Post on 23-Dec-2015
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NaProTECHNOLOGYNaProTECHNOLOGY& &
The FertilityThe FertilityCareCare Movement Movement
Dr. Phil BoyleDr. Phil Boyle
MICGP MRCGP CFCMCMICGP MRCGP CFCMC
Life ConferenceCork
Nov. 2005
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NaProTechnologyNaProTechnology Natural Procreative TechnologyNatural Procreative Technology A newly emerging A newly emerging Scientific,
Holistic, Pro-Life system of system of fertility treatmentfertility treatment
Inspired by Catholic teaching Inspired by Catholic teaching Highly effective in treatingHighly effective in treating
InfertilityInfertility Recurrent MiscarriageRecurrent Miscarriage Abnormal Gynaecologic HealthAbnormal Gynaecologic Health
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NaProTechnologyNaProTechnology Available in USA since 1990 In Galway, Ireland since 2nd Feb.
1998 In Life Health Centre, Liverpool,
UK since 1999 Now 13 Doctors (5 Obstetricians
and 8 GPs) have trained in Europe
www.fertilitycare.net
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NaProTechnology - NaProTechnology - OriginOrigin
Humanae Vitae 1968 – Papal Humanae Vitae 1968 – Papal EncyclicalEncyclical
Dr. Thomas HilgersDr. Thomas Hilgers Turning point Turning point
– – Beautiful vision of marriageBeautiful vision of marriage Inspired to conduct research into Inspired to conduct research into
moral methods of family planningmoral methods of family planning NaProTECHNOLOGY came later….NaProTECHNOLOGY came later….
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The Creighton Model The Creighton Model FertilityFertilityCareCare SystemSystem
A Standardised Modification of the A Standardised Modification of the Billings Ovulation MethodBillings Ovulation Method
NaProTechnologyNaProTechnology A New Reproductive Science that has A New Reproductive Science that has
developed as a result of precise information developed as a result of precise information which the Fertilitywhich the FertilityCareCare system provides system provides
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Could the FertilityCare Could the FertilityCare Charts be telling us Charts be telling us something moresomething more ? ?
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AT its simplest level AT its simplest level NaProTechnology uses a wide NaProTechnology uses a wide range of range of medical and surgicalmedical and surgical
interventions to correct abnormal interventions to correct abnormal
1.1. FertilityFertilityCareCare Charting patternsCharting patterns2.2. Subtle hormonal deficienciesSubtle hormonal deficiencies3.3. Ovulation defectsOvulation defects4.4. Surgical / structural Surgical / structural
abnormalitiesabnormalities
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NaProTechnologyNaProTechnologyCo-operatesCo-operates with the couple’s natural procreative potential to achieve optimum with the couple’s natural procreative potential to achieve optimum
function.function.
Creighton Model FertilityCreighton Model FertilityCareCare System System Medical TreatmentsMedical Treatments Surgical TreatmentsSurgical Treatments Counselling - Stress ManagementCounselling - Stress Management Spiritual - Prayer!Spiritual - Prayer!
