RE: Re: How do you calculate a menstrual score?

[Guest guest]

No, not the " mucus " score... the " menstrual " score. I also referenced the pages

in the book. Seems signficant.

>

>

> Date: 2004/09/29 Wed AM 12:14:33 EDT

> To: <nfpprofessionals >

> Subject: RE: How do you calculate a menstrual score?

>

> Isn't that the mucous score? I haven't been able to find out much about the

> menstrual score, even in the new book. He mentioned it kind of off-handedly

> at the conference, but wasn't very specific.

> alicia

> How do you calculate a menstrual score?

>

>

>

> Does anybody have any experience using a " menstrual score " as presented by

> Dr. Hilgers in his new book on NaProTechnology. Page 389 shows a table of

> menstrual scores in women with hormone problems where the menstrual scores

> are also low.

>

> Specifically, how do you score a menstrual bleeding episode?

>

> I am interested in finding out more about this because I am definately

> noticing a tendency toward light menstrual periods in women with infertility

> and various other cyclic irregularities.

>

> I went through the combined course at PPVI a few years ago and do not

> recall anything about this. Did I miss something?

>

> Picella, NFPNP, FCP

> The Saint Gerard Fertility Care Center

>

>

>

>

>

[Guest guest]

Thank you so much! This really helps!

s, FCP

From: raindiva98

Sent: Wednesday, September 29,

2004 6:13 PM

To:

nfpprofessionals

Subject: Re:

How do you calculate a menstrual score?

I heard back from Dr. Hilger's nurse, and he told her the menstrual

score calculation is in the book, although she and

another RN were

also unable to find it. He mainly

emphasized, though, that the exact

score is not really significant; he does not

calculate a menstrual

score for his patients, or suggest that other

physicians bother to do

so either. Instead, it's just a good idea to

take note of lighter or

heavier (and/or longer or shorter) menstruation

episodes in a

patient's chart for infertility/menstrual

irregularity/PMS

diagnosis. It's also important to look at

the way the menstruation

presents, such as a few light days before heavier

flow sets in, or

brown or black bleeding for example, indicating

progesterone

problems. This is something a menstrual

score calculation won't

show. (Obviously patients using other than

Creighton Model might not

take note of the amount of flow from day to day in

addition to the

number of days, so this is something to consider

adding.)

Perhaps he is simply using the term as more of a

definition

for " menstrual flow " than anything, for

the purpose of illustrating

the relationship to hormone levels in the

text? For example,

low " menstrual score " = lighter flow and

tends to coincide with low

progesterone levels or short luteal phase. I

have not yet seen the

book myself.

Hope this helps,

Kim

[Guest guest]

I took a

second look at the book on page 398 and the formula for calculation is given.

B = 1, VL,

= 2, L = 4, M = 8, H = 12

Take the

first 6 days (no bleeding = 0) and divide by 6

A

menstrual score <= 6 is considered abnormal.

I have

been noticing a correlation between decreased menstrual flow and decreased

mucus/infertility even PMS.

Picella

-----Original

Message-----

From: raindiva98

Sent: Wednesday, September 29,

2004 3:13 PM

To:

nfpprofessionals

Subject: Re:

How do you calculate a menstrual score?

I heard back from Dr. Hilger's nurse, and he told her the

menstrual

score calculation is in the book, although she and another RN were

also unable to find it. He mainly emphasized, though, that the exact

score is not really significant; he does not calculate a menstrual

score for his patients, or suggest that other physicians bother to do

so either. Instead, it's just a good idea to take note of lighter or

heavier (and/or longer or shorter) menstruation episodes in a

patient's chart for infertility/menstrual irregularity/PMS

diagnosis. It's also important to look at the way the menstruation

presents, such as a few light days before heavier flow sets in, or

brown or black bleeding for example, indicating progesterone

problems. This is something a menstrual score calculation won't

show. (Obviously patients using other than Creighton Model might not

take note of the amount of flow from day to day in addition to the

number of days, so this is something to consider adding.)

Perhaps he is simply using the term as more of a definition

for " menstrual flow " than anything, for the purpose of

illustrating

the relationship to hormone levels in the text? For example,

low " menstrual score " = lighter flow and tends to coincide with

low

progesterone levels or short luteal phase. I have not yet seen the

book myself.

Hope this helps,

Kim

[Guest guest]

B = brown or black bleeding

VL = very light (spotting)

L = light

M = moderate

H = heavy

The patient needs to be charting the

amount of flow on a daily basis, as well as if there are any brown or black

bleeding days. For example, a VL day might actually be brown discharge

and should be notated as such.

RE: Re: How do you calculate a

menstrual score?

>

> I took a second look at the book on page 398

and the formula for

> calculation

> is given.

>

> B = 1, VL, = 2, L = 4, M = 8, H = 12

>

> Take the first 6 days (no bleeding = 0) and

divide by 6

>

> A menstrual score <= 6 is considered

abnormal.

>

> I have been noticing a correlation between

decreased menstrual flow and

> decreased mucus/infertility even PMS.

>

> Picella

>