 When PayPal notified me that Billings teacher, Barbara Villalobos of San Bruno, CA, had sent us a donation on December 2, I emailed her right away to thank her. She responded with, “Knowing that there are people like you and all the other members of BOMA out there gives me hope and strength to keep going forward through these messy times.” It was a great reminder that we are all in this messy time together. Can you help us with a special donation before the end of the year? Perhaps you would like to consider becoming a monthly donor? Either way, your donation would be appreciated, and it would help BOMA further our mission which is to provide the simplest and most personalized care in fertility education with a legacy of evidence-based effectiveness. Click here to donate now! If you prefer to send a check or use Square instead of PayPal, email me at Sue@boma-usa.org. Thank you for considering this! ~ Sue Ek
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 If you have had a nagging feeling that you need to complete your Billings certification, we have an idea for you. Project Activation is a new initiative that we will begin in early 2021. We invite anyone who began a training but did not complete their supervised practicum (for any reason) to participate. We also invite teachers who have set aside teaching over recent years and have a desire to resume teaching to join us. We’re excited to get more teachers listed on our website and available to help couples. To begin the process, click here to use this form to tell us about yourself and what you think you need to begin 2021 with a great start!  Do you have a testimony to share about how the Billings Ovulation Method has worked in your life? Would you like to share it with others? We are looking for individuals and/or couples that would be willing to share their stories with us. If interested contact Ann Marschel at amarschel21@gmail.com.  In a special effort to reach Catholic, married couples, the St. Augustine Foundation of Yonkers, NY, is launching a trial. Billings teachers who offer instruction and follow-up in English or Spanish are invited to participate. The foundation will pay up to $125 to Billings teachers when a couple receives instruction using BOMA PowerPoints parts 1 and 2, and three to four follow-ups. Upon completion, the teacher will email a link to an evaluation form to be completed by the couple and received by the St. Augustine Foundation. That becomes the last step to ensure the couple has received the required amount of instruction and follow-up. In addition, a finder’s fee of $100 will be paid to people who recruit new couples for the trial. The fee will be paid after the couple completes the series as described above. There will be no cost for the couple receiving instruction and follow-up. So, it’s a win-win. To ask questions or to commit to being a teacher for the trial, contact John Fitzgerald at jef@jefitzgerald.net or by phone: 914-841-9206.  It was three years ago since my wife and I, moved by the Holy Spirit, decided to create a mobile application for the Billings Ovulation Method, with the idea that it could be free, supported in multiple languages and that it could help users and teachers to chart and to review charts in a more efficient way. We never imagined that this idea, which started as a small and simple project, would become one of the officially approved apps by Woomb International. What motivated us to create an App? At the beginning of 2017, by receiving our accreditation from Woomb Mexico®, we began teaching to a close community where we lived. At that point in time, when we tried to use the official approved apps, we found that either the app wasn’t in our language or that after a trial period, our users would be forced to pay a subscription fee to continue charting. This frustrated us since we knew most of our couples wouldn’t be able to afford this fee. That is how we started to formulate a plan to create a mobile application that could offer a free version where you can chart daily and have access to share your chart with an accredited teacher. How and when was BillingsApp™ was approved by WOOMB International? We began this project in September 2017, by March 2018 we presented it to our Director of Accredited Teachers, Benjamin Zamudio, who asked us to present it to our Woomb International Directors. The next month, we had the opportunity to do so during the International Congress 2018 held in Costa Rica. After presenting it to the directors, they gave us the authorization to use it for trials in Mexico. Six months later we officially opened the app in Mexico’s digital Stores (Google Play Store and Apple Store). At the beginning of 2019, the app was also opened in Guatemala. We were able to use the app in the Supervisor mode in Guatemala, and teachers in Mexico helped teachers in Guatemala to follow up user’s charts. Finally, at the beginning of this year, we started to work on a newer version that would allow us to support multiple languages and multiple countries. Finally, in September 2017, we presented the project to our directors in Australia who gave us their official approval. What has been the reaction Worldwide? BillingsApp™ is currently