Ethan Walker
The Creighton Model FertilityCare System (CrMS) is a form of natural family planning that involves identifying a woman's fertile period during her menstrual cycle. Creighton is based on observations of cervical mucus to track fertility and can be used to both achieve and avoid pregnancy. The method was developed by Dr. Thomas Hilgers, the founder and director of the Pope Paul VI Institute, in response to St. Pope Paul VI's appeal to healthcare professionals in Humanae Vitae. Creighton is supported by the Catholic Church, which endorses natural family planning methods because they respect God's design for married love.
| Characteristics | Values |
|---|---|
| Name | Creighton Model FertilityCare System (CrMS) |
| Type | Natural Fertility Awareness Based Method (FABM) |
| Developed by | Dr. Thomas Hilgers |
| Development | Standardized modification of the Billings Ovulation Method |
| Effectiveness | 99.5% effective at avoiding pregnancy with perfect use, 96.8% with typical use |
| Use cases | Can be used to avoid or achieve pregnancy |
| User | Applicable for all women across their reproductive lives |
| Religious affiliation | Developed in response to St. Pope Paul VI and the Catholic Church |
| Related | Natural Procreative Technology (NaPro) |
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What You'll Learn
Creighton Model System
The Creighton Model System, also known as the Creighton Model FertilityCare System (CrMS) or FertilityCare, is a form of natural family planning. It involves identifying a woman's fertile period during her menstrual cycle by tracking cervical mucus and other observations. This method was developed by Dr. Thomas Hilgers, the founder and director of the Pope Paul VI Institute, in response to St. Pope Paul VI's appeal to healthcare professionals in Humanae Vitae. Creighton is based on the Billings ovulation method developed by John and Evelyn Billings in the 1960s. However, the Billingses refuted the claim that Creighton represents a standardisation of their method, asserting that the two are distinct.
Creighton is a natural Fertility Awareness-Based Method (FABM) that can be used to either avoid or achieve pregnancy. It is applicable to all women across their reproductive lives, including those with regular or irregular cycles, those who are breastfeeding, or those who are premenopausal. The system is tailored to each woman and includes eight one-on-one follow-up sessions in the first year of learning. Creighton charting empowers women to monitor, evaluate, and maintain their gynecological health by tracking their natural fertility cycle. This method is not considered contraception but rather a way of understanding a woman's body and working cooperatively with it.
The Creighton Model is often associated with Natural Procreative Technology or "NaPro", which was developed based on the research of biological markers noted in Creighton charting. NaProTECHNOLOGY works by addressing the underlying problems that cause various symptoms, aiming to maintain procreative ability without simply suppressing symptoms. It is applicable for family planning, targeted hormone evaluation and replacement, and treating various reproductive disorders such as ovarian cysts, infertility, miscarriages, and abnormal bleeding. When used together, Creighton and NaProTECHNOLOGY have achieved success rates of up to 80% in couples experiencing infertility.
The Creighton Model System is supported by the Catholic Church as it aligns with the principles of Natural Family Planning (NFP). The United States Conference of Catholic Bishops (USCCB) affirms that the Catholic Church supports NFP methods because they respect God's design for married love. NFP is considered the only authentic approach to family planning within marriage as it can be used to both attempt and avoid pregnancy. While the Creighton Model has religious backing, it is universal and can be used by anyone, regardless of religious faith.
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Fertility Awareness Based Method (FABM)
The Creighton Model System is a natural Fertility Awareness Based Method (FABM) developed by Dr. Thomas Hilgers and his team in the 1970s. It is a standardised modification of the Billings Ovulation Method, which involves tracking fertility and health through observations of cervical mucus and other biomarkers. Creighton is a form of natural family planning that identifies the fertile period during a woman's menstrual cycle, empowering women to monitor, evaluate and maintain their gynecological health. It can be used to both avoid and achieve pregnancy and is applicable to women across their reproductive lives, including those with irregular cycles, breastfeeding mothers, or premenopausal women. The method is taught through introductory sessions and followed by one-on-one follow-up sessions over the first year of learning.
FABMs are evidence-based methods for tracking observable biomarkers of fertility, enabling reproductive health monitoring and family planning. They involve monitoring various signs and symptoms of fertility during the menstrual cycle to identify the "fertile window," or the days when unprotected intercourse is most likely to result in pregnancy. These signs include menstrual cycle length, basal body temperature, urinary hormone measurements, and cervical fluid. FABMs educate women about their reproductive health, allowing them to track and interpret physical signs such as cervical fluid secretions and basal body temperature, which reflect hormonal changes during the years of ovarian activity. Most FABMs enable women to identify ovulation and track this "vital sign" through daily observations recorded on cycle charts.
FABMs can be used by couples to achieve or avoid pregnancy and may be most effective when taught by trained instructors. They can also be combined with other methods, such as barrier methods or withdrawal, during the fertile phase. FABMs provide women with knowledge and awareness of their fertility, empowering them to make informed decisions about family planning and reproductive health.
The demand for and availability of FABMs have increased in recent years, particularly with the emergence of fertility apps and supportive fertility technologies. However, limited medical education and knowledge gaps among physicians have been noted, impacting the counselling and provision of FABMs to patients. Nonetheless, research suggests that a significant number of women are interested in using FABMs for health monitoring and family planning, underscoring the importance of increasing awareness, education, and research around these methods.
