Naomi Whittaker, MD (Instagram: @napro_fertility_surgeon ) This is the first post in an ongoing series spotlighting physicians in restorative reproductive medicine. Medical Background and Training Dr. Naomi Whittaker is a board-certified obstetrician-gynecologist (OB/GYN) with specialized training in restorative reproductive medicine. She earned her medical degree from Creighton University School of Medicine in 2013 and completed her residency in Obstetrics and Gynecology at the University of Illinois College of Medicine–Peoria in 2017. Following residency, she pursued advanced training as a St. John Paul II Research Fellow in Medical and Surgical NaProTechnology at the Pope Paul VI Institute (Omaha, NE), focusing on fertility-restoring treatments. Dr. Whittaker has also obtained the ABOG Focused Practice Designation in Minimally Invasive Gynecologic Surgery (MIGS), reflecting her expertise in advanced laparoscopic and robotic surgical techniques. Specialties and Expertise Restorative Reproductive Medicine (RRM):  Dr. Whittaker is recognized as a trailblazer in RRM, an approach that addresses root causes of reproductive health issues and aims to restore natural fertility. She is fellowship-trained in NaProTechnology, a science-based, fertility care system aligned with root cause medical approach that treats infertility and gynecologic disorders. NaProTechnology Medicine & Surgery (NaPro Fellow):  Dr. Whittaker, is a fellowship-trained surgeon in NaProTechnology, seamlessly integrating advanced minimally invasive techniques with the restorative principles of natural reproductive medicine. With specialized fellowship training in Medical and Surgical NaProTechnology at the Pope Paul VI Institute and board certification in Obstetrics and Gynecology, she has developed a refined skill set that emphasizes repairing underlying gynecologic conditions—such as endometriosis, polycystic ovary syndrome, and tubal blockages—while preserving fertility. Dr. Whittaker’s approach is characterized by meticulous, near adhesion-free surgical methods, including precise microsurgical suturing and innovative adhesion prevention strategies, which together maximize patient outcomes and offer a compelling alternative to treatments like IVF. Her expertise not only reflects a deep commitment to addressing the root causes of infertility but also underscores her role as a pioneer in delivering ethical, patient-centered care. Creighton Model & Endocrinology:  She is a Certified Creighton Model FertilityCare Instructor, teaching women to chart their menstrual cycles and utilizing those biomarkers for diagnosis and treatment. The Creighton Model is the natural family planning method upon which NaProTechnology is founded. Her practice includes managing hormonal imbalances (e.g. luteal phase deficiencies, polycystic ovary syndrome) and natural family planning services. Minimally Invasive Gynecologic Surgery:  Dr. Whittaker specializes in advanced surgical treatment of gynecologic conditions. She is experienced in excision endometriosis surgery, microsurgical tubal repair, ovarian wedge resection for PCOS, and other fertility-sparing surgeries. She earned the MIGS focused practice designation, underscoring her proficiency in laparoscopic and robotic techniques. Her surgical expertise includes complex cases of endometriosis and adhesions; for example, she has presented a case of stage IV endometriosis surgery leading to an “impossible” spontaneous pregnancy at an international RRM conference . It's important to remember that every case is unique, and outcomes vary. General Obstetrics & Women’s Health:  In addition to fertility care, Dr. Whittaker provides general OB/GYN services, from routine gynecologic care to prenatal/obstetric care. She cares for women across all ages – including high-risk pregnancies and adolescent gynecology – always integrating a restorative, “whole person” approach. Professional Affiliations and Roles Physician Lead, UPMC Divine Mercy Women’s Health (Camp Hill, PA):  Dr. Whittaker heads this women’s health and fertility clinic within the University of Pittsburgh Medical Center (Central PA). The practice provides comprehensive, expert OB/GYN care rooted in faith values, offering NaProTechnology-based fertility services, natural family planning, obstetric care (including midwifery and VBAC support), and menopause management. As Physician Lead, she oversees a team of FertilityCare practitioners and nurses to deliver compassionate, faith-aligned care. UPMC Divine Mercy Fertility Care is noted for helping patients with infertility and recurrent miscarriage by identifying underlying issues like endometriosis and hormonal deficiencies . Board Certification and Societies:  She is certified by the American Board of Obstetrics and Gynecology (ABOG). She engages with professional societies that align with her focus, such as the American Association of Gynecologic Laparoscopists (AAGL), where she has presented on fertility-sparing surgical techniques. Additionally, Dr. Whittaker is a member of the FertilityCare Centers of America and International Institute for Restorative Reproductive Medicine, collaborating with like-minded physicians worldwide. Academic and Teaching Roles:  As part of her passion for education, Dr. Whittaker serves as a FACTS elective instructor  for medical students, teaching fertility awareness-based methods (FABMs) and their clinical applications. She mentors future healthcare professionals in approaching women’s health with an understanding of natural biomarkers and restorative treatments. She has also been a St. John Paul II Fellow as noted, which involved research and teaching in NaProTechnology. Notable Work and Contributions Founder of RRM Academy: Dr. Whittaker co-founded RRMAcademy.org , an online educational platform dedicated to Restorative Reproductive Medicine. Through webinars, courses, and resources, RRM Academy educates both patients and healthcare providers on topics like comparing restorative approaches vs. IVF, long-term endometriosis management, and postpartum mental health. One popular tool she developed is an Endometriosis Symptom Self-Survey  to help women gauge their risk of endometriosis. This academy is a project of the Restorative Reproductive Medicine Foundation (a 501c3 nonprofit) aimed at empowering women with knowledge and advancing fertility-health education . RRM Research Library:  In 2015, Dr. Whittaker and her husband launched “By Its Fruit,” a website that curates and shares the scientific research behind fertility awareness and restorative medicine. This initiative was born from their realization that many couples would ask, “Why have I never heard about this before?”  