Efficacy of methods for determining ovulation in a natural family planning program

被引:82
作者
Guida, N [1 ]
Tommaselli, GA [1 ]
Palomba, S [1 ]
Pellicano, M [1 ]
Moccia, G [1 ]
Di Carlo, C [1 ]
Nappi, C [1 ]
机构
[1] Univ Naples Federico II, Dept Obstet Gynecol & Physiopathol Reprod, Naples, Italy
关键词
NFP methods; ovulation self-detection; fertility control;
D O I
10.1016/S0015-0282(99)00365-9
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To evaluate the efficacy in ovulation detection of methods used in natural family planning in comparison with pelvic ultrasonography. Design: Prospective analysis of ovulation detection by natural family planning methods and ultrasonography. Setting: Natural family planning clinic, Department of Obstetrics and Gynecology, University of Naples "Federico II". Patient(s): Forty healthy women who were highly motivated to use natural family planning. Intervention(s): None. Main Outcome Measure(s): Transvaginal ultrasonographic findings, urinary LH levels, salivary P-glucuronidase activity, salivary ferning levels and characteristics of cervical mucus, and BBT. Result(s): Urinary LH level determination yielded a 100% correlation with the simultaneous ultrasonographic diagnosis of ovulation. Mucus sensations and characteristics yielded a 48.3% correlation when simultaneously evaluated with ovulation. beta-Glucuronidase levels yielded a 27.7% correlation. The salivary ferning test had a 36.8% ovulation-detection rate the day of ovulation, but 58.7% of results were uninterpretable. Body temperature measurements yielded a 30.4% correlation with the simultaneous ultrasonographic diagnosis of ovulation. Conclusion(s): Measuring urinary LH levels is an excellent method for determining ovulation. Although variations in mucus characteristics and basal body temperature correlate somewhat with ovulation, the length of the fertile period is overestimated with these methods. The salivary ferning test and measurement of beta-glucuronidase levels are not good methods for home ovulation testing. (Fertil Steril(R) 1999;72:900-4 (C)1999 by American Society for Reproductive Medicine.).
引用
收藏
页码:900 / 904
页数:5
相关论文
共 17 条
  • [1] REGULATION OF BETA-GLUCURONIDASE GENE BY ANDROGENS AND PROGESTINS
    BARDIN, CW
    BROWN, TR
    MILLS, NC
    GUPTA, C
    BULLOCK, LP
    [J]. BIOLOGY OF REPRODUCTION, 1978, 18 (01) : 74 - 83
  • [2] BILLINGS JJ, 1980, OVULATION METHOD
  • [3] CARDONE A, 1991, CLIN EXP OBSTET GYNE, V19, P15
  • [4] UNITED-STATES WOMENS CONTRACEPTIVE ATTITUDES AND PRACTICE - HOW HAVE THEY CHANGED IN THE 1980S
    FORREST, JD
    FORDYCE, RR
    [J]. FAMILY PLANNING PERSPECTIVES, 1988, 20 (03): : 112 - 118
  • [5] Guida M., 1993, Clinical and Experimental Obstetrics and Gynecology, V20, P48
  • [6] An overview on the effectiveness of natural family planning
    Guida, M
    Tommaselli, GA
    Pellicano, M
    Palomba, S
    Nappi, C
    [J]. GYNECOLOGICAL ENDOCRINOLOGY, 1997, 11 (03) : 203 - 219
  • [7] *IT NAT COUNC RES, 1982, FERT SURV IT, V1
  • [8] Kawano T, 1992, Nihon Naibunpi Gakkai Zasshi, V68, P1188
  • [9] SIGNIFICANCE TEST FOR GRUBBSS ESTIMATORS
    MALONEY, CJ
    RASTOGI, SC
    [J]. BIOMETRICS, 1970, 26 (04) : 671 - &
  • [10] RELIABILITY OF HOME URINARY LH TESTS FOR TIMING OF INSEMINATION - A CONSUMERS STUDY
    MARTINEZ, AR
    BERNARDUS, RE
    VERMEIDEN, JPW
    SCHOEMAKER, J
    [J]. HUMAN REPRODUCTION, 1992, 7 (06) : 751 - 753