Page 321 - كتاب تمريض نسا الاكتروني

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4- Cervical Mucus Method

Definition: -

 Called billing or ovulation method this is based on

changes in cervical mucus as the result of influence of estrogen and

progesterone on the mucus gland of the cervix.

 This mucus is generally thick and various in color similar to raw egg white.

This type of mucus increases permeability to sperm.

 Mechanism: -

1. Changes into consistency of cervical mucus occurs 2-3 days before ovulation.

The woman checks her cervical mucus if it is sticky, ovulation is about to occur

or has occurred.

2. This method defends on the ability of the women to judge relative sickness of

cervical mucus and abstain from intercourse for at least 6 days the sickness

first is noticed.

 Cervical Mucus Examination

1. Fern test:

 Take a drop of cervical mucus on a glass, left to air dry for 3-5 minutes and

examined under microscope.

 Sodium chloride crystals form a palm leaf appearance under estrogen effect

and mean anovulation.

2. Spinnbarkeit test:

 Minimally stretched cervical mucus between 2-glasses slides → Anovulation.

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