217

  Coverline, 109, 174–75, 203, 382, 384, 435

  Cowan, Belita H., 12–13

  Cowper’s gland, 41, 42

  Cramping, 69, 234, 262, 297

  Creighton Model System (CrMS), 423

  Cunnilingus (oral sex), 305, 307

  Curiositates Eroticae Physiolgiae (Davenport), 306

  Cycle Beads, 422

  Cyclic progesterone therapy, 142

  Cystadenoma (cystoma), 131

  Cystic breasts, 286

  Cystic hyperplasia, 298

  Cysts

  corpus luteum, 129, 130

  endometrioma (“chocolate cyst”), 131, 133

  follicular, 127, 130

  nabothian cysts on cervix, 101, 282, 390

  ovarian, 119, 125, 126–31, 284

  Dalkon Shield IUD, 12–13

  Danazol, 136

  Dark brown spotting, 295, 364

  Davenport, John, 306

  Daylight Saving Time change, and charting waking temperature, 96

  Day 14 myth, 3–4, 15, 18, 19, 26, 113

  D-Chiro-inositol, 142

  Dehydroepiandrosterone (DHEA), 233, 240, 269

  Delayed ovulation, 48

  waking temperature, 195, 197

  waking temperature, stress, and late period, 64–65

  Delayed sexual gratification, 304, 313

  Depo-Provera, 13, 253, 394, 414, 421

  Dermoid cysts, 131

  DES, 13, 348

  Diabetes, 138, 266

  Diagnostic procedures, 233–36

  Diagnostic tests, 231–32, 233, 237

  Diaphragms, 168, 289, 414n, 421

  Diet

  for male fertility, 255

  for menopause, 330

  for natural hormone balance, 145, 146–47

  for PCOS, 141

  for PMS, 319–20

  for pregnancy achievement, 214

  Dietary supplements, 146, 213, 217

  Digital thermometers, 92

  Dilation and curettage (D&C), 262

  Diminished ovarian reserve (DOR), 238–40

  Diuretics, 321, 322

  Djerassi, Carl, 30

  Donors, for IVF, 248–49

  Douches, 215, 280

  Drinking water, 147, 217

  Drug therapy

  for fertility problems, 242–43

  for PMS, 323

  Drug use, 214–15, 255

  Dry Day Rule, 169–71, 179, 183, 425

  Due date, determination of, 199

  Dysfunctional uterine bleeding (DUB), 297, 533

  Ear thermometers, 92

  Ectopic pregnancy, 267, 284

  Eeva test, 251

  Effects of Light on the Menstrual Cycle (DeFelice), 148n

  Egg freezing, 157–59

  Ejaculation

  female, 309

  male, 42–43, 208, 222

  Embryonic development of female and male genitalia, 39

  EmbryoScope, 251

  Embryo transfer, in IVF, 248

  Emergency Contraceptive Hotline, 474

  Emotions, coping with, 320–21

  Enbrel, 266

  Endocrine (hormonal) problems, and miscarriages, 264–65

  Endocrine Society, 333

  Endometrial biopsy, 22, 234, 237

  Endometrial cancer, 142, 332

  Endo
metrial hyperplasia, 298, 299, 300

  Endometrial polyps, 298, 299, 300, 361

  Endometrioma (“chocolate cyst”), 131, 133

  Endometriosis, 125, 132–36, 272–73

  anovulation and, 123

  causes of, 132

  charting, 133, 134

  diagnosis of, 133, 135

  effects on fertility, 155, 230, 272

  premenstrual spotting, 297, 298, 299

  symptoms of, 133, 284

  treatment of, 135–36, 273

  Endometritis, 298, 299, 300, 364

  Endometrium, 36, 47, 51, 118, 132, 234

  Energy level, increased, 68

  Epididymis, 41

  Ericsson method of gender selection, 468

  Erotic imagery, 303

  Estradiol test, 233, 237, 240

  Estrogen, 46, 47, 59, 118, 406

  cervical position and, 66, 67

  excessive, signs of, 214, 369

  hormone therapy. See Hormone therapy

  menstrual cycle and, 406, 408–12

  waking temperature and, 63

  Estrogenic phase, 48, 412

  Evening primrose oil, 217, 320

  Exclusively breastfeeding, 444–45, 449

  Exercise. See also Kegel exercises

  anovulation and, 120

  for menopause, 330

  for natural hormone balance, 148

  for PCOS, 141

  for PMS, 320

  for pregnancy achievement, 214

  to strengthen vaginal muscles, 309

  Fallopian tubes, 36, 50–51, 274

  Fallopian tube tests, 235–36, 237

  Falloscopies, 235, 237

  “False negative” pregnancy tests, 51, 210

  FAM. See Fertility Awareness Method

  Fast Kegels, 83

  FELOP hormones, 46

  Female reproductive anatomy, 34–40

  Female sexuality. See Sexuality

  Female taboos, 349

  Femara (letrozole), 242, 253

  FertileCM, 217

  Fertility, Cycles, and Nutrition (Shannon), 150, 357n

  Fertility, male and female differences in, 35

  Fertility advantages of some women, 189–90

  Fertility awareness apps, 73

  Fertility Awareness Method (FAM), xviii–xix, 353–54. See also Birth control with FAM; Charting of fertility signs

  abstaining when using, 396

  anovulation and, 124

  as basic education, 29–30

  with breastfeeding, 442–49

  diagnosis of problems and conditions with, 6–7, 27–28, 279

  differences between natural methods of birth control, 422–23

  doctors’ failure to inform patients about, 9

  doctors’ lack of knowledge about, 5–7

  effectiveness of, 394–95

  four rules of, 166–75, 179

  as free system of knowledge, 7–8

  frequently asked questions, 394–98

  gender selection and, 465–68

  historical development of, 351–52

  language of “palatability,” 8–9

  male involvement in, 311–12

  misunderstandings about, 4–9

  phases of anovulation, 450–63

  pregnancy achievement and, 164–66, 194–202

 

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