This document outlines the schedule and key contents of follow-up sessions for users of the natural family planning (NFP) method. It describes a series of initial and subsequent follow-ups on a weekly, bi-monthly, and monthly basis to: 1. Check the client's charting accuracy, identify their fertile and infertile phases, and correct any mistakes in their observations or recordings. 2. Explain the rules and timing for abstinence and intercourse according to the different phases of the woman's cycle. 3. Evaluate the couple's understanding and acceptance of NFP over time, and address any problems encountered with using the method. The follow-ups are designed to progressively build the

1. Schedule of Follows- up for NFP Users
( OM , SDM)

2. MODEL
 Initial Instruction ( FOS)
 Follow Instructions
 1st Cycle ( Weekly ) – 1st, 2nd, 3rd , 4th follow
up or HES I
 2nd Cycle ( Bi- Monthly) – 5th & 6th + HES II
 3rd Cycle – ( Bi- Monthly) – 7th + CES I

4. The Key Contents 0f Each
Scheduled Follows-up

6. 1st Week Follow-up
a) Ask how the client made the observations.
b) Correct mistakes accordingly.
c) Determine the accuracy of recordings.
d) Ask the husband’s feelings on the wife’s
learning method.
e) Encourage the client to continue her
observations and recordings.
f) Schedule the 2nd follow -up
g) Continue abstinence.

7. 2nd Week Follow-up
a) Check if the proper way of observing
and recording has been done.
b) Check if the corrections from the
previous week has been done.
c) Identification of dry days occurrence
after menstruation.
d) The “x “ mark.

8. …
e) Changes in the type of mucus being
observed.
f) Define “peak day”.
g) Progression of the couple’s
acceptance
h) continuation of abstinence.
i) 3rd follow-up.

9. 3rd Week Follow-up
a) Identification of pre- and ovulatory
phases.
b) Identification of the peak day and the
three (3) post peak days.
c) Correctly identify the peak and post
peak days.
d) Identify the post-ovulatory phase.
e) The availability of sexual intercourse
during

10. …
the post-ovulatory phase.
f) The probability of long cycle ( if no peak
day and post peak days identified)
g) if that’s the case, no post-ovulatory
phase has been identified
h) Continue requiring abstinence.
i) Schedule the 4th follow-up after a week.
j) Review the definition of short,long and
average
cycle.

11. 4th Week Follow-up
a) Checking if there’s any sexual intercourse.
b) Progress of charting
c) Review the patient’s chart.
d) Identification of post-ovulatory period.
e) Explain the possibility of sexual intercourse
during the post- ovulatory period.
f) Schedule the next visit two (2) weeks after
menstruation.
g) Register as NEW ACCEPTOR ( Learning
User)

14. HUSBAND’S EDUCATION
SESSION
Scope:
a) Utilization of his partner’s chart in
understanding the:
- joint fertility
- fertile & infertile phases
b) Explain the anatomy of selfhood.
c) Some gains and pains in learning the
NFP.

16. 5th & 6th Follow-up
a) Identification of pre- ovulatory phase.
b) Identification of the peak day.
c) Identification of ovulatory phase.
d) The Early Day Rule ( EDR).
- EDR- alternate evenings of lovemaking on
dry days following menstruation.
e) Explain why it is “ alternate” why on
evening only. (EDR).
f) Ask the client to state or how they identified
the ff:

17.  The peak day
 Post- ovulatory phase
 Peak day rule
 Problems encountered
g) Invite the husband on HES.

18. 6th & 7th Follow-up
 Identify:
1. The phases.
2. Timing of lovemaking based on the chart.
3. EDR on average & long cycle.
4. Lovemaking beside those marked with
5. ..& identify in what phase.
6. Ask the client to state the method rules for
the post ovulatory period determined by
identifying:

19.  peak day
 Three-day post peak ( on the 4th day,
lovemaking is available anytime, day
and night).
 Comparison between the present
observation and the 1st two cycles,
determine the cycle length.
 Schedule the CES

21. Couple’s Education Session
a) Recognize their NFP practice.
b) The responsibility of the couple on NFP
practice. ( based on the implication of
the fertile & infertile phase)
c) … & the assumption of responsibility
thereof.