nach oben

Erschienen in:

2020 | Natürliche Kontrazeption | OriginalPaper | Buchkapitel

11. Natürliche Familienplanung bei Kinderwunsch und Subfertilität

verfasst von : Elisabeth Raith-Paula, Petra Frank-Herrmann

Erschienen in: Natürliche Familienplanung heute

Verlag: Springer Berlin Heidelberg

Einloggen, um Zugang zu erhalten

Zusammenfassung

Halbwissen um die fruchtbare Zeit und die damit verbundene Fokussierung des Sexualverkehrs auf die Zyklusmitte führen nicht selten zu einer Verzögerung des Schwangerschaftseintritts bei Kinderwunsch. Die bisherigen Studienergebnisse rechtfertigen die Integration der Selbstbeobachtung von Zyklussymptomen in das Management des unerfüllten Kinderwunsches als eine nicht invasive, nebenwirkungsfreie und kostengünstige first-line Maßnahme. Dies gilt sowohl bei normal fertilen als auch bei subfertilen Frauen. Oft reicht dabei schon der simple Ratschlag aus, „auf den Zervixschleim zu achten“. Die Zervixschleimbeobachtung bietet ein breiteres fertiles Fenster und ist damit den LH-Testkits überlegen.

American Society for Reproductive Medicine (2008) Optimizing natural fertility. Fertil Steril 90(3):1–6

Barrett J, Marshall J (1969) The risk of conception on different days of the menstrual cycle. Population Studies 23:455–461PubMedCrossRef

Bigelow JL, Dunson DB, Stanford JB, Ecochard R, Gnoth C, Colombo B (2004) Mucus observations in the fertile window: a better predictor of conception than timing of intercourse. Hum Reprod 19:889–892PubMedCrossRef

Blake D, Smith D, Bargiacchi A, France M, Gudex G (1997) Fertility awareness in women attending a fertility clinic. Aust N Z J Obstet Gynaecol 37:350–352PubMedCrossRef

Bremme J (1991) Sexualverhalten und Konzeptionswahrscheinlichkeit. Med Dissertation, Universität Düsseldorf

Brodin T, Bergh T, Berglund L, Hadziosmanovic N, Holte J (2008) Menstrual cycle length is an age-independent marker of female fertility: results from 6271 treatment cycles of in vitro fertilization. Fertil Steril 90:1656–1661PubMedCrossRef

Brosens I, Brosens J (2006) Managing infertility with fertility-awareness methods. Sexuality, Reproduction & Menopause 4:13–16CrossRef

Brosens I, Gordts S, Valkenburg M, Puttemans P, Campo R, Gordts S (2004) Investigation of the infertile couple: when is the appropriate time to explore female infertility? Hum Reprod 19:1689–1692PubMedCrossRef

Colombo B, Masarotto G (2000) Daily fecundability: First results from a new data base. Demographic Research 3/5: Internet edition

Colombo B, Mion A, Passarin K, Scarpa B (2006) Cervical mucus symptom and daily fecundability: first results from a new database. Stat Methods Med Res 15:161–180PubMedCrossRef

Devroey P, Fauser BCJM, Diedrich K (2009) Approaches to improve the diagnosis and management of infertility. Hum Reprod 2009:1–18 (Update 0:0)

Dunson DB, Baird DD, Wilcox AJ, Weinberg CR (1999) Day-specific probabilities of clinical pregnancy based on two studies with imperfect measures of ovulation. Hum Reprod 14:1835–1839PubMedCrossRef

Dunson DB, Sinai I, Colombo B (2001a) The relationship between cervical secretions and the daily probabilities of pregnany: effectiveness of theTwoDay Algorithm. Hum Reprod 16:2278–2282PubMedCrossRef

Dunson DB, Weinberg CR, Baird DD, Kesner JS, Wilcox AJ (2001b) Assessing human fertility using several markers of ovulation. Stat Med 20:965–978PubMedCrossRef

Dunson DB, Colombo B, Baird DD (2002) Changes with age in the level and duration of fertility in the menstrual cycle. Hum Reprod 17:1399–2002PubMedCrossRef

Ecochard R (2005) Heterogeneity, the masked part of reproductive technology success rates. Rev Epidemiol Sante Publique 53(Spec 2):107–117CrossRef

Ecochard R (2006) Heterogeneity in fecundability studies: issues and modelling. Stat Methods Med Res 15:141–160PubMedCrossRef

Ecochard R, Duterque O, Leiva R, Bouchard T, Vigil P (2015) Self-identification of the clinical fertile window and the ovulation period. Fertil Steril 103:1319–1325PubMedCrossRef

Fehring RJ, Schneider M (2008) Variability in the hormonally estimated fertile phase of the menstrual cycle. Fertil Steril 4:1232–1235CrossRef

