Skip to main content
main-content

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

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.
Literatur
Zurück zum Zitat American Society for Reproductive Medicine (2008) Optimizing natural fertility. Fertil Steril 90(3):1–6 American Society for Reproductive Medicine (2008) Optimizing natural fertility. Fertil Steril 90(3):1–6
Zurück zum Zitat Barrett J, Marshall J (1969) The risk of conception on different days of the menstrual cycle. Population Studies 23:455–461 PubMedCrossRef Barrett J, Marshall J (1969) The risk of conception on different days of the menstrual cycle. Population Studies 23:455–461 PubMedCrossRef
Zurück zum Zitat 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 19:889–892 PubMedCrossRef 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 19:889–892 PubMedCrossRef
Zurück zum Zitat 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 37:350–352 PubMedCrossRef 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 37:350–352 PubMedCrossRef
Zurück zum Zitat Bremme J (1991) Sexualverhalten und Konzeptionswahrscheinlichkeit. Med Dissertation, Universität Düsseldorf Bremme J (1991) Sexualverhalten und Konzeptionswahrscheinlichkeit. Med Dissertation, Universität Düsseldorf
Zurück zum Zitat 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 90:1656–1661 PubMedCrossRef 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 90:1656–1661 PubMedCrossRef
Zurück zum Zitat Brosens I, Brosens J (2006) Managing infertility with fertility-awareness methods. Sexuality, Reproduction & Menopause 4:13–16 CrossRef Brosens I, Brosens J (2006) Managing infertility with fertility-awareness methods. Sexuality, Reproduction & Menopause 4:13–16 CrossRef
Zurück zum Zitat 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 19:1689–1692 PubMedCrossRef 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 19:1689–1692 PubMedCrossRef
Zurück zum Zitat Colombo B, Masarotto G (2000) Daily fecundability: First results from a new data base. Demographic Research 3/5: Internet edition Colombo B, Masarotto G (2000) Daily fecundability: First results from a new data base. Demographic Research 3/5: Internet edition
Zurück zum Zitat 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 15:161–180 PubMedCrossRef 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 15:161–180 PubMedCrossRef
Zurück zum Zitat Devroey P, Fauser BCJM, Diedrich K (2009) Approaches to improve the diagnosis and management of infertility. Hum Reprod 2009:1–18 (Update 0:0) Devroey P, Fauser BCJM, Diedrich K (2009) Approaches to improve the diagnosis and management of infertility. Hum Reprod 2009:1–18 (Update 0:0)
Zurück zum Zitat 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 14:1835–1839 PubMedCrossRef 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 14:1835–1839 PubMedCrossRef
Zurück zum Zitat Dunson DB, Sinai I, Colombo B (2001a) The relationship between cervical secretions and the daily probabilities of pregnany: effectiveness of theTwoDay Algorithm. Hum Reprod 16:2278–2282 PubMedCrossRef Dunson DB, Sinai I, Colombo B (2001a) The relationship between cervical secretions and the daily probabilities of pregnany: effectiveness of theTwoDay Algorithm. Hum Reprod 16:2278–2282 PubMedCrossRef
Zurück zum Zitat Dunson DB, Weinberg CR, Baird DD, Kesner JS, Wilcox AJ (2001b) Assessing human fertility using several markers of ovulation. Stat Med 20:965–978 PubMedCrossRef Dunson DB, Weinberg CR, Baird DD, Kesner JS, Wilcox AJ (2001b) Assessing human fertility using several markers of ovulation. Stat Med 20:965–978 PubMedCrossRef
Zurück zum Zitat Dunson DB, Colombo B, Baird DD (2002) Changes with age in the level and duration of fertility in the menstrual cycle. Hum Reprod 17:1399–2002 PubMedCrossRef Dunson DB, Colombo B, Baird DD (2002) Changes with age in the level and duration of fertility in the menstrual cycle. Hum Reprod 17:1399–2002 PubMedCrossRef
Zurück zum Zitat Ecochard R (2005) Heterogeneity, the masked part of reproductive technology success rates. Rev Epidemiol Sante Publique 53(Spec 2):107–117 CrossRef Ecochard R (2005) Heterogeneity, the masked part of reproductive technology success rates. Rev Epidemiol Sante Publique 53(Spec 2):107–117 CrossRef