regarding natural fertility treatments. ByItsFruit.org merged with RRM Foundation in 2025 to become the RRM Research Library, a research repository that compiles studies, articles, and latest research on topics such as NaProTechnology success rates, natural treatments for infertility, and women’s health, making this evidence more accessible to patients and practitioners. Advocacy and Public Education:  Through speaking engagements and writing, Dr. Whittaker contributes to public understanding of women’s health. She frequently presents at conferences and seminars to promote restorative approaches; for instance, she was a featured speaker at the FACTS Fertility conference in 2024, sharing RRM protocols for conditions like premature ovarian insufficiency . Her personal story – from being the daughter of Polish political refugees to finding her calling in RRM – has been highlighted to inspire others in medicine. Dr. Whittaker is also an advocate for ethical fertility care, emphasizing treatments that respect both women’s health and early human life. Publications and Writings Dr. Whittaker has contributed to both scientific literature and public-facing publications in her field: Clinical Case Reports:  She has co-authored and presented clinical case studies in restorative reproductive medicine. In 2023, for example, she presented a complex case of fertility-sparing surgery for severe endometriosis (which even uncovered an unexpected appendix tumor) at the IRRM of America conference . These contributions help document the successes of RRM techniques in patients who were often told their only option was hysterectomy or IVF. Articles on Fertility Ethics and Care:  Dr. Whittaker writes for general audiences to shed light on fertility treatments. She authored “The hidden costs of IVF: heartbreak, health risks, and helplessness,”  an essay in MercatorNet (2018) that critiques the conventional IVF-centric infertility industry and educates readers on the risks and overlooked alternatives. In it, she advocates for a more patient-centered approach and introduces restorative reproductive medicine as a “better treatment approach” for infertility . She has also written or been featured in pieces for Natural Womanhood, a platform promoting fertility awareness, discussing topics like effective alternatives to IVF  and postpartum health . Media and Podcasts:  Recognized for her expertise, Dr. Whittaker has appeared on over 20 podcasts and media interviews related to women’s health. For instance, she was interviewed in the 2020 Cycle Power Summit on postpartum care, where she outlined how mainstream medicine approaches postpartum depression versus how a restorative approach can help balance hormones naturally . She’s been a guest on the Hormone Genius Podcast and others, often sharing insights on NaProTechnology, endometriosis management, and empowering women through cycle tracking. Dr. Naomi Whittaker’s blend of clinical skill, research, and advocacy makes her a notable figure in the field of women’s health. Her work significantly contributes to broadening the conversation on fertility in medicine – integrating modern science with an understanding of natural fertility and ethical practice. Through her surgical expertise and educational initiatives, she continues to advance fertility care that honors the dignity of women and the gift of life . Follow Dr. Naomi Whittaker on Instagram @napro_fertility_surgeon Sources: FACTS About Fertility – Conference Speaker Highlight (Dec 2024) AAGL 2024 Global Congress – Speaker Bio for N. Whittaker Doximity – Professional Profile of Naomi Whittaker, MD Queen of Hearts Fertility – Affiliated Napro Physicians (Whittaker profile) UPMC Pinnacle Foundation – Patient Story (Laura C.) honoring Dr. Whittaker UPMC Women’s Health (Divine Mercy Women’s Health practice info) ByItsFruit.org – About page (mission and origins) IRRMA Conference 2023 – Abstract (Whittaker et al.) MercatorNet – “Hidden costs of IVF” article by N. Whittaker Natural Womanhood – The hidden costs of IVF: heartbreak, health risks, and helplessness Natural Womanhood –The Affordable, Effective Alternative to IVF No One Talks About

If you're a new mom feeling overwhelmed, anxious, or deeply sad after childbirth, you're not alone. Postpartum depression (PPD) and anxiety affect up to one in three mothers—yet many suffer in silence due to stigma, confusion, or inadequate support.  Let's shed some much-needed light on these conditions and explore a restorative approach that addresses the root cause and empowers you toward lasting recovery. Understanding the Reality of Postpartum Mood Disorders It's More Than Just "Baby Blues" Many women experience mood swings, fatigue, and tearfulness shortly after childbirth—commonly called the "baby blues." These feelings usually resolve within two weeks. But postpartum depression (PPD) is different. It lasts longer, is more intense, and significantly impacts your ability to function daily. Symptoms can include severe mood swings, difficulty bonding with your baby, extreme anxiety, feelings of worthlessness or guilt, panic attacks, and even thoughts of harming yourself or your baby. Why Is It So Hard to Diagnose? PPD affects as many as one in three mothers—yet it's often underdiagnosed because symptoms are mistakenly attributed to normal postpartum stressors like sleep deprivation or simply adjusting to motherhood. Many women hesitate to seek help due to stigma or fear of judgment. Postpartum Psychosis: A Rare but Serious