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Natural Procreative Technology (NaPro)
The Creighton Model System is a natural Fertility Awareness-Based Method (FABM) that was developed by Dr. Thomas Hilgers and his team in the 1970s. It is a standardised modification of the Billings Ovulation Method and is based on observations of cervical mucus to track fertility. Creighton can be used for both avoiding and achieving pregnancy and is applicable to women across their reproductive lives, including those with regular or irregular cycles, those who are breastfeeding, or those who are premenopausal.
NaPro is a new reproductive health science that allows doctors to identify and treat underlying conditions that cause reproductive and gynecological health problems. This includes severe PMS, heavy bleeding, long and irregular cycles, infertility, recurring miscarriages, ovarian cysts, and more. It works cooperatively with a woman's body to deliver a type of treatment that directly addresses the underlying problem(s) causing various symptoms, with the goal of maintaining procreative ability. Instead of simply suppressing symptoms, it seeks to evaluate and determine the cause of issues and treat the condition without disrupting fertility.
NaPro can be used for family planning, targeted hormone evaluation, targeted hormone replacement, and the identification and treatment of ovarian cysts, infertility, miscarriages, postpartum depression, premenstrual syndrome, abnormal bleeding, and other reproductive disorders. It provides new hope to couples experiencing infertility and other gynecologic issues. When used in conjunction with the Creighton Model System, it has been shown to have success rates of up to 80% in couples experiencing infertility.
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Natural Family Planning (NFP)
The Creighton Model FertilityCare System (CrMS) is a specific type of NFP that involves identifying the fertile period during a woman's menstrual cycle by observing cervical mucus. It was developed by Dr. Thomas Hilgers, the founder and director of the Pope Paul VI Institute, in response to St. Pope Paul VI's appeal to healthcare professionals in Humanae Vitae. Creighton is a standardised modification of the Billings Ovulation Method, which was developed in the 1960s. The method can be used by all women, regardless of whether they have regular or irregular cycles, are breastfeeding, or are premenopausal. It can also be used by women who experience continuous mucus discharge or do not ovulate.
The Creighton Model is not a form of contraception but rather a way of understanding a woman's body and working with it. It is taught at the St. Gianna Clinic, where it is described as a thorough way of "knowing the woman's body and how it functions, and then working cooperatively with that". The clinic offers classes for teenagers, which are slightly tweaked to be more relevant to their age group.
The Creighton Model is also used in conjunction with NaProTECHNOLOGY (Natural Procreative Technology), a new reproductive health science. This technology identifies and treats underlying conditions that cause reproductive and gynecological health problems, including severe PMS, heavy bleeding, long and irregular cycles, infertility, recurring miscarriages, ovarian cysts, and more. When used together, the Creighton Model and NaProTECHNOLOGY have success rates of up to 80% in treating infertility.
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Creighton Model System success rates
The Creighton Model System is a natural Fertility Awareness-Based Method (FABM) of family planning. It was developed by Dr Thomas Hilgers, the founder and director of the Pope Paul VI Institute, in response to St Pope Paul VI's appeal to healthcare professionals in Humanae Vitae. The system is based on observations of cervical mucus to track fertility and can be used to both avoid and achieve pregnancy. It is a standardised modification of the Billings Ovulation Method.
The success rates of the Creighton Model System vary depending on the desired outcome and the specific circumstances of the couple in question. When used to avoid pregnancy, the Creighton Model has a perfect-use failure rate of 0.5%, meaning that out of 1000 couples using this method perfectly, there would be 5 unintended pregnancies per year. The typical-use failure rate, which represents the fraction of couples using the method who actually had an unintended pregnancy, is reported as 3.2%. At 12 months of use, the method effectiveness of the Creighton Model in avoiding pregnancy was 98.8%, with a use effectiveness of 98.0%.
When used to achieve pregnancy, the Creighton Model System has a success rate of 20-40% in couples with infertility. When used in conjunction with NaProTECHNOLOGY, a new reproductive health science that addresses underlying conditions causing reproductive and gynecological health problems, the success rates increase to up to 80% in couples experiencing infertility. However, it is important to note that the success rates will vary depending on medical conditions.
The effectiveness of the Creighton Model System also depends on qualified teachers instructing its use. The system includes eight one-on-one follow-up sessions in the first year of learning to ensure proper understanding and application.
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Frequently asked questions
The Creighton method is a natural Fertility Awareness-Based Method (FABM) that involves identifying a woman's fertile period during her menstrual cycle. It is based on observations of cervical mucus to track fertility.
The Creighton method uses standardised daily observations of cervical mucus and charting. Women can use this method to monitor, evaluate and maintain their gynaecological health.
The Creighton method was developed in response to St. Pope Paul VI's appeal to healthcare professionals in Humanae Vitae. It is supported by the Catholic Church and is taught at Catholic institutions such as the St. Gianna Clinic. However, it is universal and can be used by anyone, regardless of religious faith.
The perfect-use failure rate of the Creighton method for avoiding pregnancy is 0.5%, while the typical-use failure rate is 3.2%. When used alone for achieving pregnancy, the success rate is 20-40%. When used in conjunction with NaProTechnology, the success rate for achieving pregnancy increases to up to 80%.