Frank-Herrmann P, Gnoth C, Baur S, Strowitzki T, Freundl G (2005) Determination of the fertile window: reproductive competence of women – European cycle databases. Gynecol Endocrinol 20:305–312PubMedCrossRef

Frank-Herrmann P, Jacobs C, Jenetzky E, Gnoth C, Pyper C, Baur S, Freundl G, Goeckenjan M, Strowitzki T (2017) Natural conception rates in subfertile couples following fertility awareness training. Arch Gynecol Obstet 295:1015–1024. https://doi.org/10.1007/s00404-017-4294-zCrossRefPubMed

Freundl G, Baur S, Bremme M, Döring G (1991) Natürliche Familienplanung: Neue Technologien und Studien zur Methode. BMJFG (interner Abschlussbericht)

Gnoth C, Frank-Herrmann P, Freundl G (2002) Opinion: natural family planning and the management of infertility. Arch Gynecol Obstet 267:67–71PubMedCrossRef

Gnoth C, Godehardt D, Godehardt E, Frank-Herrmann P, Freundl G (2003) Time to pregnancy: results of the German prospective study and impact on the management of infertility. Hum Reprod 18:1959–1966PubMedCrossRef

Gnoth C, Godehardt E, Frank-Herrmann P, Friol K, Tigges J, Freundl G (2005) Definition and prevalence of subfertility and infertility. Hum Reprod 20:1144–1147PubMedCrossRef

Hampton K, Mazza D (2009) Should spontaneous or timed intercourse guide couples trying to conceive? Hum Reprod 24:3236–3237PubMedCrossRef

Hampton KD, Mazza D, Newton JM (2012) Fertility-awareness knowledge, attitudes, and practices of women seeking fertility assistance. J Adv Nurs 69:5; https://doi.org/10.1111/j.1365-2648.2012.06095.x

Hampton K, Mazza D (2015) Fertility-awareness knowledge, attitudes and practices of women attending general practice. Aust Fam Physician 44:840–845PubMed

Johnson S, Marriott L, Zinaman M (2018) Can apps and calendar methods predict ovulation. Current Medical Research and Opinion. https://doi.org/10.1080/03007995.2018.1475348

Keulers MJ, Hamilton CJ, Franx A, Evers JL, Bots RS (2007) The length of the fertile window is associated with the chance of spontaneously conceiving an ongoing pregnancy in subfertile couples. Hum Reprod 22:1652–1656PubMedCrossRef

Kopitzke EJ, Berg BJ, Wilson JF, Owens D (1991) Physical and emotional stress associated with components of infertility investigation: perspectives of professionals and patients. Fertil Steril 55:1137–1143PubMedCrossRef

Kudesia R, Chernyak E, McAvey B (2017) Low fertility awareness in United States reproductive-aged women and medical trainees: creation and validation of the Fertility & Infertility Treatment Knowledge Score (FIT-KS). Fertil Steril 4:711–717. https://doi.org/10.1016/j.fertnstert.2017.07.1158CrossRef

Leiva R, Burban U, Kyrillos E, Fehring R, McLaren R, Dalzell C, Tanguay E (2014) Use of ovulation predictor kits as adjuncts when using Fertility Awareness Methods (FAMs): a pilot study. J Am Board Family Med 27:427–429CrossRef

Masarotto G, Romualdi C (1997) Probability of conception on different days of the menstrual cycle: an ongoing exercise. Adv Contracept 13:105–115PubMedCrossRef

Mikolajczyk R, Rauchfuss M, Lamm D (2001) Zum Problem der ungeplanten Schwangerschaften in einer hoch entwickelten Gesellschaft – Modellstudie auf einer Wochenstation in Berlin. Zentralbl Gynakol 123:578–584PubMedCrossRef

Mu Q, Fehring RJ (2014) Efficacy of achieving pregnancy with fertility-focused intercourse. MCN Am J Matern Child Nurs 39:35–40. https://doi.org/10.1097/nmc.0b013e3182a76b88CrossRefPubMed

NICE (2004) Fertility Assessment and Treatment for People with Fertility Problems. National Institute for Clinical Excellence, London

Porucznik CA, Cox KJ, Schliep KC, Stanford JB (2014) Pilot test and validation of the Peak Day method of prospective determination of ovulation against a handheld urine hormone monitor. BMC Women’s Health 14:4 http://www.biomedcentral.com/1472-6874/14/4

Pyper C, Bromhall L, Dummett S, Altman DG, Brownbill P, Murphy M (2006) The Oxford Conception Study design and recruitment experience. Paediatr Perinat Epidemiol 20(Suppl 1):51–59PubMedCrossRef

Robinson JE, Wakelin M, Ellis JE (2007) Increased pregnancy rate with use of the clearblue easy fertility monitor. Fertil Steril 87:329–334PubMedCrossRef

