Page 339 - ترم ثاني كتاب تمريض صحة الام الكتروني
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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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