Confused - is this birth control?

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I have an unusual situation that’s kind of hard to explain, but I’ll try. It will probably be easier for people with knowledge of NFP to understand.

My husband and I use NFP. My menstrual cycles are extremely long and extremely irregular, ranging from about 50 days to 80 days. Most women with cycles this long don’t ovulate, but I ovulate in every cycle, because in every cycle I’ve charted my temperature has gone up, indicating ovulation, even in my 80 day cycles. I even got pregnant (unexpectedly) a couple years ago and have a 2-year-old daughter.

I go to an NFP-only doctor who prescribed me Provera to induce my period during a particularly long cycle. For those of you that don’t know, Provera is a medication that makes a woman get her period. It doesn’t make her ovulate.

I often have long periods of confusing fertility signs, and I’m really, really tired of them. Sometimes I honestly don’t know if I’ll ovulate tomorrow or a month from now, because my cycles are so irregular and my mucus signs are not always clear for a good portion of the cycle.

I’m thinking about just taking Provera at regular intervals to make my cycles regular. I would take it at the same time every cycle so that I would have a period every month or every couple of months. It seems to me like this would basically prevent me from ovulating at all, since when I ovulate it’s always much later in the cycle. For those of you familiar with NFP, it would be like going straight from phase 1 to phase 3 and skipping phase 2. Therefore, would it be “birth control?” Or is it ok since I’m making my body do what it’s supposed to do anyway?

I get my period naturally about 6 times a year, and I ovulate every time, but leading up to ovulation is always a long period of confusing signs, abstinence and frustration. A woman should get her period at least 4 times a year, otherwise she’s at risk for endometrial cancer. I get it about 6 times, not as much as I should but I think from a health perspective it’s ok. I admit my main motivation is making NFP easier, since my cycles would be predictable and I would bypass the time of my cycle that’s very confusing. We are trying to avoid pregnancy right now, btw.

I hope this makes sense. Maybe I’m just being scrupulous. Let me know what you think. Thanks.
 
I’m not 100% sure how Provera works. I know it’s progesterone and you take it for a week and then when you stop taking it, you bleed. I’m not sure this is a real period or simply breakthrough/withdrawal bleeding. I think you need more info from your doctor, because I don’t think it’s treating what’s going on with your body. I also read that Provera can cause birth defects if you would get pregnant. It’s NOT safe to take during pregnancy.

Maybe check out the book Fertility, Cycles and Nutrition (ccli.org see the store section) to see if changing your diet and adding suppliments might help. I have also had very irregular and long cycles and adding Optivite vitamins helped me. You might also contact creightonmodel.com/ or popepaulvi.com/ and see what advice they might offer regarding your periods and Provera.

We were able to use the sympto-thermal method of NFP even with my crazy cycles but perhaps a different method would be better for you?

God bless you as you try to figure this out. You really should do more research and talk to your doctor about provera and see if there are other options for you.

Jennifer
 
I often have long periods of confusing fertility signs, and I’m really, really tired of them. Sometimes I honestly don’t know if I’ll ovulate tomorrow or a month from now, because my cycles are so irregular and my mucus signs are not always clear for a good portion of the cycle.

I’m thinking about just taking Provera at regular intervals to make my cycles regular. I would take it at the same time every cycle so that I would have a period every month or every couple of months. It seems to me like this would basically prevent me from ovulating at all, since when I ovulate it’s always much later in the cycle. For those of you familiar with NFP, it would be like going straight from phase 1 to phase 3 and skipping phase 2. Therefore, would it be “birth control?” Or is it ok since I’m making my body do what it’s supposed to do anyway?

I get my period naturally about 6 times a year, and I ovulate every time, but leading up to ovulation is always a long period of confusing signs, abstinence and frustration. A woman should get her period at least 4 times a year, otherwise she’s at risk for endometrial cancer. I get it about 6 times, not as much as I should but I think from a health perspective it’s ok. I admit my main motivation is making NFP easier, since my cycles would be predictable and I would bypass the time of my cycle that’s very confusing. We are trying to avoid pregnancy right now, btw.

I hope this makes sense. Maybe I’m just being scrupulous. Let me know what you think. Thanks.
Is it your phase 1 or 2 that is really long? My first guess would be a thyroid problem. Any BBT below 93.0 indicates low thyroid. I would second the Optivite recommended by the previous poster. I did the research and took the men’s version of it. (Marilyn Shannon’s research.) It is stronger on the thyroid boosting supplements like kelp.