Condition At the extreme end of the spectrum is postpartum psychosis—a condition affecting roughly 1 in 500 women. It involves severe symptoms like hallucinations, paranoia, confusion, and even thoughts of harming oneself or the baby. This requires immediate medical attention. What Causes Postpartum Depression and Anxiety? Hormonal Whiplash After Childbirth The rapid drop in hormones immediately after delivery—especially progesterone—is a major contributor. Progesterone isn't just a reproductive hormone; it also acts as a neurosteroid. Its breakdown product, allopregnanolone, directly influences GABA receptors in your brain—the same receptors targeted by anti-anxiety medications like Xanax. When progesterone levels plummet postpartum, your brain loses this calming influence abruptly. Additionally, postpartum women often have elevated levels of monoamine oxidase-A (MAO-A), an enzyme that breaks down crucial neurotransmitters like serotonin and dopamine. This imbalance contributes significantly to depressive symptoms. Other physiological factors include: Thyroid dysfunction (postpartum thyroiditis) HPA axis dysregulation (your body's stress response system) Conventional Treatments: Helpful but Limited Traditionally, doctors prescribe antidepressants—typically SSRIs such as Zoloft or Prozac—for postpartum depression. While these medications can be helpful for some women, they take four to six weeks to become effective—a long wait when you're struggling daily with overwhelming symptoms. Additionally, SSRIs don't address the underlying hormonal imbalances contributing directly to postpartum mood disorders. A newer FDA-approved medication called Zulresso (synthetic allopregnanolone) offers rapid relief—but it requires a costly 60-hour hospital infusion that disrupts bonding time with your newborn. The Restorative Approach: Bioidentical Progesterone Therapy Rapid Relief by Addressing Root Causes Instead of just managing symptoms, restorative reproductive medicine focuses on restoring hormonal balance naturally. Bioidentical progesterone injections precisely match your body's own hormones and quickly replenish depleted levels after childbirth. Clinical experience shows remarkable results: Most women notice significant improvement within 24 hours Minimal side effects (typically mild injection-site discomfort) Safe for breastfeeding mothers Effective even in severe cases resistant to antidepressants This treatment directly replenishes allopregnanolone levels—naturally calming anxiety and lifting depression without weeks of waiting for relief. Prevention Starts Before Pregnancy Optimizing Nutritional Reserves Your nutritional status before pregnancy sets the stage for postpartum health. Pregnancy and breastfeeding significantly deplete key nutrients like vitamin D, omega-3 fatty acids (especially DHA), iron, folate, choline, and B vitamins—all essential for mood stability. To proactively reduce your risk: Aim for vitamin D levels above 60 ng/mL (far higher than conventional guidelines). Supplement with DHA-rich omega-3 fatty acids. Ensure optimal iron stores (ferritin >100 ng/mL). Incorporate choline-rich foods into your diet. Studies show women who proactively replenish these nutrients experience significantly lower rates of postpartum depression. Lifestyle Strategies for Resilience Prioritize sleep hygiene whenever possible. Get morning sunlight exposure daily to regulate circadian rhythms. Practice mindfulness techniques such as deep breathing exercises. Engage in gentle postpartum movement like yoga or walking. Practical Steps if You Suspect Postpartum Depression or Anxiety If you're experiencing persistent sadness, anxiety that interferes with daily life, difficulty bonding with your baby—or especially thoughts of self-harm—please reach out immediately: Contact Your Healthcare Provider : Early intervention is critical. Talk Openly with Loved Ones : Share your feelings honestly with supportive friends or family members. Seek Community Support : Resources like Postpartum Support International ( postpartum.net ) offer valuable connections. Remember—this isn't about willpower or something you've done wrong; it's a medical condition deserving compassionate care. Patient Story: Sarah's Journey Back to Joy Sarah*, a patient who had previously struggled with severe PMS symptoms before pregnancy, found herself immobilized by intense anxiety shortly after her third child was born. Traditional antidepressants offered little relief during previous episodes. After receiving bioidentical progesterone injections through NaProTechnology protocols, she reported dramatic symptom improvement within just 24 hours—and sustained recovery over subsequent months through tailored nutritional support and lifestyle adjustments. Her story illustrates what's possible when we address the root causes behind postpartum mood disorders instead of merely masking symptoms. You Deserve Joyful Motherhood Postpartum depression isn't something you have to endure silently or accept as "normal." It's not your fault—and it's certainly not a reflection of weakness or inadequacy. Through restorative reproductive medicine approaches like bioidentical progesterone therapy combined with targeted nutrition and holistic lifestyle practices, you can reclaim joy during this precious time with your baby. You're not alone—and help is available. Visit postpartum.net for more information or dial 988 if you need immediate help. This post is based on Dr. Naomi Whittaker's free video course "Postpartum Depression and Anxiety: A Restorative Path to Healing," available at https://www.rrmacademy.org/challenge-page/postpartum-depression-anxiety , offering in-depth insights into the restorative approach for addressing postpartum mood disorders.

