Which labs, imaging, and cycle tracking does RRM use?

RRM uses CrMS cycle charting, luteal hormone profiles (Peak+3/+5/+7/+9/+11), follicle ultrasound series, HSG/SIS imaging, and WHO 6th edition semen analysis with individualized timing based on each couple's patterns.

Cycle Tracking Foundation

The Creighton Model System (CrMS) serves as the foundation for all RRM cycle tracking. This standardized method teaches couples to observe and record biological markers of fertility and reproductive health throughout each cycle. Unlike apps or calendar-based predictions, CrMS relies on daily observations of cervical fluid patterns that reflect hormonal changes in real time.

This body literacy approach gives couples precise timing for all diagnostic testing and treatment protocols. Each couple learns to identify their unique Peak day (the last day of the most fertile-type mucus), which becomes the reference point for all hormone testing and cycle-timed interventions.

Hormone Testing Protocol

RRM measures hormones at specific cycle days relative to Peak: Peak+3, Peak+5, Peak+7, Peak+9, and Peak+11. This luteal hormone profile captures the complete picture of progesterone production and estrogen patterns throughout the post-ovulatory phase. Traditional cycle day testing (like "day 21" progesterone) often misses the actual luteal phase in couples with irregular cycles.

The Peak-referenced timing ensures accurate measurement regardless of cycle length variability. This precision reveals luteal phase defects, inadequate corpus luteum function, and other hormone imbalances that affect both conception and pregnancy maintenance.

• CrMS has demonstrated 99.5% effectiveness in identifying fertile and infertile phases when taught properly
• Peak-referenced hormone testing provides more accurate luteal assessment than fixed cycle day testing
• WHO 6th edition semen analysis standards improve diagnostic accuracy over previous versions

Imaging and Male Factor Assessment

Follicle ultrasound series track follicular development from early cycle through ovulation confirmation. This real-time monitoring identifies ovulatory dysfunction, follicle quality issues, and optimal timing for cycle-timed protocols. HSG (hysterosalpingography) and SIS (saline infusion sonography) evaluate uterine anatomy and fallopian tube patency.

Male partners receive comprehensive semen analysis following WHO 6th edition standards, which provide updated reference ranges and improved assessment criteria. This analysis examines concentration, motility, morphology, and other parameters that affect conception rates.

RRM's Individualized Approach

Every diagnostic protocol adjusts to each couple's unique cycle patterns and presenting concerns. Rather than standardized testing schedules, RRM clinicians time each assessment based on the couple's actual biological rhythms observed through cycle charting. This individualized timing improves diagnostic accuracy and treatment effectiveness.

The integration of cycle awareness, precise hormone measurement, and comprehensive imaging creates a complete fertility assessment that guides cause-based treatment decisions. Couples actively participate in data collection, developing body literacy skills that support long-term reproductive health.

RRM's diagnostic approach combines standardized CrMS cycle charting with Peak-referenced hormone testing, follicle ultrasound monitoring, anatomical imaging, and WHO-standard semen analysis for comprehensive fertility assessment.

This information is educational and not a substitute for individualized medical care. Consult your RRM clinician or healthcare provider for guidance specific to your situation.