opened in 22 countries and in five languages. The number of users that are starting to download the app and use it is increasingly rapid. The community is receiving this app with very good and positive feedback. The majority feels this is a step forward and we have many countries waiting anxiously to open the app in their countries too. What is the future of BillingsApp™? We have been asked recently by our Woomb International Directors to open the app worldwide. Their desire is to allow women to decide which of the three official apps to use and not limit the app only to certain countries. So, in the last few weeks we have started to prepare the opening of the app in all. My wife and I really like this idea, and as the directors mentioned when they gave us their approval: “We look forward to working with you to ensure that every woman on earth will be given the opportunity to use the Billings Ovulation Method®.” About the creators Adrian and MaryRoss have been married for 20 years and live in Mexico. They have been successfully using the Billings Ovulation Method® for more than 5 years and are Woomb Accredited Teachers since 2017. They fell in love with the Billings Ovulation Method® and their desire is to keep teaching it. Their email is: adrian@appliedprogramming.io “BillingsApp™ is made with love, so we can continue charting and teaching with Love”  Q. Tell us about your family and your remarkable life as private pilots. We've been married for nine years and have a four-year-old daughter, Olivia. We met in college in northern Arizona and we had the same goal of becoming professional pilots. While I don't know if we could claim love at first sight, our first memories of each other were at a new student ice breaker. Not too long after that, we were inseparable. Ashley flew a Pilatus PC-12 right out of college for a construction company in north Texas, about the time of the 2008 "financial crisis." Unfortunately, the aviation department is often the first area to be cut in times of crisis. Ashley was laid off and became a full-time nanny for some time. She eventually got back into aviation as a scheduler/dispatcher for a private jet charter company. Ashley moonlighted as a Citation Ultra pilot to satisfy the urge for the skies. She has worked her way up the ranks to be in charge of training, regulatory compliance, drug/alcohol program, and safety for the private jet charter company. Walter became a flight instructor out of college for several years when we moved to Texas. He did aircraft sales, aircraft management, and private aircraft charter flying. While the overnight flying was fatiguing, flying human organs destined for transplant was a fulfilling mission. He currently flies long-range Gulfstreams (Is this the name of the firm—Gulfstreams Aerospace Corp? Or, a type of flight? Or, the plane?) for a private family out of Dallas. Destinations can be anything from west Texas to Africa and everywhere in between. Flying all over the world has been an eye-opening experience for humanity. Some of the poorest people in Nicaragua and Tanzania are among the happiest he's met. Happiness seems to be more in the psyche than the bank account. We also formed Johansen Aviation Services in 2012, a small aircraft management, flight instruction, and pilot services company, as a part-time endeavor. Owning/operating our own business is hard at times. Still, it's been fulfilling to serve the aviation communities' nooks and crannies which other firms are missing. Q. Do you recall when you first heard about the Billings Method, and what attracted you to it? We first heard about the Billings Ovulation Method when Walter was going through RCIA (Rite of Christian Initiation of Adults) to become Catholic in 2012-2013 while Ashley was his sponsor. Walter grew up as a "?" in the religion department, while Ashley is a cradle Catholic. During our marriage prep process and during the NFP portion of our prep, the couple who discussed NFP had a honeymoon baby and a baby every 12 months after that and were actively pregnant at the time. Walter says, "Given the hardness of my heart and lacking theological disposition, NFP wasn't just a "no," it was a "hell no." So, onto the pill, we went. Then, fast forward a few years to RCIA. Walter's heart was significantly softer when NFP was presented convincingly and all the other Truths of the faith. That night we decided to stop taking the pill. Cold turkey, just don't take it tomorrow. We were still deeply in college debt and nowhere near (in our minds) ready for children. Faith is a powerful force in its raw form. An NFP-only gynecologist referred us to the Billings Ovulation Method. We had a hard time finding anyone with the availability to teach us. It wasn't until Tony and Marianne Abadie agreed to teach us over the phone that we began to learn the method. Adventurous times! Q. What inspired you two to become teachers? The Holy Spirit! Seriously. But also, because we had challenges accessing the method. (This original phrase was unclear to me. ) At the time, we found it difficult to begin learning the method when we were ready; as well as we were frightened by our fertility. We honestly thought there was no way we could support a child. Both