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Many of the medical and Many of the medical and surgical techniques have been surgical techniques have been used previously, but important used previously, but important
NEW treatment approaches NEW treatment approaches and surgical interventions and surgical interventions
have also been developed by have also been developed by Dr. Hilgers in, Omaha, Dr. Hilgers in, Omaha,
Nebraska, USANebraska, USA
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A key to the success of A key to the success of NaProTechnology NaProTechnology
is to apply the medical and is to apply the medical and surgical interventions in a surgical interventions in a
timed fashion with respect to timed fashion with respect to the Fertilitythe FertilityCareCare chart chart
AndAndto continue treatment for to continue treatment for at least 12 effective cyclesat least 12 effective cycles
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45 MINUTES 45 MINUTES per per
CONSULTATIONCONSULTATION
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The Couple The Couple manage their own fertility…manage their own fertility…
Directed by theDirected by the
“Fertility “FertilityCare Care Physician” Physician”
Assisted by their Assisted by their Teacher-PractitionerTeacher-Practitioner
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Case PresentationsCase Presentations1.1.Recurrent MiscarriageRecurrent Miscarriage
2.2.InfertilityInfertility
3.3.Male Factor InfertilityMale Factor Infertility
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G.W. - 6 MiscarriagesG.W. - 6 Miscarriages Dec 04Dec 04 6.5 years Recurrent Miscarriages, 6.5 years Recurrent Miscarriages,
Age 40y. DOB Aug ‘64 G0 P0 SA 6 (6-Age 40y. DOB Aug ‘64 G0 P0 SA 6 (6-13wks)13wks)
Dx Unexplained Recurrent MiscarriagesDx Unexplained Recurrent Miscarriages Regular cycles – 28-30 daysRegular cycles – 28-30 days
Surgery to remove Uterine Septum Sept Surgery to remove Uterine Septum Sept 0404
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G.W. - 6 MiscarriagesG.W. - 6 Miscarriages
NaPro Assessment NaPro Assessment
Low Progesterone – 35.5 nmol/lLow Progesterone – 35.5 nmol/l Low B12 – 187 pmol/lLow B12 – 187 pmol/l Under-active Thyroid – TSH Under-active Thyroid – TSH
4.42 iu.4.42 iu.
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G.W. - 6 MiscarriagesG.W. - 6 Miscarriages
TreatmentTreatment Femara 1.25mg daily for 3 days Femara 1.25mg daily for 3 days
from day 3from day 3 HCG 5000 on P+3,5,7,9HCG 5000 on P+3,5,7,9 B12 4mcg tidB12 4mcg tid Thyroxine 50mg dailyThyroxine 50mg daily
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G.W. - 6 MiscarriagesG.W. - 6 Miscarriages
ConceivedConceived with an optimum cyclewith an optimum cycle
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31st Aug 05
CRL 33mm
10w 5days
EDD 24.3.06
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G.W. - 6 MiscarriagesG.W. - 6 Miscarriages During PregnancyDuring Pregnancy
Vaginal Prog 400mgVaginal Prog 400mg Prednisolone 5mg dailyPrednisolone 5mg daily Eltroxin 50mcg dailyEltroxin 50mcg daily Folic Acid/ B12Folic Acid/ B12
Now 21 Weeks Gestation….Pray!Now 21 Weeks Gestation….Pray!
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C.H - InfertilityC.H - Infertility April 00April 00 10 years Primary Infertility, 10 years Primary Infertility,
Age 36y. G 1 P 0Age 36y. G 1 P 0 Dx PCOD and EndometriosisDx PCOD and Endometriosis Long Irregular cycles - 4 light menses Long Irregular cycles - 4 light menses
per yearper year Clomiphene x 2 cycles 1991Clomiphene x 2 cycles 1991 IUI x 12 cycles 1992-1993 – conceived IUI x 12 cycles 1992-1993 – conceived IVF x 7 cycles 1993 -1999 (5 embryo IVF x 7 cycles 1993 -1999 (5 embryo
TF)TF)
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C.H - InfertilityC.H - Infertility Ultrasound Ultrasound
right side Endometrioma 2.5cmright side Endometrioma 2.5cm
Surgical Referral Surgical Referral Laparoscopy and Diathermy Laparoscopy and Diathermy
Aug 00Aug 00
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C.H - InfertilityC.H - Infertility• Restored a normal appearance to Restored a normal appearance to
the Fertilitythe FertilityCareCare Chart through Chart through surgical and medical interventionsurgical and medical intervention
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C.H - InfertilityC.H - Infertility Clomiphene 150mg x 5 days – Clomiphene 150mg x 5 days –
ovulation inductionovulation induction HCG 5000 sc HCG 5000 sc day 21 –day 21 – follicular follicular
rupturerupture Progesterone 400mg pv - luteal Progesterone 400mg pv - luteal
supportsupport Glucophage 500mg tid Glucophage 500mg tid Prednisolone 5mg dailyPrednisolone 5mg daily
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C.H - InfertilityC.H - Infertility Conceived on 11th cycle of Conceived on 11th cycle of
treatmenttreatment
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C.H - InfertilityC.H - Infertility Live Birth, Live Birth, 3131stst Dec 2003 Dec 2003 Healthy Male Infant - JOSEPHHealthy Male Infant - JOSEPH Elective LSCS at 32 Weeks Elective LSCS at 32 Weeks
(Nervous Obstetrician!!)(Nervous Obstetrician!!) Weight 3 lb 4 oz (1.477 Kg)Weight 3 lb 4 oz (1.477 Kg)
Mother and baby well.Mother and baby well.