napro NaProTechnology (Natural Procreative Technology) Surgery  is a specialized form of gynecologic surgery focused on diagnosing and treating underlying reproductive disorders to restore normal anatomy and function  of the uterus, fallopian tubes, and ovaries. It is part of a broader NaProTechnology approach that works with  a woman's natural menstrual cycle (using the Creighton Model fertility charting) rather than bypassing it. In contrast to conventional infertility treatments (which often suppress or bypass natural fertility, as with IVF), NaProTechnology views problems like infertility as symptoms of underlying disease and seeks to correct those root causes  so that couples can conceive naturally. Surgical NaPro interventions are therefore aimed at repairing abnormalities (endometriosis, blocked tubes, ovarian cysts, uterine defects, etc.) in a way that optimizes fertility while improving overall gynecologic health . Advantages Over Other Treatments Treating Root Causes vs. Bypassing:   A key advantage of NaProTechnology is its commitment to identifying and fixing the underlying gynecologic issues causing infertility or pain, rather than bypassing them. For example, instead of using IVF to work around blocked tubes or endometriosis, NaPro surgeons will remove endometriosis or repair tubes so the couple can conceive through normal intercourse ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). This restorative approach not only helps achieve pregnancy but can also relieve symptoms, improve long-term reproductive health, and *provide answers to patients*  (e.g. resolving endometriosis or hormonal imbalances) beyond the immediate goal of pregnancy ( NaProTECHNOLOGY - Information and Benefits ). “Near Adhesion-Free” Surgical Technique:   Surgical NaProTechnology is renowned for its focus on preventing postoperative adhesions , a common complication of pelvic surgery that can impair fertility or cause pain. NaPro surgeons employ meticulous techniques and adhesion-prevention strategies to make procedures “near adhesion-free” ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). This contrasts with standard gynecologic surgery, including MIGS, where adhesions are often an accepted risk. NaPro surgical protocols include careful tissue handling, micro-suturing with non-reactive materials , and use of adhesion barriers like Gore-Tex membranes to prevent scar tissue formation ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). Published results have shown dramatically lower adhesion scores after NaPro surgeries – for instance, one series reported adhesion scores dropping from 33.3 to 6.0 over a decade with the introduction of extensive Gore-Tex barrier use ( Surgical NaProTECHNOLOGY ). By minimizing new scar tissue, NaPro surgery preserves tubal mobility and pelvic anatomy, which is a significant advantage over conventional surgical methods ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). Fertility Outcomes Comparable or Superior to IVF:   NaProTechnology’s restorative approach can yield pregnancy rates comparable to, or even higher than, assisted reproductive technologies  over the long term. In fact, an analysis in the AMA Journal of Ethics  noted that the effectiveness of infertility treatment with medical/surgical NaProTechnology is on par with ART (assisted reproductive technology) ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). Over 1,000 couples treated with NaPro were followed: more than 60% conceived within 24 months and ~70% conceived by 36 months ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). These cumulative pregnancy rates are similar to or higher than the 45–55% cumulative live-birth rate  achieved after one or more IVF cycles ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). Another review found NaPro’s overall “per-woman” pregnancy rate ultimately exceeds that of ART, partly because many IVF patients discontinue treatment after repeated attempts ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). Bottom line:  NaPro may take longer on average for a pregnancy to occur (since it relies on natural cycles), but the chance of achieving a live birth over time can be greater  than with IVF ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). Importantly, any pregnancies occur naturally, eliminating the risk of high-order multiples often associated with IVF; indeed, studies of NaPro infertility care report that virtually all resulting pregnancies are singleton  births ( Natural procreative technology for infertility and recurrent miscarriage: Outcomes in a Canadian family practice - PMC ). Fewer Health Risks and Ethical Concerns:  Because NaPro works within the natural reproductive act, it avoids many risks of IVF . There is no ovarian hyperstimulation, egg retrieval surgery, or laboratory embryo manipulation – thus reducing physical burdens on the woman. All conceptions are in vivo, so there are no leftover embryos to freeze or discard , a factor which makes NaPro ethically attractive to those who object to IVF on moral or religious grounds ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ) ( Infertility ). NaProTechnology is often embraced as an ethical alternative for physicians and patients who cannot use IVF for moral reasons ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). Moreover, NaPro care tends to be more affordable  than IVF, since it uses standard medical and surgical treatments (often covered by insurance) rather than costly high-tech lab procedures ( Infertility ). Holistic Benefits:  Couples frequently appreciate that NaProTechnology addresses their overall wellness. By fixing problems like endometriosis, polycystic ovaries, or fibroids, women often experience relief of chronic pain, improved menstrual regularity, and better gynecologic health – benefits that conventional approaches (e.g. chronic birth control use or IVF) don’t provide  ( NaProTECHNOLOGY - Information and Benefits ). In summary, the NaPro surgical approach strives to heal  and restore normal function , which can improve quality of life in addition to achieving pregnancy. Specialized Surgical Techniques in NaProTechnology NaProTechnology surgeons are trained in advanced techniques that set their approach apart from standard gynecologic surgery. Key surgical techniques include: Meticulous Adhesion Prevention:  Every step of a NaPro surgery is designed to prevent adhesions. Surgeons use delicate tissue handling