of us were working/flying full time, trying to pay off our massive college debt. In hindsight, we realize the Billings Ovulation Method, when used correctly, is just as effective, if not more, than contraceptives. With that knowledge and having been in that position, we believe if the Billings Ovulation Method is presented in a convincing and far-reaching way, contraception would be a thing of the past. These feelings were stirring in us when our pastor approached us, asking if we would be interested in teaching NFP. On top of that, Tony and Marianne were reaching out, asking if current users were interested in becoming teachers. "Ok, God...we get it! We'll do it!" The rest is history. Q. What keeps you going as a couple who teaches Billings? Just like any other teacher or instructor, the students who genuinely want to learn are what get you out of bed in the morning; other times, we are blest by our community's commitment to us now and when we signed up to be teachers. Our belief that if Billings were widespread common knowledge, contraception would be eradicated is a strong motivator, too. Q. Normally, aside from this time of quarantine, where do you usually teach? Do you teach Billings as a couple? Usually, over our kitchen table, recently over Zoom. We started with group intros at our parish, but attendance didn't support it. The intimate nature of couple-to-couple seems to encourage more open and honest discussion too. Most of our clients are coming to us as a requirement before marriage in the Fort-Worth Diocese. We start with a casual conversational tone. We ask them to tell us about how they met, where they're at in their faith journey, and what they know/don't know about NFP. We reciprocate, focusing a little on our NFP journey off the pill and becoming teachers. We've found this usually breaks down some of the walls, and many clients visibly relax. We keep reminding ourselves they come to us knowing they're going to talk about sex with complete strangers...no doubt there's anticipation and anxiety. We do teach as a couple. We feel it's imperative to see a couple doing this as a couple. We expect the men to do the charting and the women to focus on their sensations. We're sure to emphasize this is a team sport. We're familiar with the mindset of contraception being a woman's "problem" and "fault" if things don't go as planned. Walter also emphasizes to the men that in his hindsight, he would never ask his wife to swallow a known carcinogen every day. We generally have an uphill battle since they're with us against their will due to the marriage prep requirement and have usually been cohabitating for some time. Q. As a young couple, it seems you can uniquely reach other young couples. Have you found that to be true? It's hard to say. Most of our couples have been those preparing for marriage. We want to reach more couples and certainly on a deeper level. We've noticed the vast majority are using contraceptives and don't seem willing to stop. We highlight our history of having been in similar shoes, effectiveness studies, and put any known hesitations to rest. Just speculating, we think reaching young couples needs to be a large-scale campaign from the theological side and secular side of the equation. It's far too "easy" for the average Catholic couple to quietly use contraceptives and go about their daily life. Contraception is so acceptable and "loud" in popular culture that NFP doesn't even have a seat at the mental table. Q. You're so good about joining our webinars. We appreciate that! What would you say to other teachers about the value of our webinars? The webinars are great! We always get something from the content. It's a very flexible way for us to stay current on our teaching credentials with our crazy and busy schedules. It also seems like it's a great way to make a financial contribution to BOMA. Sometimes we feel a bit isolated, off in our own little world teaching. The webinars are a great way to hone our teaching skills, connect with others, and validate our mission. Q. Do you have words of encouragement to help fellow teachers remain motivated? Your work is vital. That's a strong statement, we know. It's vital in two ways. First is on a spiritual level. Though it may not always feel like it, we're at the tip of the spear at the front line of the New Evangelization. The Catholic Church's teachings on sexuality are challenging, if not seemingly impossible, to the average American couple. We can't blame them when the loudest voices in our culture are hyper-sexualization, sensuality, selfishness, etc. As we all know, with a little temperance and fortitude, NFP can be eternally more fulfilling than what our culture would suggest. The second is on a biological level. Fertility is not an illness to be treated. "Birth Control" has been an "issue" before Christ walked the earth (do a little research, it's fascinating history). Our current medical technologies are simply a more sophisticated means of manipulating the body. These manipulations have consequences. An increased risk of blood clots, cancer, permanent damage to the cervix, and long-term infertility are just a few. Many people go to great lengths to eat healthy, exercise, and