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3. Male factor Infertility 3. Male factor Infertility Dx: Infertility for 5 years, Female Age 34yrsDx: Infertility for 5 years, Female Age 34yrs
Sperm CountSperm Count 50,000 per ml50,000 per ml10,000 per ml10,000 per ml
200,000 per ml200,000 per ml 4,000,000 per ml4,000,000 per ml 800,000 per ml800,000 per ml
Hx: Gravida 1 para 0 Misc 1, (ICSI Hx: Gravida 1 para 0 Misc 1, (ICSI Pregnancy)Pregnancy)
3 Failed ICSI, 2 – 3 embryos each time3 Failed ICSI, 2 – 3 embryos each time
Problem – Male FactorProblem – Male Factor
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3. Male factor Infertility3. Male factor Infertility NPT Additional Female Dx: Low Prog. And Low E2NPT Additional Female Dx: Low Prog. And Low E2 Conceived 8Conceived 8thth Cycle NPT, Cycle NPT, Male Tamoxifen, L carnitine, PycnogenolMale Tamoxifen, L carnitine, Pycnogenol
VolumeVolume 4 mls4 mls CountCount 4 Million/ ml4 Million/ ml MotilityMotility 45%45% Morphology Morphology 4% Normal 4% Normal
Healthy Girl born, 8lb 8 oz. June 2004 Healthy Girl born, 8lb 8 oz. June 2004 Mum aged 35yrsMum aged 35yrs Progesterone support during pregnancy until 28 wksProgesterone support during pregnancy until 28 wks Very important to treat the female…often combined Very important to treat the female…often combined
problemproblem
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?? Just Lucky ???? Just Lucky ??
Or Or A Promising Scientific A Promising Scientific
advance?advance?
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For those who believe, For those who believe, No Explanation is No Explanation is
NecessaryNecessary
For those who refuse to For those who refuse to believe,believe,
No Explanation is No Explanation is Possible!Possible!
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Staggering Scientific Staggering Scientific Bias against NaPro! Bias against NaPro!
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The Irish NaPro The Irish NaPro StatisticsStatistics
Over 2000 couples over 7.5 years Over 2000 couples over 7.5 years since Feb. 1998since Feb. 1998
For the first 4 years of treatmentFor the first 4 years of treatment Average Female age - 36 yrs.Average Female age - 36 yrs. Average time trying to conceive - 5 Average time trying to conceive - 5
yrs.yrs. Over 25%Over 25% - history of - history of
unsuccessful IVFunsuccessful IVF
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The Irish NaPro The Irish NaPro StatisticsStatistics
20 – 50% Successful pregnancies20 – 50% Successful pregnancies
submitted for publicationsubmitted for publication
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Following previous Following previous failed IVFfailed IVF
Range of 20 to 30% success per Range of 20 to 30% success per couple with failed IVF couple with failed IVF
submitted for publicationsubmitted for publication
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TWINSTWINS
< 4 % Rate, compared with 28% < 4 % Rate, compared with 28% IVF IVF
So Less prematurity, low birth So Less prematurity, low birth weight, Morbidity, Mortality and weight, Morbidity, Mortality and cost for NPT Birthscost for NPT Births
submitted for publicationsubmitted for publication
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123 Conceptions 123 Conceptions from 95 couples from 95 couples
with previously failed with previously failed IVFIVF
Dr. Phil BoyleDr. Phil BoyleMICGP MRCGP CNFPMCMICGP MRCGP CNFPMC
