Fehring Richard J, Raviele Kathleen, Schneider Mary
College of Nursing, Institute for Natural Family Planning, Marquette University, Clark Hall, PO Box 1881, Milwaukee, WI 53201-1881, USA.
Contraception. 2004 Jan;69(1):9-14. doi: 10.1016/j.contraception.2003.09.011.
The purpose of this study was to compare the fertile phase of the menstrual cycle as determined by the Clearplan Easy Fertility Monitor (CPEFM) with self-monitoring of cervical mucus. One-hundred women (mean age = 29.4 years) observed their cervical mucus and monitored their urine for estrogen and luteinizing hormone metabolites with the CPEFM on a daily basis for 2-6 cycles and generated 378 cycles of data; of these, 347 (92%) had a CPEFM peak. The beginning of the fertile window was, on average, day 11.8 (SD = 3.4) by the monitor and day 9.9 (SD = 3.0) by cervical mucus (r = 0.43, p < 0.001). The average first day of peak fertility by the monitor was 16.5 (SD = 3.6) and by cervical mucus 16.3 (SD = 3.7) (r = 0.85, p < 0.001). The mean length of the fertile phase by the monitor was 7.7 days (SD = 3.1) and by cervical mucus 10.9 days (SD = 3.7) (t = 12.7, p < 0.001). The peak in fertility as determined by the monitor and by self-assessment of cervical mucus is similar but the monitor tends to underestimate and self-assessment of cervical mucus tends to overestimate the actual fertile phase.
本研究的目的是比较Clearplan Easy生育监测仪(CPEFM)所确定的月经周期的易孕期与宫颈黏液自我监测的结果。100名女性(平均年龄 = 29.4岁)每天观察宫颈黏液,并使用CPEFM监测尿液中的雌激素和促黄体生成素代谢物,持续2 - 6个周期,共产生378个周期的数据;其中,347个周期(92%)出现了CPEFM峰值。监测仪确定的易孕期开始时间平均为第11.8天(标准差 = 3.4),宫颈黏液法确定的为第9.9天(标准差 = 3.0)(r = 0.43,p < 0.001)。监测仪确定的生育力峰值平均第一天为16.5(标准差 = 3.6),宫颈黏液法确定的为16.3(标准差 = 3.7)(r = 0.85,p < 0.001)。监测仪确定的易孕期平均长度为7.7天(标准差 = 3.1),宫颈黏液法确定的为10.9天(标准差 = 3.7)(t = 12.7,p < 0.001)。监测仪和宫颈黏液自我评估所确定的生育力峰值相似,但监测仪往往低估实际易孕期,而宫颈黏液自我评估往往高估实际易孕期。