not ingest harmful chemicals, yet so many religiously administer their hormonal contraceptive in the name of sex without "consequences." We think the average American isn't aware of or perhaps doesn't understand these consequences. Nor are they aware of effective alternatives. We're regularly running into, "but how effective is it?" "My parents tried this (thinking it's the rhythm method), and it doesn't work." "I've never heard of this." "That's a Catholic thing" (from a protestant bride-to-be). We feel if the simplicity and effectiveness of NFP, specifically Billings, were presented convincingly, regularly, and on a large scale, contraception as we know it would be a thing of the past. Be confident and effective; the information you have is vitally important to your client's physical health and eternal salvation.  Large Grant Received to Support Health Professionals Training The Catholic Foundation has recently awarded us a grant for $81,690. This will provide education on fertility awareness, including the Billings Ovulation Method®, to health professionals in the Dallas area. The Catholic Foundation promotes compassionate, charitable giving and stewardship that serves donors and the needs of the Dallas community. Their vision is to be the primary philanthropic leader whose trusted stewardship satisfies their donors' intentions while meeting the needs of our Catholic community. We will offer an educational program to students who have been accepted, enrolled, or graduated from a professional program. Fields of study will include medical doctors, nurses, physician assistants, medical assistants, pharmacists, mental health therapists, or other allied health specialty programs. The curriculum will explore advanced applied reproductive physiology, natural family planning training, and an introduction to using the women’s chart as a diagnostic tool in health and disease. Emphasis will include science that is typically ignored by most training programs, such as an understanding of Dr. James Brown’s Continuum, types of bleeding, and an in-depth review of cervical function. It will also include a review of the various fertility awareness-based methods and a historical record of reproductive science. Another component will be a Billings Ovulation Method® Teacher Training Course for Health Professionals. It will include official training on how to teach the Billings Ovulation Method®, including ten lessons with charting exercises and assessments. The student will be eligible to become a certified teacher of The Billings Method™. Throughout the course, medical conditions that manifest themselves on the Billings chart will be identified and explained. Trainers will present case studies that deal specifically with common causes of infertility, metabolic, and endocrine diseases. We look forward to tailoring the training to the needs of the specific student. When appropriate the curriculum can be customized to the experience level and long-term goals of the professional. For example, a practicing physician or allied health professional may want to review a specific reproductive physiology area or diagnostic/medical condition. Physicians may want to have a staff member become trained as the teacher. The grant includes funding for the BOMA-USA trainers, an online channel for the content and marketing for up to one year. We are excited for this grant. Thank you to The Catholic Foundation for making this possible!  Con·vic·tion /kcn0vikSH(c)n 1) an instance of being convicted of a criminal offense. 2) the action or process of convicting. 3) a firmly held belief or opinion. 4) the quality of showing that one is convinced of what one believes or says. We’re not talking about the legal definition of the word; we’re talking about the convictions we hold in our hearts - our world view. Our beliefs help us make choices that guide us to keep us accountable to our God. Having a conviction and living it showcases our beliefs. This showcase can have unintended consequences. That is very true for BOMA’s dear friend, Dr. Mary Martin. As a new practitioner, Dr. Martin faced the challenge of being a female in a field dominated by men, so dealing with the “good ol’ boy” fraternity was nothing new once she graduated and started her practice. She was managing things well, despite the male dominance until March 1, 1999. That was the day God convicted her about prescribing birth control, and she made a decision to stop. From that moment on she has faced increasing opposition and “push back” from the establishment when she applied for positions to practice at hospitals and medical centers. Dr. Mary has lost a number of job opportunities because of her convictions. Most recently Dr. Martin applied for an OB position in a practice in Cozad, Nebraska, a position for which she was hired. She bought a home, farmed out her horses, and was hours away from driving from Oklahoma to Nebraska when she got the call from the new CEO of the Nebraska company. The CEO was letting her know that they would not be hiring her. Their former CEO knew about her convictions of not prescribing birth control, and had no problem with it; however, he had retired and the new CEO didn’t share the same perspective. He