The therapy you are currently on is licit as long as there is no chance of aborting a baby. If it prevents ovulation as a secondary factor then it is still licit. Now if the only reason you use it is to make avoiding pregnancy easier, then it might not be licit.

80 day cycles are new to me. Those are even longer than some of my terribly long ones. In my case, I had low thyroid (hence low estrogen) and would spend weeks in phase 2 lining the uterus without releasing an egg. When enough estrogen would build up an egg would finally release. If an egg never released my lining would just get too thick to support itself and finally slough off. These cycles were so strange in my pre-NFP charting days. I never understood what was going on until I charted.

I am personally very curious as to which phase is extended. Mine was phase 2. My temp would drop lower after phase 1 and stay very low (off the charts usually) then would either spike into ovulation or would go “rocky mountains” as my husband would call it (anovulatory.) When I was anovulatory, phase 3 was totally unpredictable because it wasn’t an actual phase 3.

God bless you in your struggles. Charting is a true gift to people like us. Our health can be helped through this knowledge.
 
Any BBT below 93.0 indicates low thyroid. I would second the Optivite recommended by the previous poster. I did the research and took the men’s version of it. (Marilyn Shannon’s research.) It is stronger on the thyroid boosting supplements like kelp.
Woah sorry, major typo here. Any BBT below 97.0 indicates low thyroid. (at 93.0 we’d be checking for a pulse!) a source on low thyroid is the late Dr. Broda Barnes, author of Hypothyroidism: The Unsuspected Illness. He stated that the best indicator of thyroid is the basal temperature chart. (One of the many reasons that I love the STM. It saved my sorry behind!)
 
Thanks for your responses, everyone. According to the NFP Dr. I go to, I do have a slight tendency towards low thyroid. My TSH is 2.2. He said anything above 2 is considered low thyroid in their practice, though it might not be in other practices. However, my temps are not particularly low. Most are between 97.0 and 97.7. Occasionally I’ll have a 96.9, but rarely.

He also said my LH to FSH ratio is 2 to 1. A normal ratio is 1 to 1 and a diagnosis of PCOS is 3 to 1. So I don’t quite have PCOS, at least not officially, but it’s still not completely normal. They’re going to test me again soon (it was a few months ago when I had that test) to see if anything has changed. He said if my LH to FSH ratio goes up to 3 to 1 they’ll have to treat me for PCOS.

He also said they can treat my thyroid if I want them to, but at this point it’s not a threat to my health if they don’t treat it. They will continue to monitor my thyroid also and if it gets worse they’ll have to treat it. I didn’t really want them to treat it right now b/c to be honest I kind of like having long cycles as long as I can tell when I’m fertile. Having your period every month sounds awful. :-p On the other hand, treatment of my thyroid wouldn’t necessarily result in my getting my period every month, I guess. And it might make my charting easier.

The weird thing about all this is that I have no other symptoms of either low thyroid function or PCOS. The only symptoms I have are menstrual symptoms. If it weren’t for my weird cycles I would have no idea anything was wrong. I even got pregnant without trying. Maybe it’s because both the low thyroid and PCOS are mild.

It’s my phase 1 that’s really long, but my phase 2 is also sometimes long. Most of my cycles are like this: I get my period, then there’s a period of about 30 to 35 days where I have very little mucus and I’m definitely in phase 1. Then I move into the “confusing stage,” where I’m not sure if I’m fertile or not. Sometimes this only lasts for a little while and I ovulate and sometimes it can last quite a long time. I do have a copy of Fertility, Cycles and Nutrition, and one thing I do that I got from that book is eat carrots every day. The vitamin A is supposed to make your mucus more obvious. It does work pretty well most of the time. My mucus is definitely more obvious than it used to be before I started eating carrots every day.

I’ve also had a couple of charts where my temperature was up for a few days and then went back down, and it wasn’t due to sickness or anything else. The Dr. looked at my charts and said he thought I had had a bad ovulation. Both times my mucus was confusing right before my temp went up and I wasn’t sure if I was fertile. Maybe if the egg is bad the signs aren’t as obvious.

I have an appointment for a pap at the same Dr. soon so I can ask them more questions about treatment then.
 
Maybe you should consider learning Creighton to see if it will help you identify your mucus better. Creighton has a standardized method of recording mucus observations, unlike STM where you just sort of use your own words. There are specific classifications in Creighton.

Even though temp is not a standard part of Creighton, you can still temp to cross check.

I use Creighton, and I guess I just can’t understand what you mean by your mucus is “confusing”.
 