and precise microsurgical suturing . Permanent, non-reactive sutures (like 4-0 Prolene) are used with an “imbricating” (inverting) stitch technique to bury suture lines and leave behind a smooth peritoneal surface ( Surgical NaProTECHNOLOGY ). In many cases, a bioinert barrier (e.g. a Gore-Tex surgical membrane) is temporarily placed between raw surfaces to stop organs from sticking together as they heal ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). These barriers are removed in a second-look surgery after initial healing. This rigorous adhesion prevention protocol has been shown to significantly reduce post-op scar tissue formation  ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). “Near-Contact” Laparoscopy:  NaPro surgeons utilize a diagnostic technique called near-contact laparoscopy . This involves moving the laparoscope extremely close to tissues  (almost touching) to inspect for subtle lesions that might be missed at a distance ( Surgical NaProTECHNOLOGY ). For example, very small endometriosis implants hidden in peritoneal folds become visible only when viewed at high magnification up close ( Surgical NaProTECHNOLOGY ). Near-contact laparoscopy allows for a more thorough evaluation of the pelvis than standard laparoscopy, ensuring even microscopic disease is identified and treated. Laser and Microsurgery:  Many NaPro procedures employ laser surgery and microsurgical techniques  to precisely excise abnormal tissue while minimizing collateral damage. For instance, in ovarian wedge resection (a NaPro treatment for PCOS), a CO₂ laser  is used to make fine incisions in the ovary to remove a wedge of tissue, and then the ovary is carefully repaired with tiny sutures ( Surgical NaProTECHNOLOGY ). Laser vaporization is also used to ablate superficial endometriosis. These tools allow for extremely precise cutting and coagulation , reducing bleeding and tissue trauma compared to conventional surgical instruments. Pelvic Excision and Reconstructive Surgery (PEARS):  NaPro surgery for endometriosis often involves an aggressive excision of endometriotic lesions  combined with reconstructive repair of affected organs. This technique – sometimes called pelvic excision and repair surgery – aims to remove all visible diseased tissue  (from the ovaries, pelvic walls, uterus, etc.) and then reconstruct any defects in the pelvic lining or organ surfaces to leave them smooth and adhesion-free ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). PEARS can be performed via traditional laparoscopy or robot-assisted laparoscopy, and it treats endometriosis like a form of plastic reconstructive surgery of the pelvis  ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). By fully clearing endometriosis and repairing tissue in one step, PEARS maximizes the chances for pain relief and natural fertility post-operatively. Selective Hysterosalpingography (Tubal Recanalization):  For fallopian tube blockages, NaPro physicians may use a less invasive approach called selective hysterosalpingography (SHSG)  with tubal catheterization. Under X-ray guidance, a fine catheter or guidewire is inserted through the cervix and into a blocked fallopian tube to dislodge debris and reopen the tube  ( Surgical NaProTECHNOLOGY ). This technique can distinguish a functional blockage (e.g. mucus plug or spasm) from a true structural blockage by measuring intratubal pressure before and after clearing the tube. SHSG can often restore tubal patency without requiring full surgery, and is an important tool in the NaPro arsenal for treating “blocked tubes” ( Surgical NaProTECHNOLOGY ) ( Surgical NaProTECHNOLOGY ). Hysteroscopic and Other Reconstructive Procedures:  NaProTechnology surgery also encompasses advanced hysteroscopic and open surgical skills. Surgeons will perform hysteroscopic procedures  (within the uterus) to remove polyps, fibroids, or uterine septa that impede fertility ( NaProTECHNOLOGY - Information and Benefits ). They are trained in tubal reconstructive surgeries  like tubal reanastomosis  (reversing a tubal ligation) or fimbrioplasty (repairing damaged tube openings) as alternatives to IVF ( NaProTECHNOLOGY - Information and Benefits ). Myomectomy (surgical removal of fibroids) is done with adhesion prevention techniques similar to those used for endometriosis, to ensure that removing a fibroid does not create new fertility problems. In essence, NaPro surgeons revive many classic fertility surgical techniques (microsurgery, tubal surgery, ovarian wedge resection) with modern enhancements to minimize complications ( Surgical NaProTECHNOLOGY ) ( Surgical NaProTECHNOLOGY ). This comprehensive surgical skill set is something many contemporary reproductive specialists have deemphasized in favor of IVF, but NaPro explicitly prioritizes surgical restoration of fertility  where appropriate ( Surgical NaProTECHNOLOGY ) ( Surgical NaProTECHNOLOGY ). Conditions Commonly Treated with NaPro Surgery Because NaProTechnology’s goal is to fix the actual medical issues behind infertility or gynecologic symptoms, its surgical applications span a wide range of female reproductive disorders . Common conditions treated with NaPro surgical techniques include: Endometriosis:  One of the most frequent targets of NaPro surgery. Endometriosis (misplaced uterine lining tissue causing lesions and inflammation in the pelvis) is surgically excised  as completely as possible. NaPro surgeons remove even small implants of endometriosis from pelvic surfaces, ovaries, the uterine exterior, etc., rather than just cauterizing them, because complete removal offers the best chance of symptom relief and future pregnancy ( Surgical NaProTECHNOLOGY ). After excising lesions, they repair the peritoneum or organ surface with fine sutures to prevent scar tissue ( Surgical NaProTECHNOLOGY ). This thorough approach treats not only infertility related to endo but also chronic pelvic pain. In fact, surgical removal of endometriosis via NaProTechnique is considered to give the best outcomes for pain relief and subsequent fertility , provided it’s done in a way that