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IVF - UK. Declining success with increased ageIVF - UK. Declining success with increased age
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Women’s Age at conceptionWomen’s Age at conception
Average 36.8 Years 44% Aged 38 Years or olderAverage 36.8 Years 44% Aged 38 Years or older
123 conceptions from 95 couples Previous Failed ART
5
13
25 2628
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74
0
5
10
15
20
25
30
<30 31-33 34-35 36-37 38-39 40-41 42-43 44+
Woman's Age
Num
ber
of W
omen
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Average 6 YearsAverage 6 Years
Years Trying to conceive 95 couplesPrevious Failed IVF
4
21
40
22
8
05
1015
2025
3035
4045
<2 yrs 3 to 4 yrs 5 to 6 yrs 7 to 9 yrs >10 yrs
Nu
mb
er
of
co
up
les
95 Couples - Previous Failed 95 Couples - Previous Failed ARTART
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95 Couples - Previous Failed 95 Couples - Previous Failed ARTART
75% never Delivered Previously75% never Delivered Previously
Previous Pregnancies
25%
31%
44%
Previous full term deliveryConceived but always miscarriedNever conceived naturally before
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95 Couples - Previous Failed 95 Couples - Previous Failed ARTART
95 Couples ART Diagnosis
0
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22
101
102
117 8
13
010
2030
4050
60
Conce
ived
pre
IX
une
xplai
ned
end
omet
riosis
low p
roge
stero
ne
low e
strog
en
not
ovu
lating
hosti
le/lim
ited
muc
us
poor
sem
en a
nalys
is
block
ed tu
bes
pelvi
c adh
esion
s
Other
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95 Couples - Previous Failed 95 Couples - Previous Failed ARTART
95 Couples NPT Diagnosis
150
22
7361
4
43
11 7 823
01020304050607080
Conce
ived
pre
IX
our u
nexp
laine
d
our e
ndom
etrio
sis
our l
ow p
roge
stero
ne
our l
ow e
strog
en
our n
ot o
vulat
ing
our h
ostile
/limite
d m
ucus
our p
oor s
emen
ana
lysis
our b
lock
ed tu
bes
our p
elvic
adh
esio
ns
Other
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Months of treatment to first conception95 Couples previous failed ART
2
7
10 10
7 7
4
2
6
8
4 4 43 3
4
10
0
2
4
6
8
10
12
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16-20
20+
Months
Nu
mb
er
of
co
up
les
95 Couples - Previous Failed 95 Couples - Previous Failed ARTART
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95 Couples - Previous 95 Couples - Previous Failed IVFFailed IVF
78% successful Pregnancies per couple78% successful Pregnancies per couple
Final Pregnancy Outcome from 95 couples
73%
5%
18%4%
Live Birth Ongoing Miscarriage Ectopic
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TWINSTWINS
3 out of 89 Live Births = 3.4%3 out of 89 Live Births = 3.4%
3 out of 123 conceptions = 2.4%3 out of 123 conceptions = 2.4%
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www.naprotechnology.comwww.naprotechnology.com
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How relevant to Pro-Life How relevant to Pro-Life Movement?Movement?
NaPro is Good News for Everybody!NaPro is Good News for Everybody! Real Pro-Life Alternative to IVF Real Pro-Life Alternative to IVF
Kind to couplesKind to couples No Moral DilemmasNo Moral Dilemmas Real Chance of successReal Chance of success
BUT…..There is MORE!BUT…..There is MORE!
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How relevant to Pro-Life How relevant to Pro-Life Movement?Movement?