Zurück zum Zitat Ecochard R (2006) Heterogeneity in fecundability studies: issues and modelling. Stat Methods Med Res 15:141–160 PubMedCrossRef Ecochard R (2006) Heterogeneity in fecundability studies: issues and modelling. Stat Methods Med Res 15:141–160 PubMedCrossRef
Zurück zum Zitat Ecochard R, Duterque O, Leiva R, Bouchard T, Vigil P (2015) Self-identification of the clinical fertile window and the ovulation period. Fertil Steril 103:1319–1325 PubMedCrossRef Ecochard R, Duterque O, Leiva R, Bouchard T, Vigil P (2015) Self-identification of the clinical fertile window and the ovulation period. Fertil Steril 103:1319–1325 PubMedCrossRef
Zurück zum Zitat Fehring RJ, Schneider M (2008) Variability in the hormonally estimated fertile phase of the menstrual cycle. Fertil Steril 4:1232–1235 CrossRef Fehring RJ, Schneider M (2008) Variability in the hormonally estimated fertile phase of the menstrual cycle. Fertil Steril 4:1232–1235 CrossRef
Zurück zum Zitat 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 20:305–312 PubMedCrossRef 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 20:305–312 PubMedCrossRef
Zurück zum Zitat Freundl G, Baur S, Bremme M, Döring G (1991) Natürliche Familienplanung: Neue Technologien und Studien zur Methode. BMJFG (interner Abschlussbericht) Freundl G, Baur S, Bremme M, Döring G (1991) Natürliche Familienplanung: Neue Technologien und Studien zur Methode. BMJFG (interner Abschlussbericht)
Zurück zum Zitat Gnoth C, Frank-Herrmann P, Freundl G (2002) Opinion: natural family planning and the management of infertility. Arch Gynecol Obstet 267:67–71 PubMedCrossRef Gnoth C, Frank-Herrmann P, Freundl G (2002) Opinion: natural family planning and the management of infertility. Arch Gynecol Obstet 267:67–71 PubMedCrossRef
Zurück zum Zitat 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 18:1959–1966 PubMedCrossRef 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 18:1959–1966 PubMedCrossRef
Zurück zum Zitat Gnoth C, Godehardt E, Frank-Herrmann P, Friol K, Tigges J, Freundl G (2005) Definition and prevalence of subfertility and infertility. Hum Reprod 20:1144–1147 PubMedCrossRef Gnoth C, Godehardt E, Frank-Herrmann P, Friol K, Tigges J, Freundl G (2005) Definition and prevalence of subfertility and infertility. Hum Reprod 20:1144–1147 PubMedCrossRef
Zurück zum Zitat Hampton K, Mazza D (2009) Should spontaneous or timed intercourse guide couples trying to conceive? Hum Reprod 24:3236–3237 PubMedCrossRef Hampton K, Mazza D (2009) Should spontaneous or timed intercourse guide couples trying to conceive? Hum Reprod 24:3236–3237 PubMedCrossRef
Zurück zum Zitat Hampton K, Mazza D (2015) Fertility-awareness knowledge, attitudes and practices of women attending general practice. Aust Fam Physician 44:840–845 PubMed Hampton K, Mazza D (2015) Fertility-awareness knowledge, attitudes and practices of women attending general practice. Aust Fam Physician 44:840–845 PubMed
Zurück zum Zitat 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 22:1652–1656 PubMedCrossRef 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 22:1652–1656 PubMedCrossRef
Zurück zum Zitat 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 55:1137–1143 PubMedCrossRef 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 55:1137–1143 PubMedCrossRef
Zurück zum Zitat 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 27:427–429 CrossRef 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 27:427–429 CrossRef
Zurück zum Zitat Masarotto G, Romualdi C (1997) Probability of conception on different days of the menstrual cycle: an ongoing exercise. Adv Contracept 13:105–115 PubMedCrossRef Masarotto G, Romualdi C (1997) Probability of conception on different days of the menstrual cycle: an ongoing exercise. Adv Contracept 13:105–115 PubMedCrossRef
Zurück zum Zitat 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 123:578–584 PubMedCrossRef 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 123:578–584 PubMedCrossRef
