Re: how to use NFP in this situation

[Guest guest]

:

How old is this woman? Is she being treated for her hypothyroid problem?

If she is ovulating regularly -- she is producing estrogen and needs to have an LH rise before ovulation.

Why not have her use the Clearblue monitor to monitor the estrogen rise and LH threshold -- or at least the digital OPK to monitor the LH rise?

She is certainly welcome to chart on our online charting system or if she would like the TCYF system - which I believe has sections for each.

Why was she not treated for this problem earlier?

J. Fehring, PhD, RN, FAAN

Professor

Marquette University

From: [ ] on behalf of Fuller [lfuller@...]

Sent: Friday, May 04, 2012 8:57 PM

Subject: how to use NFP in this situation

I would love to get some feedback here from some of the healthcare professionals here. This situation was presented to me by another teacher.

Client thought that she was in menopause and had not been cycling for sometime, but some tests showed:

“Hashimoto Disease as well as a host of other imbalances, including low vitamin D, my adreanal are shot, I have EBV (mono virus) and my hormones are out of whack. So, what I thought was menopause, turns out was/is not. Doctor has me on

Estradiol cream days 5 thru 25 and progesterone days 15 thru 25. I'm starting to have regular cycles again. First time in about 20 years.

If my thought process is correct, and I was not ovulating for the last 20 years or so, I still have eggs and am fertile again. The problem is that with Hashimoto's my body temperature is off kilter and with the cream my mucus is skewed. My question is how do

I know when I ovulate?”

lauren fuller –

NFP coordinator, Northwest family services.

503-344-6931 (w)| 503-546-9397 (f)|

lfuller@...

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[Guest guest]

Just because a woman is 40 or so and does nor ovulate does not always mean menopause. She may have elevated prolactin, thyroid disease, or have developed symptomatic PCOS. All of those may be reversible. EBV and low vitamins D are less likely to cause amenorrhea. Sometimes adrenal problems can cause amenorrhea but less frequently than the first three mentioned.Giving a woman estrogen and progesterone may cause withdrawal bleeding like birth control pills do, but not necessarily ovulation. Although sometimes cycling with bioidentical hormones can prime the system so ovulation starts again. DFrom: Fuller

<lfuller@...>Subject: how to use NFP in this situation" " < >Date: Friday, May 4, 2012, 6:57 PM

I would love to get some feedback here from some of the healthcare professionals here. This situation was presented to me by another teacher. Client thought that she was in menopause and had not been cycling for sometime, but some tests showed: “Hashimoto Disease as well as a host of other imbalances, including low vitamin D, my adreanal are shot, I have EBV (mono virus) and my hormones are out of whack. So, what I thought was menopause, turns out was/is not. Doctor has me on

Estradiol cream days 5 thru 25 and progesterone days 15 thru 25. I'm starting to have regular cycles again. First time in about 20 years.

If my thought process is correct, and I was not ovulating for the last 20 years or so, I still have eggs and am fertile again. The problem is that with Hashimoto's my body temperature is off kilter and with the cream my mucus is skewed. My question is how do

I know when I ovulate?â€

lauren fuller –

NFP coordinator, Northwest family services. 503-344-6931 (w)| 503-546-9397 (f)|

lfuller@...

Equipping people with vital skills for a lifetime

www.nwfs.org •

www.talktothem.org •

www.itslegit.org •

www.lastingrelationships.org

Like us on Facebook!

[Guest guest]

Dear ,How old is this woman? Am I correct in assuming that she hadn't had her menses in a year or more and this is why she thought she was in menopause? If she wasn't on estrogen and progesterone already, I would say that she could try urinary hormonal measurements to see if she was ovulating with the Marquette CBFM (via measurements of urinary 3 gluconorate and LH), but the monitor is really only indicated for women with cycles (not on some kind of HRT). How do we know she is not just getting a withdrawl bleed from her hormones? Some other considerations are: (1) people who say they have EBV are sometimes mistaken about the testing. Alot of people have had EBV (or "mono") by their mid 40s. If you run an EBV panel at

the lab, you test 4 things; EBV IGM (which is an acute mono indicator), EBV IGG (which if positive only indicates past infection), EBV early antigen (which if positive can indicate recent infection), and EBV nuclear antigen (which is variable). Alot of times if even just the EBV IGG is positive, their clinician will tell them you have mono, which is untrue - they "had" mono at some point, so it is really important to get the exact scoop on that test; (2) low Vit D is easily remedied with 2,000-4,000IU vit D daily, and should not affect menopause; (3) having "Hashimotos" doesnt necessarily mean that she is currently hypothyroid, or that her temperature would be unreliable. Hashimotos is an autoimmune thryoid disorder which is diagnosed by a blood test looking for autoimmune antibodies called anti-peroxidase antibodies. Alot of women have a positive antiperoxidase antibody test but have normal thyroid function. Again, exact

TSH, FT4 (free t4) and FT3 (free t3) levels would be important to know. Good luck with this one...Blessings, Dr. Peck, MD, CCD, ABFM, Marquette NFP InstructorPecks Family Practice, PLC1688 W Granada Blvd, Ste 2AOrmond Beach, FL 32174(386) 677-2018 fax: (386) 676-0737 cell: (386) 212-9777 From: Fuller <lfuller@...> " " < > Sent: Friday, May 4, 2012 9:57 PM Subject: how to use NFP in this situation

I would love to get some feedback here from some of the healthcare professionals here. This situation was presented to me by another teacher. Client thought that she was in menopause and had not been cycling for sometime, but some tests showed: “Hashimoto Disease as well as a host of other imbalances, including low vitamin D, my adreanal are shot, I have EBV (mono virus) and my hormones are out of whack. So, what I thought was menopause, turns out was/is not. Doctor has me on

Estradiol cream days 5 thru 25 and progesterone days 15 thru 25. I'm starting to have regular cycles again. First time in about 20 years.

If my thought process is correct, and I was not ovulating for the last 20 years or so, I still have eggs and am fertile again. The problem is that with Hashimoto's my body temperature is off kilter and with the cream my mucus is skewed. My question is how do

I know when I ovulate?â€

lauren fuller –

NFP coordinator, Northwest family services. 503-344-6931 (w)| 503-546-9397 (f)|

lfuller@...

Equipping people with vital skills for a lifetime

www.nwfs.org •

www.talktothem.org •

www.itslegit.org •

www.lastingrelationships.org

Like us on Facebook!

[Guest guest]

Thanks for the thoughts everyone, I passed them on. I think she is on the road to getting connected with a good doctor.

lauren fuller –

NFP coordinator, Northwest family services.

503-344-6931 (w)| 503-546-9397 (f)|

lfuller@...

Equipping people with vital skills for a lifetime

www.nwfs.org •

www.talktothem.org •

www.itslegit.org •

www.lastingrelationships.org

Like us on Facebook!