Learning Objectives

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All trainees will learn to correlate this science with the woman’s charted record by a study of:

1.    Human reproductive health: basic anatomy and physiology.

2.    Fertility of the male and female: requirements for fertility.

3.    Fertility regulation:

  • the role of the cervix and its various secretions as an essential ingredient of fertility of the woman;
  • teaching principles which are directed to assist the woman to attain self knowledge and understanding of her own reproductive cycle;
  • recognition of the natural indicators, particularly those of fundamental importance for BOM;
  • record keeping, including the correct use of symbols;
  • recognition of the Peak symptom;
  • recognition of the Basic Infertile Pattern (BIP);
  • guidelines for the achieving and avoidance of pregnancy;
  • positive approach to various phases of the cycle;
  • charting cycles of various length: average, long, short; cycles with continuous discharge;
  • physiological bleeding.


4.  The importance of the BIP when ovulation is delayed, or when the cervix is  unresponsive to rising oestrogens, and an examination of where this will or may occur:

  • stress;
  • breast feeding; 
  • after the use of contraceptive medication;
  • pre-menopause;
  • normal for some women;


5.   Breast feeding:

  • benefits to baby, mother, couple and as an adjunct to fertility control;
  • the transition from full breast feeding to weaning;
  • revision of the hormonal patterns and the vaginal physiology in the presence of very low levels of circulating oestrogen.


6.   Pre menopause:

  • Explanation of the various phenomena which may be observed including those for which appropriate medical referral and treatment may be required.


7.   Infertility:

  • The causes of male and female infertility, with special reference to those common cases of sub-fertility where pregnancy can be achieved with the help of the Billings Ovulation Method™;
  • Mucus patterns which reflect reduced fertility or complete infertility;
  • Impaired response of the cervix to ovarian hormones;
  • Investigations of infertility;
  • The possible effect of infertility in the relationship;


8.   The influence of pathology on the cervix;

  • Infection;
  • Cancer of the cervix, including the effect on the mucus pattern of cervical cancer;
  • Pathological vaginal discharges;
  • Abnormal bleeding.


9.   Guidelines for providing a teaching service:

  • Teaching skills; 
  • Pregnancy investigations;
  • Confidentiality;
  • Running a teaching centre. 
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