Frequently Asked Questions

Q: How do I learn the Creighton Model FertilityCare System (CrMS)?

A: The CrMS is taught through a series of structured sessions called Follow Ups. During these sessions a qualified Practitioner leads the client through a set format which covers all aspects of the use of the system.  Time is spent reviewing the client’s chart and discussing any issues or questions that may arise. These sessions allow the client to learn the system thoroughly.  Personalized tuition provided by the Practitioner encourages growth and confidence in the use of the CrMS.  Over the course of the first year the client and the Practitioner are scheduled to meet 8 times. After this, follow ups occur when requested by the client.

Q: Can NaProTECHNOLOGY help with male factor infertility?

A: Yes. If the primary diagnosis is a male factor, couples have had successful pregnancies using NaProTECHNOLOGY. Men with very low sperm counts or anti-sperm antibodies can be treated. Often, improvements in semen quality can be made by healthy lifestyle changes. A number of medical and surgical treatments can also improve semen quality and sperm function. Even if the sperm function is not ideal, evaluating and maximizing the woman's fertility cycle, together with ideal timing of intercourse, will often result in pregnancy. The overall success rate for male factor infertility is around 40%.

Q: What is the role of the FertilityCare Practitioner in NaProTECHNOLOGY?

A: A client who receives NaProTECHNOLOGY medical treatment from a NaPro trained Doctor will continue to see a FertilityCare Practitioner to keep track of changes within the cycle and to monitor progress in fertility management.

Q: How does the Creighton Model FertilityCare system work?

A: Women are taught to make precise observations of their vaginal discharge each day.  These observations are interpreted and give reliable identification of days of fertility and infertility.  They may also help determine whether or not a woman is ovulating and if their reproductive organs are functioning normally.  

Q: Who created the Creighton Model FertilityCare System?

A: The CrMS has been extensively evaluated over the past 35 years through research, first at St. Louis University and Creighton University Schools of Medicine and, most recently, at the Pope Paul VI Institute for the Study of Human Reproduction (Omaha, Nebraska).  It was created based on these in-depth studies.

Q: How does this relate to the rhythm method, or natural birth control?

A: The CrMS is not the rhythm method. The calendar rhythm method is based on statistical guesswork to identify the day of ovulation. The CrMS is based on a reliable sign of fertility, and works regardless of cycle length or cycle irregularity.  It is a scientifically proven method.

Link Scientific Foundations

The CrMS is not natural birth control. It does not suppress or alter natural fertility in any way. But it can be used as a natural means for true family planning - meaning that it can be used reliably either to avoid pregnancy or to conceive.

Q: What qualification has my teacher of the Creighton Model undertaken?

A: The one year educational program to become a Practitioner is a professional program developed according to the basic educational principles utilized in allied health courses.  The program is divided into two education phases (EPI and EPII).  In addition, there are two supervised practica. The first supervised practicum (SPI) begins at the end of EPI and continues until the beginning of EPII.  The second supervised practicum (SPII) begins after EPII and concludes at the time of the final examination approximately one year after course entry. During the second supervised practicum an On-Site Visit is conducted by an assigned faculty supervisor.

The two education phases are designed to be total immersion learning experiences in order to receive an appropriate foundation of fundamental theoretical knowledge.  This prepares the student to undertake the clinical component of the course, which is the actual teaching of the CrMS. The clinical phases of the course occur during the supervised practica at the student’s home location.  During the entire year, the student works under the direct supervision of either a FertilityCare Educator or Supervisor. 

After the year of supervised practice, the intern Practitioner sits an exam to qualify as a full Practitioner.  Once this happens, the Practitioner is no longer an intern and is free to consult without supervision.  Currently there are three fully qualified Practitioners in New Zealand.

Q: Why can’t I just learn this out of a book?

A: A teacher is essential in almost any type of education, not to mention an area as important as family planning.  A book cannot adequately teach a human skill.  The printed page cannot sympathize with individual needs and concerns.  Saving money in bypassing personal instruction will limit the effectiveness of a reliable natural method.  The CrMS can only be learned properly with professional guidance from a qualified Practitioner trained to meet each individual’s situation. 

Q: How much will it cost to learn?

Q: It is with the following considerations that each Practitioner establishes their fee structure:

  • A qualified Practitioner:  The Practitioner must be prepared to address any situation arising in the course of instruction.  Specialized training is required to prepare a competent Practitioner.  A year-long Practitioner training program is required which includes 150 hours of classroom education plus over 500 hours of supervised clinical work with clients. 
  • Individual attention:  Each client/couple is unique and needs to receive confidential, personal instruction and support.  Regular follow-up meetings during the first six months of learning provide reinforcement for the lifestyle change with CrMS.
  • Aftercare:  After the classes are completed, the couple needs the availability of ongoing contact with the Practitioner.  A ready resource is important to assist in the management of the normal changes occurring throughout the couple's reproductive years.