Zurück zum Zitat NICE (2004) Fertility Assessment and Treatment for People with Fertility Problems. National Institute for Clinical Excellence, London NICE (2004) Fertility Assessment and Treatment for People with Fertility Problems. National Institute for Clinical Excellence, London
Zurück zum Zitat 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):51–59 PubMedCrossRef 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):51–59 PubMedCrossRef
Zurück zum Zitat Robinson JE, Wakelin M, Ellis JE (2007) Increased pregnancy rate with use of the clearblue easy fertility monitor. Fertil Steril 87:329–334 PubMedCrossRef Robinson JE, Wakelin M, Ellis JE (2007) Increased pregnancy rate with use of the clearblue easy fertility monitor. Fertil Steril 87:329–334 PubMedCrossRef
Zurück zum Zitat Royston P, Ferreira A (1999) A new approach to modeling daily probabilities of conception. Biometrics 55:1005–1013 PubMedCrossRef Royston P, Ferreira A (1999) A new approach to modeling daily probabilities of conception. Biometrics 55:1005–1013 PubMedCrossRef
Zurück zum Zitat 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 125:72–78 PubMedCrossRef 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 125:72–78 PubMedCrossRef
Zurück zum Zitat Scarpa B, Dunson DB, Giacchi E (2007) Bayesian selection of optimal rules for timing intercourse to conceive by using calendar and mucus. Fertil Steril 88:915–924 PubMedCrossRef Scarpa B, Dunson DB, Giacchi E (2007) Bayesian selection of optimal rules for timing intercourse to conceive by using calendar and mucus. Fertil Steril 88:915–924 PubMedCrossRef
Zurück zum Zitat Sievert LL, Dubois CA (2005) Validating signals of ovulation: do women who think they know, really know? Am J Hum Biol 7:310–320 CrossRef Sievert LL, Dubois CA (2005) Validating signals of ovulation: do women who think they know, really know? Am J Hum Biol 7:310–320 CrossRef
Zurück zum Zitat Snick HK, Snick TS, Evers JL, Collins JA (1997) The spontaneous pregnancy prognosis in untreated subfertile couples: the Walcheren primary care study. Hum Reprod 12:1582–1588 PubMedCrossRef Snick HK, Snick TS, Evers JL, Collins JA (1997) The spontaneous pregnancy prognosis in untreated subfertile couples: the Walcheren primary care study. Hum Reprod 12:1582–1588 PubMedCrossRef
Zurück zum Zitat Stanford JB, White GL, Hatasaka H (2002) Timing intercourse to achieve pregnancy: current evidence. Obstet Gynecol 100:1333–1341 PubMed Stanford JB, White GL, Hatasaka H (2002) Timing intercourse to achieve pregnancy: current evidence. Obstet Gynecol 100:1333–1341 PubMed
Zurück zum Zitat Stanford JB, Smith KR, Dunson DB (2003) Vulvar mucus observations and the probability of pregnancy. Obstet Gynecol 101:1285–1293 PubMed Stanford JB, Smith KR, Dunson DB (2003) Vulvar mucus observations and the probability of pregnancy. Obstet Gynecol 101:1285–1293 PubMed
Zurück zum Zitat 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 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
Zurück zum Zitat 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 28:138–151 CrossRef 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 28:138–151 CrossRef
Zurück zum Zitat 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 50:358–367 PubMedCrossRef 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 50:358–367 PubMedCrossRef
Zurück zum Zitat 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 333:1517–1521 CrossRefPubMed 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 333:1517–1521 CrossRefPubMed
Zurück zum Zitat Zinaman M, Johnson S, Ellis J, Ledger W (2012) Accuracy of perception of ovulation day in women trying to conceive. Curr Med Res Opin 28:749–754 PubMedCrossRef Zinaman M, Johnson S, Ellis J, Ledger W (2012) Accuracy of perception of ovulation day in women trying to conceive. Curr Med Res Opin 28:749–754 PubMedCrossRef
Metadaten
Titel
Natürliche Familienplanung bei Kinderwunsch und Subfertilität
verfasst von
Elisabeth Raith-Paula
Petra Frank-Herrmann
Copyright-Jahr
2020
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-662-59311-0_11

Neu im Fachgebiet Gynäkologie und Geburtshilfe

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Gynäkologie und bleiben Sie gut informiert – ganz bequem per eMail.