avoids new adhesions ( Surgical NaProTECHNOLOGY ). (By contrast, conventional therapies might manage endometriosis with hormones or IVF without removing the disease, leaving the underlying pathology unresolved.) Polycystic Ovary Syndrome (PCOS):  PCOS is a hormonal disorder that often leads to enlarged, cystic ovaries, lack of regular ovulation, and infertility. While medical therapy (like ovulation drugs) is first-line, NaPro surgeons can perform an ovarian wedge resection  when needed – a procedure that cuts out a portion of the ovary to reduce its volume and induce normal ovulations. Historically, wedge resection yielded high fertility success (pregnancy rates ~66% in the 1950s) but it fell out of favor due to adhesion risks ( Surgical NaProTECHNOLOGY ). NaProTechnology has revived  this surgery with improved technique to eliminate adhesion formation ( Surgical NaProTECHNOLOGY ). Using a laser to make precise incisions and meticulous suturing, modern wedge resection for PCOS can achieve about a 70% pregnancy rate , which is over twice as effective as  the standard medical treatment (clomiphene citrate yields ~30%) and also higher than reported IVF success in PCOS (~23%) ( Surgical NaProTECHNOLOGY ) ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). By restoring regular ovarian function surgically, many PCOS patients can conceive naturally following the procedure. Blocked or Damaged Fallopian Tubes:  Rather than bypassing tubal factor infertility with IVF, NaPro surgery focuses on repairing or reopening fallopian tubes . Depending on the cause, this may involve laparoscopic microsurgery to remove adhesions  around the tubes, reconstruct damaged segments , or reattach the tube if it was previously tied (tubal ligation reversal) ( NaProTECHNOLOGY - Information and Benefits ). In cases of mild blockage, the selective HSG tubal recanalization method described above can often flush open the tube ( Surgical NaProTECHNOLOGY ). For more severe disease (like hydrosalpinx or old infections), surgical reconstruction is attempted. The primary goal is to achieve at least one open, functional tube so that natural conception  becomes possible. NaPro surgeons report good success in restoring tubal patency; in fact, many infertility cases labeled “unexplained” (where couples were told IVF was the only option) turned out to have fixable tubal or mucus problems that NaPro identified and corrected ( Infertility ) ( Infertility ). Uterine Fibroids and Abnormalities:  Structural problems in the uterus can also be addressed with NaPro surgery. Uterine fibroids  (benign muscle tumors) that distort the uterine cavity or lining can cause infertility or miscarriage, as well as heavy bleeding. NaPro surgeons will perform myomectomy (removal of fibroids) via laparoscopy or laparotomy, taking care to repair the uterine muscle solidly and to prevent adhesions on the uterine exterior using barriers (to avoid scars that could affect the tubes or ovaries) ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). Likewise, uterine septums  or adhesions inside the uterus (Asherman’s syndrome) can be removed hysteroscopically to restore a normal cavity for implantation. By correcting these abnormalities, the uterus is returned to a healthy state for sustaining pregnancies. (Even niche issues like a uterine isthmocele  – a defect in the cesarean scar niche – are in the scope of NaPro surgical repair ( NaProTECHNOLOGY - Information and Benefits ).) Pelvic Adhesions:  Many women have pelvic adhesions (scar tissue binding organs) from prior surgeries, infections, or endometriosis, which can cause pain or infertility. NaPro surgeons specialize in adhesion removal (adhesiolysis)  combined with strategies to prevent adhesion reformation . All scar tissue tying down the ovaries, tubes, uterus, or bowel is carefully dissected and removed. Then, preventive measures (such as adhesion barrier membranes, hydroflotation solutions, and the microsurgical techniques noted above) are used to keep surfaces separated during healing ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). The result is that organs remain free-moving after recovery, often restoring normal function. This is a significant benefit for fertility, as even patent fallopian tubes might not function if they are bound down by adhesions; freeing them can reopen the path to natural pregnancy. In summary, NaProTechnology surgery addresses virtually all gynecologic conditions that can impair fertility  or wellness – from endometriosis and PCOS to tubal occlusion, uterine fibroids, polyps, chronic pelvic pain, and beyond ( NaProTECHNOLOGY - Information and Benefits ). By treating these conditions, NaPro aims to give couples a chance to conceive without assisted reproduction, while also improving the patient’s gynecologic health. Patient Outcomes and Success Rates Compared to Conventional Methods Infertility Treatment Success:  Studies of NaProTechnology in infertility have reported competitive success rates when compared to standard treatments. A large NaPro cohort (1,045 infertile patients) achieved a cumulative live-birth  rate of >60% by 24 months of treatment, rising to ~70% by 36 months ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). This is on the same order as the cumulative live-birth rate seen in patients undergoing IVF (which is about 45–55% after multiple cycles) ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). It’s important to note that IVF often yields a quicker time-to-pregnancy (higher success per cycle), but NaPro’s approach can catch up over time: one analysis found that although the monthly fecundability  (chance per cycle) on NaPro treatment was around 3.1% vs. 13.3% with IVF, the overall per-woman pregnancy rate  ended up higher with NaPro because couples continued trying and did not face the attrition seen in ART programs ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). In practical terms, this means many couples who might not succeed in a few IVF attempts do  eventually conceive with the continued, personalized treatments of NaPro (even if it takes longer) ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). Comparative Studies:  Notable studies in Ireland and Canada have documented NaProTechnology outcomes in real-world clinical settings. In an Irish general practice study (Stanford et al. 2008), about 52.8%  of couples achieved a live birth after up to 2 years of NaPro treatment (life-table analysis) ( NaProTechnology for Infertility and Recurrent Miscarriage: A Review of Research - FACTS About Fertility ). A subsequent Canadian study (Tham et al. 2012) reported an even higher success: 66%  of couples had a live birth within two years on NaPro (life-table rate), with a crude live birth rate of 38% (some had dropped out early) ( NaProTechnology for Infertility and Recurrent Miscarriage: A Review of Research - FACTS About Fertility ). Both studies had patient populations with an average maternal age in the mid-30s and several years of prior infertility ( NaProTechnology for Infertility and Recurrent Miscarriage: A Review of Research - FACTS About Fertility ) ( NaProTechnology for Infertility and Recurrent Miscarriage: A Review of Research - FACTS About Fertility ). These results are quite encouraging, given that a comparison group of similar infertile women who received no specialized intervention had only a ~20% live birth rate over 2 years ( NaProTechnology for Infertility and Recurrent Miscarriage: A Review of Research - FACTS About Fertility ). The Canadian authors noted that IVF in general yields around 50% live birth after 1 year of attempts, whereas NaPro in their cohort showed a 1-year live birth rate of ~32% (crude) to 45% (adjusted) ( NaProTechnology for Infertility and Recurrent Miscarriage: A Review of Research - FACTS About Fertility ). They cautioned against a direct head-to-head comparison due to differences in patient characteristics, but it’s clear that NaPro offers a substantial chance of success approaching that of IVF  for many couples ( NaProTechnology for Infertility and Recurrent Miscarriage: A Review of Research - FACTS About Fertility ). Specific Conditions:  For certain diagnoses, NaPro surgical treatment appears especially effective compared to conventional alternatives: Endometriosis-related Infertility:  A meta-analysis cited in the AMA review found that in moderate-to-severe endometriosis, surgical treatment yielded a 55.3% per-woman pregnancy rate , versus only 9.9% per-woman with IVF in those cases ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). Endometriosis can severely impair fertility, and these numbers suggest that thoroughly removing the disease (as NaPro does) can dramatically improve natural conception rates, whereas doing IVF without treating endo may have limited benefit in advanced cases ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). While IVF might be attempted for endometriosis, many experts now agree that surgically eliminating endometriosis lesions (and adhesions) can enhance fertility and is often necessary to allow a successful pregnancy. PCOS:  As mentioned, ovarian wedge resection in NaPro has around a 70% pregnancy success rate, outperforming medical ovulation induction and IVF  in many PCOS patients ( Surgical NaProTECHNOLOGY ). This surgical solution can be a game-changer for women who did not respond to medications. Additionally, unlike gonadotropin therapy or IVF, wedge resection does not carry a risk of ovarian hyperstimulation or high-order multiples – after surgery, ovulations occur one at a time in natural cycles. Tubal Repairs:  Success rates for tubal reconstruction versus IVF depend on the damage, but NaPro surgeons have reported good outcomes, especially in younger women or cases of single tubal blockages. For example, tubal reanastomosis (reversing a prior sterilization) can have high success in experienced hands, often yielding pregnancy rates of 50% or more within a year or two – making it a viable alternative to IVF for those patients. Moreover, if the tubal issue can be fixed (or a minor blockage cleared by SHSG), the couple can conceive repeatedly in the future without needing assistance each time, which is a long-term advantage over IVF (where each new pregnancy typically requires another cycle). Maternal and Fetal Outcomes:  An added benefit of achieving pregnancy naturally via NaPro is that the pregnancies tend to be lower-risk compared to ART pregnancies. In the Canadian NaPro study, all pregnancies were singletons  (no twins or triplets) ( Natural procreative technology for infertility and recurrent miscarriage: Outcomes in a Canadian family practice - PMC ), which greatly reduces obstetrical risks like premature birth. Over 54% of those births were at term (≥37 weeks) and the majority of babies had healthy birth weights ( Natural procreative technology for infertility and recurrent miscarriage: Outcomes in a Canadian family practice - PMC ). In contrast, IVF pregnancies have a higher incidence of multiples (though this has improved with elective single embryo transfer) and some studies show higher rates of preterm birth or low birth weight even in singleton IVF babies. NaPro avoids those concerns by fostering normal conception and gestation. Additionally, because NaPro addresses health issues (like correcting a hormonal deficiency), it may also lower miscarriage rates for some women. NaPro protocols often include luteal phase support and other therapies that continue into early pregnancy to help sustain it, which could improve outcomes for those with recurrent miscarriage histories – though more research is ongoing in this area. In summary, patient outcomes with NaProTechnology surgery are very favorable : high pregnancy and live-birth rates over time, resolution of symptoms, and healthy pregnancies with minimal complications. These outcomes are achieved without the need for high-tech fertilization, demonstrating that many couples can succeed through a restorative approach rather than assisted reproduction. Notable Studies and Expert Opinions Supporting NaPro Surgery NaProTechnology’s surgical approach is supported by over four decades of research and a growing body of