Have you had any tests or seen a specialist to find out why you have such long cycles? That’s what I’d be doing.
—KCT
 
As someone who suffers from hypothyroidism, I would recommend that you get your doctor to take some more thyroid tests. Leaving it untreated can cause many problems, even damage that doesn’t ‘get better’ when you start taking the tablets. It just doesn’t get any worse.

I don’t know if it made any change with my long and irregular cycles. I used to have about 8 cycles per year, 40 to 50 days apart. I always put their new regularity and frequency down to having had a baby but it could very well have been the thyroxine tablets. (The hypothyroidism was discovered after the birth of my first child although I have probably had it from childhood).

It does affect nearly every biological process in your body. It can result in menorrhagia, menometrorrhagia, amenorrhea, decreased fertility and an increased chance of miscarriage, stillbirths and premature births.
 
I’m actually going back to the NFP Dr. on Monday for some more tests as it will be the 3rd day of my period and therefore time to test me again. I’ll ask the Dr. about thyroid treatments once I get the results. He might recommend some anyway depending on what the results are.

I honestly don’t know what I would have done if it wasn’t for these NFP-only doctors. My cycles have always been like this and I’ve been to several doctors over the years. They woud always do a bunch of tests and say everything was normal. Sometimes they would say my cycles were probably just “normal for me.” I’ve had my thyroid tested about 50 million times and the only time it was abnormal was at the NFP Dr. One of the doctors said if I wasn’t willing to go on the pill there was nothing they could do. :banghead: Thanks for your advice, everyone!
 
As someone who suffers from hypothyroidism, I would recommend that you get your doctor to take some more thyroid tests. Leaving it untreated can cause many problems, even damage that doesn’t ‘get better’ when you start taking the tablets. It just doesn’t get any worse.
I second this. I too suffer from hypothyroidism. It took them years to discover that i had it because everytime i went in for test it would be normal or a litle below normal. It took till they did a specailized hormorne blood test that they found out i had a problem.( It wasn’t such a fun test as you seat in a room for an hour and they drew blook every ten mintues.) Let me tell you it has been the best thing ever. My health has never been better!
 
Well, if you’re going back to the doctor on Monday, why don’t you write down your questions (like the Provera thing) and ask the doctor? Your doctor knows a lot more about this stuff, and about your body, than we do.

Hope you find out what’s behind all this and feel better!
 
Ok, guess what I’ve been going through? just like you, it’s good to find someone who you can identify with. We use STM form of NFP, I am 44 years old, and keep very detailed charts. I will go two months with a regular cycle and then go three months with whacked cycles. The last odd cycle started just before thanksgiving, I had very clear mucus sign, and then two days later I started to spot, with absolutely no rise in temp. This spotting has continued non stop since then. I have had this happen before, and have gone through hundreds and hundreds of dollars of testing, only to have an OBGYN tell me nothing was wrong and just live with it(she also was very surprised when I told her I did not use any type of ABC and very sarcsticly asked me if I was trying to get pregnant at my age!!! I don’t see her anymore). I know that in this very long cycle I did not ovulate, since my temps stayed low at 97.9 (I also have hypothyroidism that was diagnosed after first pregnancy) but you are correct when you say that mucus signs are confusing at these times.With the spotting it is very hard to pick up the mucus sign. So enter new doc, I went in last week with my charts and he couldn’t believe how knowledgeable I was about my cycle, said most women have absolutely no idea where they even are in there cycles! I told him we use NFP, his response was a big smile and "oh so you play catholic roulette do you! Here’s what we are doing, I take progesterone only, no estrogen, the last ten days of my cycle. This builds the endrometrium very thick, and then when I stop taking the progesterone, wham! big ole period. we are trying to reset my cycle. This is not birth control, I am not trying to prevent a pregnancy, and if my cycles were on I would have already ovulated and gone into phase 3, even though I have no phase 2 right now. I love NFP, it is such a barometer for your health. I know that at my age I could be going into menopause early, especially since I’ve never been on the pill.So IMO, get on levithyroxzine, see if they regulate, and don’t worry so much. and by the way be prepared for the menstrual cycle that comes after you stop the progesterone, it is…PM me I’ll give you some details if you wish. I will keep you in my prayers. One last thing I always offer this up when I’m really frustrated for those women who have had abortions. I consider this redemptive suffering:D
 
Maryj,
I just wanted to thank you for explaining how this works. I had never heard of this therapy before and I’m glad to know that women with such issues do have options that are within Church teaching. May the Lord bless and heal you!

Jennifer
mom to 1 ds and 4 dd’s, with blessing #6 due in July
 
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