With greater use of NaPro, comes With greater use of NaPro, comes greater use of the FertilityCare greater use of the FertilityCare System System family planning family planning gynaecologic health maintenancegynaecologic health maintenance
Less Use of ContraceptivesLess Use of Contraceptives
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Contraceptive Pregnancy Contraceptive Pregnancy Rates Rates
The pill 8% per year The pill 8% per year
The condom 14% per The condom 14% per yearyear
Source: Source: Fam Plann Perspect. 1999 Mar Fam Plann Perspect. 1999 Mar Apr ;31(2):56 63.Fu H, Darroch JE, Haas T, Apr ;31(2):56 63.Fu H, Darroch JE, Haas T, Alan Guttmacher Institute (AGI), New Alan Guttmacher Institute (AGI), New York, USA York, USA
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Contraceptive Pregnancy Contraceptive Pregnancy Rates Rates
......adolescent women who are not adolescent women who are not married married
but are cohabiting experience a but are cohabiting experience a Pregnancy Rate of Pregnancy Rate of about 31%about 31% in the in the first year of first year of
contraceptive use, contraceptive use,
Source: Source: Fam Plann Perspect. 1999 Mar Fam Plann Perspect. 1999 Mar Apr ;31(2):56 63.Fu H, Darroch JE, Haas T, Apr ;31(2):56 63.Fu H, Darroch JE, Haas T, Alan Guttmacher Institute (AGI), New Alan Guttmacher Institute (AGI), New York, USA York, USA
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Contraceptive Pregnancy Contraceptive Pregnancy Rates Rates
25% of the 2,157,473 25% of the 2,157,473 conceptions conceptions
due to contraceptive failure due to contraceptive failure
were aborted in the USA in 1995.were aborted in the USA in 1995.
Source: Source: Fam Plann Perspect. 1999 Mar Fam Plann Perspect. 1999 Mar Apr ;31(2):56 63.Fu H, Darroch JE, Haas T, Apr ;31(2):56 63.Fu H, Darroch JE, Haas T, Alan Guttmacher Institute (AGI), New Alan Guttmacher Institute (AGI), New York, USA York, USA
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There is a Direct link between There is a Direct link between the use of contraception and the use of contraception and an increase inan increase in
Unplanned PregnanciesUnplanned Pregnancies Sexually Transmitted InfectionsSexually Transmitted Infections Abortion Abortion
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With ContraceptionWith Contraception Pleasure (Yes) …..Baby (No)Pleasure (Yes) …..Baby (No) Sever linkSever link between Love and Life between Love and Life
With FertilityCareWith FertilityCare Pleasure (Yes) …..Baby (Maybe)Pleasure (Yes) …..Baby (Maybe) Restore linkRestore link between Love and between Love and
LifeLife
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With ContraceptionWith Contraception Abortion is “necessary” for Abortion is “necessary” for
unintended pregnancy from unintended pregnancy from failed contraceptionfailed contraception
With FertilityCareWith FertilityCare A Baby is always a possibilityA Baby is always a possibility
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ContraceptionContraception Disrespect for Disrespect for
FertilityFertility Newly conceived lifeNewly conceived life
Subconscious mental shift in Subconscious mental shift in favour of abortionfavour of abortion
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FertilityCareFertilityCare Respect for Respect for
FertilityFertility Newly conceived lifeNewly conceived life
Subconscious mental shift in Subconscious mental shift in favour of LIFE!favour of LIFE!
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FertilityCareFertilityCare Builds a real culture of respect Builds a real culture of respect
for life, from the beginning…for life, from the beginning…preconceptionpreconception
Couples receive “Crisis Couples receive “Crisis Pregnancy” Pregnancy” counsellingcounselling before before they have an unplanned they have an unplanned pregnancy pregnancy
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FertilityCareFertilityCare Offers authentic Procreative and Offers authentic Procreative and
Gynaecologic Healthcare, instead Gynaecologic Healthcare, instead of the LIE on offer from the of the LIE on offer from the planned parenthood ideologyplanned parenthood ideology
Fertility is not a disease that Fertility is not a disease that needs to be suppressed or needs to be suppressed or feared….It is a normal aspect of feared….It is a normal aspect of health, that ought to be health, that ought to be understood, treasured and understood, treasured and respected by men and womenrespected by men and women
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Each approach offers a Each approach offers a completely final destinationcompletely final destination
… …..Life or Death..Life or Death
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www.fertilitycare.netwww.fertilitycare.net
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QuestionsQuestions
Dr. Phil BoyleDr. Phil BoyleMICGP MRCGP CNFPMCMICGP MRCGP CNFPMC
Life ConferenceCork
Nov. 2005
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