medical literature. Dr. Thomas Hilgers , the gynecologist who developed NaProTechnology, has documented extensive experience in his textbook The Medical & Surgical Practice of NaProTechnology  (2004) and subsequent papers. Notably, Hilgers reported the progressive refinements in adhesion prevention that led to dramatically improved outcomes. In a 2010 article, he described “Near Adhesion-Free Reconstructive Pelvic Surgery”  after 23 years of applying these techniques, highlighting that meticulous use of adhesion barriers (Gore-Tex) and microsurgical methods virtually eliminated the problem of postoperative adhesions in his cases ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). Such findings underscore that with proper technique, reproductive surgeries can be done without compromising future fertility – an insight that has influenced other surgeons as well ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). Multiple peer-reviewed studies  validate the success of NaProTechnology in infertility treatment. The Irish and Canadian cohort studies cited earlier (Stanford et al. 2008 ( NaProTechnology for Infertility and Recurrent Miscarriage: A Review of Research - FACTS About Fertility ) and Tham et al. 2012 ( NaProTechnology for Infertility and Recurrent Miscarriage: A Review of Research - FACTS About Fertility )) both concluded that NaProTechnology is an effective approach, with live birth rates comparable to those seen in assisted reproduction, despite their patients often having prior failed treatments. An editorial in the Journal of the American Board of Family Medicine  noted these studies “demonstrate the success” family physicians can have using NaPro to help infertile couples ( Natural Procreative Technology for Treating Infertility | AAFP ). In fact, the American Academy of FertilityCare Professionals (the professional organization for NaPro providers) has trained hundreds of physicians worldwide, and they frequently cite these outcomes as evidence that restorative reproductive medicine can rival ART results  ( Natural Procreative Technology for Treating Infertility | AAFP ) ( Natural Procreative Technology for Treating Infertility | AAFP ). The AMA Journal of Ethics  (2013) profiled NaProTechnology as a viable option for physicians who conscientiously object to IVF, and in doing so it highlighted the scientific merits of NaPro’s surgical approach. The article emphasized the “unique medical and surgical application”  of NaPro and specifically lauded its adhesion prevention achievement and strong pregnancy success rates ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ) ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). It even referenced a meta-analysis supporting surgery over IVF in endometriosis cases, bolstering the argument that conventional gynecologic surgery – when done in the advanced manner of NaPro – can outperform assisted reproduction in certain scenarios ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). At the Pope Paul VI Institute (the center founded by Dr. Hilgers in Omaha, Nebraska), NaProTechnology has been applied for decades, and they report high aggregate success. According to the institute’s data, up to 80% of couples  treated (especially those with diagnoses like PCOS or endometriosis) eventually achieve pregnancy using NaPro methods ( Infertility ). Even in more challenging infertility cases, average success rates around 50% or higher are claimed, which are quite competitive with standard infertility care ( Infertility ). These numbers are frequently cited by NaPro practitioners as evidence that a majority of couples can be helped without resorting to IVF. While some of these figures come from internal analyses, they are backed by the published studies mentioned and decades of clinical experience. Expert opinions  often stress that NaProTechnology aligns medical practice with patient wellness. For instance, Dr. Paul A. Byrne (a NaPro surgeon) and others have commented that NaPro’s emphasis on normalizing the woman’s cycle and health leads to better outcomes not just in terms of pregnancy, but also in reducing miscarriages and improving gynecologic conditions like PMS or postpartum depression (since NaPro also manages hormonal issues holistically) ( NaProTechnology Benefits and Applications for Modern Women - FACTS About Fertility ) ( NaProTechnology Benefits and Applications for Modern Women - FACTS About Fertility ). Fertility specialists who have adopted NaPro techniques note that they are able to find and fix problems that standard protocols might overlook – as one patient testimony put it, NaPro doctors “found something my other fertility doctor missed for years” ( NaProTECHNOLOGY - Information and Benefits ). This kind of qualitative success has helped build a positive reputation for NaPro among patients seeking alternatives to IVF. In summary, numerous studies and expert reviews support the efficacy of NaProTechnology surgery . Its proponents – including peer-reviewed research authors and ethics commentators – highlight the approach’s ability to achieve competitive pregnancy rates, its advances in surgical technique (especially adhesion reduction), and its alignment with a more patient-centered, healing philosophy of care ( Natural Procreative Technology for Treating Infertility | AAFP ) ( NaProTECHNOLOGY and Conscientious OB/GYN Medicine | Journal of Ethics | American Medical Association ). As awareness grows, NaProTechnology is increasingly recognized as a valid and effective option  for treating infertility and gynecologic disorders, offering hope to couples who want to conceive by correcting underlying issues rather than by artificial reproduction ( NaProTechnology for Infertility and Recurrent Miscarriage: A Review of Research - FACTS About Fertility ). The call for further research is ongoing, but existing evidence and expert experience strongly support NaProTechnology surgery as a beneficial alternative or complement to conventional treatments ( NaProTechnology for Infertility and Recurrent Miscarriage: A Review of Research - FACTS About Fertility ).