Re: How do you calculate a menstrual score?

[Guest guest]

Yes, you just start at Peak day and the

next 6 days back. You take the score of days P-5, P-4, P-3, P-2, P-1 and

P day, add them together and divide by 6. Does he give how to score in

the new book? If not, it is in his book II that you can order from Pope

VI.

You do not score menstrual bleeding,

unless it’s associated with her peak day.

Contact me if you need more info.

In Christ,

M

From:

dpicella@...

Sent: Tuesday, September 28, 2004

1:52 PM

To:

nfpprofessionals

Subject: 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]

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

-----Original Message-----From: s Sent: Tuesday, September 28, 2004 5:40 PMTo: nfpprofessionals Subject: RE: How do you calculate a menstrual score?

Yes, you just start at Peak day and the next 6 days back. You take the score of days P-5, P-4, P-3, P-2, P-1 and P day, add them together and divide by 6. Does he give how to score in the new book? If not, it is in his book II that you can order from Pope VI.

You do not score menstrual bleeding, unless it’s associated with her peak day.

Contact me if you need more info.

In Christ,

M

From: dpicella@... Sent: Tuesday, September 28, 2004 1:52 PMTo: nfpprofessionals Subject: 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, FCPThe Saint Gerard Fertility Care Center

[Guest guest]

No, I think I saw something in the new medical text where you can score menstrual bleeding. We did not learn this in my EPI or EPII, so it must be something relatively new.

Paige

RE: How do you calculate a menstrual score?

Yes, you just start at Peak day and the next 6 days back. You take the score of days P-5, P-4, P-3, P-2, P-1 and P day, add them together and divide by 6. Does he give how to score in the new book? If not, it is in his book II that you can order from Pope VI.

You do not score menstrual bleeding, unless it’s associated with her peak day.

Contact me if you need more info.

In Christ,

M

From: dpicella@... Sent: Tuesday, September 28, 2004 1:52 PMTo: nfpprofessionals Subject: 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, FCPThe Saint Gerard Fertility Care Center

[Guest guest]

You are right, I didn’t look

carefully enough. Sorry. I know nothing about scoring a menstrual

cycle.

, FCP

From: alicia huntley

Sent: Wednesday, September 29,

2004 12:15 AM

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]

Yes… it makes sense that if there is poor growth (estrogen) and

development (progesterone) of the endometrium over the course of the cycle then

one would expect the menstrual flow to be rather attenuated. This score would further document the

relationship between these biologic events and further our knowledge. From the book, I cannot tell exactly

how Dr. Hilgers arrived at the scores that he is presenting. I could come up with my own way of

doing this, but I would rather not reinvent the wheel. It looks like he has some normal values

already defined perhaps based on some data that he has collected, so I would

like to work with this and compare what I am seeing with my population of

clients.

========================

V. Picella, NP, PhD Student

The Saint Gerard Fertility Care Center

819 Buena Vista Street

Duarte, CA 91010

E-Mail: fertilitycare@...

Web: www.santa-teresita.org/fcc

-----Original

Message-----

From: s

Sent: Wednesday, September 29,

2004 9:37 AM

To:

nfpprofessionals

Subject: RE:

How do you calculate a menstrual score?

You are right, I didn’t

look carefully enough. Sorry. I know nothing about scoring a

menstrual cycle.

, FCP

From: alicia huntley

Sent: Wednesday, September 29,

2004 12:15 AM

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

-----Original

Message-----

From: s

Sent: Tuesday, September 28, 2004

5:40 PM

To: nfpprofessionals

Subject: RE:

How do you calculate a menstrual score?

Yes, you

just start at Peak day and the next 6 days back. You take the score of

days P-5, P-4, P-3, P-2, P-1 and P day, add them together and divide by

6. Does he give how to score in the new book? If not, it is in his

book II that you can order from Pope VI.

You do

not score menstrual bleeding, unless it’s associated with her peak day.

Contact

me if you need more info.

In

Christ,

M

From: dpicella@...

Sent: Tuesday, September 28, 2004

1:52 PM

To: nfpprofessionals

Subject: 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]

To all:

I had to call Dr. Hilger's office today anyway, so I asked the nurse

about this. She's going to check with him when he gets out of

surgery and get back to me this afternoon or tomorrow, hopefully with

some sort of equation or calculation for the score. She said that

they've been inundated with calls and emails since the text came out,

and so I told her that I'd post the response here to help prevent

multiple calls/emails from our board members.

Kim

[Guest guest]

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]

Hi. I don't have the book, and would appreciate your explaining what

the letters below stand for. Thanks very much. I'd also love to be

directed to any other literature about using menstruation itself as a

diagnostic tool.

Thanks!

-Ilene

> Date: Thu, 7 Oct 2004 05:42:24 -0700

>

> Subject: 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

>