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Breastfeeding protocol
for fertility monitor

Breastfeeding protocol
for mucus

NFP and long cycles

NFP and short cycles

Perimenopause

NFP after using
hormonal contraception

Stress

Vaginal Hygiene
and Vaginal Infections

Premensteual Syndrome (PMS)

Continuous Mucus
and Other Body Fluids

Management of
Continuous Mucus

Return to fertility
after child birth

Medical referral
for women's health problems

NFP and unusual bleeding

Breastfeeding Protocol for Mucus Only

Protocol for couples who want to avoid a pregnancy
After having a baby the woman can expect her lochia (vaginal bleeding) to dry up between 22-34 days. After this any bleeding that occurs should be considered unusual bleeding and she should follow the unusual bleeding protocol.

If a woman is fully breastfeeding, her menses has not returned, and it is within the first 6 months of the birth of her child, then she has a less than 2% chance of achieving an unintended pregnancy. If she does not fall under the fully breastfeeding definition her fertility can return as soon as 6 weeks after the birth of the child.

(See example chart and instructions below).

Click to enlarge

Management of the mucus signs for the breastfeeding woman is as follows:
•	Any change from a dry to wet sensation is considered fertile plus a count of three full days.
•	Any change from Low mucus to High or Peak should be considered fertile plus a count of three full days.
•	After returning to cycles the first three cycles may be variable in length and have variability in the mucus cycle.
•	Use regular cycle instructions after returning to cycles.

THE BEGINNING OF FERTILITY:
1.	Fertility BEGINS on day 6 of the first 6 cycles.
2.	After 6 cycles, fertility BEGINS on the earliest day of “peak” type mucus during the last 6 cycles minus 6 days or the first "high" mucus reading - whichever comes first.

THE END OF FERTILITY:
3.	Fertility ENDS on the last “peak” day of cervical mucus plus 3 full days.
4.	After 6 cycles, fertility BEGINS on the earliest day of “peak” type mucus during the last 6 cycles minus 6 days or the first "high" mucus reading - whichever comes first.

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