didn’t believe that Dr. Martin would be a good fit within the practice. Subsequently, she took a temporary position to provide gynecology care in a Federally-Qualified Health Center in Illinois and was to start in May of this year. The contract was withdrawn three days before she was to start because she doesn’t provide “full-service obstetrics & gynecology.” In other words, she doesn’t provide contraception. Her most recent experience was with a Primary Care practice in Texas who hired her to provide OB/Gyn services. Once again, she prepared to move and was willing to start building her practice when she discovered that the clinic was supervised by an LPN who was not supportive of her plan to not to prescribe birth control. She also discovered that the practice was short of funding and they refused to pay her what she was already owed. They also lowered her salary, in spite of her many years of experience in the field. After grappling with that disappointment, and being unemployed since August of 2019, Dr. Martin found positions with three telemedicine companies providing a number of different services. After she started the telemedicine jobs in July, she found that seeing patients online was a satisfying alternative to starting all over in a new practice in south Texas where she would have been the only employee. Dr. Martin is very happy staying on her ranch in Oklahoma, working from the comfort of her own home. At the time of our interview she was looking forward to being reunited with her horses. She has also renewed a relationship with someone she met when she was 15 years old, and is looking forward to seeing where that relationship goes. In the future Dr. Martin is hopeful that she will be able to work for Evolve, a company that works with men and women who are seeking hormonal replacement therapy and which Dr. Martin’s practice has provided for many years. While her convictions created challenges, struggles, and heartache, she stood up for what she believed and persevered through it all. We’re glad to see that she’s found a niche that allows her to provide medical care without the animosity she faced in years past, and we look forward to seeing her life unfold in the years to come! If you are interested connecting with Dr. Mary Martin you can contact her by emailing joe.miller@evolvecompanyinc.com for appointments. A patient care coordinator will first reach out for your medical history, etc. and then Dr. Mary Martin will join the call/telemedicine consult.  Q. Conversion stories are usually fascinating. Please share how you ended up converting from Buddhism to Catholicism. Strictly speaking, my parents were not Buddhists but Confucianists who taught us good manners, including respect for elders. And so, you can say I was brought up as a Confucianist. When the time came for me to go to school in 1961, my father wanted to send me to his alma mater, an Anglican school (one of two top schools at that time, the other being the Catholic school); enrolment was full. Eventually, he sent me to the Catholic school. It was in this school that I learned Catholicism. When I was about to leave for New Zealand after high school in early 1975, I told a priest I was keen on becoming a Catholic. He advised me that time was too short for preparation but instead to approach a priest in New Zealand for help. I did this, and then I was baptized in New Zealand in July 1975. Q. Tell us about your family. Are you all currently living in Malaysia? I am a 4th generation Malaysian. My great grandfather left China in search of greener pasture as a teenager in about 1850. His descendants and family are now dispersed in many countries throughout the world. We have two children; a boy, Aidan (Tiong-Eyong), and Lucinda (Hoon-Hong). They are both Billings children. They are still single, although Aidan was to be married in June this year. The wedding had to be postponed indefinitely due to Covid-19. Lucinda graduated in English language and linguistics from Christchurch, New Zealand, and is currently teaching English in a language school in Shanghai. Aidan graduated in Mathematics and Economics from Cambridge, England, and has been working in monitoring share markets in Kuala Lumpur until a week ago when he relocated to Singapore but is still in the same line of work. Q, How did you first hear about the Billing Method™ after being a forester and making a rather dramatic career change to the healthcare field? What inspired you to become much more involved? Before I left for New Zealand (NZ) to study forestry in 1975, a local priest I knew well, even before I was Catholic, used to talk about the couple, Drs. John & Lyn Billings, and their Billings Ovulation Method®. At that stage, the Billings couple had been to my home city (Kuching) to give teaching sessions on the method. One day while only a few months in NZ, I happened to be at the Christchurch Catholic Bookshop, and there I saw The Ovulation Method, the first book written by Dr. John Billings. Without hesitation, I bought the book. In 1982, I returned home to Malaysia. In November 1984, I was engaged to Agnes, whom I had met after returning home. We were planning to be married on May 1, 1984, and shortly after the