Royston P, Ferreira A (1999) A new approach to modeling daily probabilities of conception. Biometrics 55:1005–1013PubMedCrossRef

Scarpa B, Dunson DB, Colombo B (2006) Cervical mucus secretions on the day of intercourse: an accurate marker of highly fertile days. Eur J Obstet Gynecol Reprod Biol 125:72–78PubMedCrossRef

Scarpa B, Dunson DB, Giacchi E (2007) Bayesian selection of optimal rules for timing intercourse to conceive by using calendar and mucus. Fertil Steril 88:915–924PubMedCrossRef

Sievert LL, Dubois CA (2005) Validating signals of ovulation: do women who think they know, really know? Am J Hum Biol 7:310–320CrossRef

Snick HK, Snick TS, Evers JL, Collins JA (1997) The spontaneous pregnancy prognosis in untreated subfertile couples: the Walcheren primary care study. Hum Reprod 12:1582–1588PubMedCrossRef

Snick HKA (2005) Should spontaneous or timed intercourse guide couples trying to conceive? Hum Reprod 20:2976–2979. https://doi.org/10.1093/humrep/dei137CrossRefPubMed

Stanford JB, Dunson DB (2007) Effects of sexual intercourse patterns in time to pregnancy studies. Am J Epidemiol 165:1088–1095. https://doi.org/10.1093/aje/kwk111CrossRefPubMed

Stanford JB, White GL, Hatasaka H (2002) Timing intercourse to achieve pregnancy: current evidence. Obstet Gynecol 100:1333–1341PubMed

Stanford JB, Smith KR, Dunson DB (2003) Vulvar mucus observations and the probability of pregnancy. Obstet Gynecol 101:1285–1293PubMed

Stanford JB, Smith KR, Varnerc MW (2014) Impact of instruction in the Creighton Model FertilityCare System on time to pregnancy in couples of proven fecundity: results of a randomised trial. Paediatr Perinat Epidemiol 28:391–399. https://doi.org/10.1111/ppe.12141CrossRefPubMedPubMedCentral

Thussen A, Meier A, Panis K, Ombelet W (2014) ‚Fertility awareness-based methods‘ and subfertility: a systematic review. Facts Views Vis Obgyn 6:3–123

Tiplady S, Jones G, Campbell M, Johnson S, Ledger W (2012) Home ovulation tests and stress in women trying to conceive: A randomized controlled trial. Human Reprod 28:138–151CrossRef

Trussell J (2011) Contraceptive failure in the United States. Contraception 83:397–404. https://doi.org/10.1016/j.contraception.2011.01.021CrossRefPubMedPubMedCentral

Weinberg CR, Gladen BC, Wilcox AJ (1994) Models relating the timing of intercourse to the probability of conception and the sex of the baby. Biometrics 50:358–367PubMedCrossRef

Wilcox AJ, Weinberg CR, Baird DD (1995) Timing of sexual intercourse in relation to ovulation – effects on the probability of conception, survival of the pregnancy, and sex of the baby. N Engl J Med 333:1517–1521CrossRefPubMed

Zinaman M, Johnson S, Ellis J, Ledger W (2012) Accuracy of perception of ovulation day in women trying to conceive. Curr Med Res Opin 28:749–754PubMedCrossRef

Titel: Natürliche Familienplanung bei Kinderwunsch und Subfertilität
verfasst von: Elisabeth Raith-Paula
Petra Frank-Herrmann
Verlag: Springer Berlin Heidelberg
Buch: Natürliche Familienplanung heute
Print ISBN: 978-3-662-59310-3

Electronic ISBN: 978-3-662-59311-0

Copyright-Jahr: 2020
DOI: https://doi.org/10.1007/978-3-662-59311-0_11

Neu im Fachgebiet Gynäkologie und Geburtshilfe

23.04.2024 | Medikamente in Schwangerschaft und Stillzeit | Nachrichten

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen

Springer Medizin

11. Natürliche Familienplanung bei Kinderwunsch und Subfertilität

Zusammenfassung

Neu im Fachgebiet Gynäkologie und Geburtshilfe

ICI-Therapie in der Schwangerschaft wird gut toleriert

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bei RSV-Impfung vor 60. Lebensjahr über Off-Label-Gebrauch aufklären!

Harnwegsinfektprophylaxe: Es geht auch ohne Antibiotika

Update Gynäkologie

Springer Medizin

Zusammenfassung

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Neu im Fachgebiet Gynäkologie und Geburtshilfe

ICI-Therapie in der Schwangerschaft wird gut toleriert

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bei RSV-Impfung vor 60. Lebensjahr über Off-Label-Gebrauch aufklären!

Harnwegsinfektprophylaxe: Es geht auch ohne Antibiotika

Update Gynäkologie