engagement, we looked for a Billings Ovulation Method® teacher and we found staff nurse Mary Lu. Having found how beneficial and simple the method was, Agnes and I were always promoting and encouraging people to learn and use the method. In 1987, my archdiocese started the Marriage Preparation Course, and the course included the Billings Ovulation Method® and still is part of it. I used to help Mary Lu when she was teaching the Billings Ovulation Method®, giving presentations on its use. In 1994, a Teaching Training Program was being organized in Penang, and I decided to attend at my own cost. Then after being coached in the practicum, I started teaching the next year. Within two years, the committee members of the Natural Family Planning Service of Malaysia (NFPSM), now known as Natural Fertility Awareness Service of Malaysia (NFASM), noticed somehow my progress and zeal and they asked me to join the training team. In 1997, I was elected the Vice-President of NFPSM, and in 2001, the President. A turning point occurred in the year 2000, the Jubilee Year. I saw that Melbourne was organizing a Jubilee Year Conference. What came to my mind was this: “In a Jubilee Year, a person may make a special pilgrimage. And for a Billings Ovulation Method® teacher, the ‘Rome’ is Melbourne, and to Melbourne, I must go.” It was there that I realized how far behind we were in Malaysia in the teaching of the method and, more importantly, how much I could learn. From the year 2000, I have attended every conference organized by WOOMB International or Ovulation Method Research and Reference Centre of Australia; I am still learning. In the next five years or so, I was resolved to update all our Billings Ovulation Method® teachers throughout the country, a task which was difficult at times as old habits are hard to change. In 2003, WOOMB International celebrated the Golden Jubilee of the Billings Ovulation Method® with an international conference. As President of NFPSM, I managed to garner enough interest for a Malaysian delegation of 35 to attend the conference, including our Spiritual Director, Bishop Murphy Pakiam, who returned to Malaysia to become the Archbishop of Kuala Lumpur. This 2003 conference was noteworthy because I met Dr. Pilar Vigil for the first time – the beginning of a lot of learning for me because her research helps women discover their underlying health issues through their Billings Ovulation Method® charts. In order to explain the change from Forestry to Natural Medicine, I must emphasize that the Natural Medicine resulted from the Billings Ovulation Method® and not the other way around. So it was from Forestry to the Billings Ovulation Method®, then on to Natural Medicine. Let me explain. As I stated, my involvement in the Billings Ovulation Method® went deeper and deeper to the extent that we needed to promote it among the doctors of the medical sector. Without some medical background, the doctors would wonder if I was speaking confidently on the medical aspects of the Billings Ovulation Method®. When I reached this crossroad, I was already in my mid-40s, not only a little too old to start a full medical degree, but also opportunities did not abound in Malaysia. It was then that a friend introduced me to a course in Natural Medicine! Q. Back in the day, international conferences in Australia included natives Drs. John and Lyn Billings, Dr. James Brown, Dr. Kevin Hume, and occasionally, Dr. Erik Odeblad of Sweden. How did your frequent attendance at those conferences and the ability to personally meet with the leaders influence you? Of your list, the only one I never met was the deceased Dr. Erik Odeblad. In 2000, it was a very emotional moment to meet Drs. John and Lyn Billings for the first time. They appeared at dinner before the conference started, and as they entered, somehow the atmosphere changed. I found them to have no special airs but the ever-willingness to share with people. Gentle and kind are probably the simplest yet most appropriate descriptions. I have learned this from them. Dr. James Brown was a real keen scientist, always wanting to uncover the truth and was always enthusiastic in sharing his findings. This certainly had a bearing on my approach to understanding fertility, particularly the concept of the ovarian continuum. I certainly want to emulate his enthusiasm. Although soft-spoken, Dr. Kevin Hume was always a keen promoter of the Billings Ovulation Method® and he never failed to find opportunities to do so. I, too, always look for the slightest opportunity to encourage and teach the Billings Ovulation Method®. Perhaps unknown to many, Dr. Hume served in Labuan Island, Malaysia, right after World War II giving medical attention to Australian forces. Q. As a trainer of Billings teachers, are people coming to you for Teacher Training with a Billings background, or are they like those in the United States who often have experience with other methods, particularly the Creighton Model? We don’t have any other natural family planning methods in Malaysia. Trainees are either from purely Billings Ovulation Method® background or from artificial methods. Q. With COVID-19, how are your remote trainings going? We have seen a significant serge in the number of teachers we are training now that we offer remote trainings and not just the correspondence course. We have not had a Teacher Training Program in COVID-19 times. If there are requests from our local representatives, we may go into remote training. Q. What are some of the challenges you face in Malaysia regarding the acceptance of the Billings Method™? Most people are open to it, but some may resort back to rhythm thinking once they see they have ‘normal’ cycles of 28-32 days. Then they are very surprised one day when they suddenly have unplanned pregnancies. They wonder why the Billings Ovulation Method® is not reliable when, in fact, they are not practicing the Billings Ovulation Method®. No matter how much we stress the importance of day-to-day observation and tracking fertility, there are usually some who eventually fall back to the Rhythm Method. Another challenge we have is that the state medical system is pushing hard for contraceptives when mothers return for postpartum follow-ups. Part of the KPI (key performance index) of each maternal and child health clinic is measured by the number of couples they serve who are using contraceptives. One very common challenge is getting women to pay attention to vulval sensations, which are more important than the discharge they may see. We are told to tell women to go back and do their observations, then come back say two weeks later with their chart for a follow-up. What happens is the chart will come back with most, if not all, descriptions of what discharge they may see. I then discovered that in our local situation (and true around the world), when we tell a woman to observe, they automatically think that means ‘observe with the eyes.’ So, we need to emphasize that the key observation is the sensation during teaching. Likewise, when women here record ‘cloudy sticky’ or ‘sticky cloudy,’ most would mean that it looks ‘cloudy’ as well as looks ‘sticky.’ So it is not a description of sensation. By ‘sticky,’ they usually mean it looks thick like nose mucus at the end of the flu. Q. Over the last couple of decades and as one of the WOOMB Directors, you have been committed to helping the Billings Ovulation Method® both nationally and internationally. We know the Billings Method has not changed once the rules were defined, but what about our teaching approach? Has that changed much during the past several years? I think the approach over the years to teaching has changed, though not dramatically. The reason for this is that research has been on-going, and we are becoming clearer on the science behind the method and the charts. And we are continually improving, making the teaching simple and easy to understand by women themselves. The ‘invention’ of the slide rule comes to mind.Q. We have enjoyed having you as a speaker for a couple of our conferences. We especially appreciate the case studies that you share. We are looking forward to your November 17 webinar when you will discuss infertility along with the importance of Vitamin D. How did you become interested in the role of Vitamin D and fertility? If I remember correctly, at the 2003 Golden Jubilee conference, Dr. Pilar Vigil spoke about how fertility can be affected by Vitamin D deficiency and other underlying causes of menstrual abnormality. (Note that by ‘menstrual abnormality,’ I include women with regular bleeds but not ovulating.) At first, I did not pay too much attention to it and hardly sent women for Vitamin D tests. Then I heard Billings Ovulation Method® teacher Darcy Hemsted from the USA spoke a few times at meetings on the importance of Vitamin D. Eventually, I got the message. Now, I will not miss testing Vitamin D for women with difficulty conceiving. Even in a tropical country like Malaysia, people suffer from Vitamin D deficiency. Q. We know from the work of Dr. Pilar Vigil that what is considered a normal Vitamin D level is quite low in her professional opinion. What are the latest levels that Dr. Vigil recommends for healthy fertility (and good health, in general)? Dr. Pilar Vigil sets her minimum 25-Hydroxy-Vitamin D level at 80 nmol/L or 32 ng/mL. Some labs are using 75 nmol/L in Malaysia, but it seems in many countries, 60 nmol/L is quite common. A few years ago, I presented a case study at a BOMA-USA conference in either 2014 or 2016. The case was a Malaysian woman who was not ovulating when her level was 62 nmol/L, although she was regularly bleeding. She had been trying to conceive for six years. Her chart shows much improvement after supplementing her with Vitamin D3 (Cholecalciferol) until she reached ovulation. She eventually conceived. Dr. John Worden, who was in the audience, commented that labs were still using 60 nmol/L in the USA. At an Australian natural fertility conference in 2014, I presented the same case study. Dr. Raffaella Pingitore, a gynecologist from Lugano, Switzerland, who was in the audience, commented that 60 nmol/L was used in Europe. Dr. Lek-Lim will be presenting a webinar for BOMA-USA on Tuesday, November 17 at 8:00 pm. If you’d like to register, sign up here.  Check out this great online conference with featured speaker, Scott Hann!
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