Training of Roma Health Mediators in Reproductive Health

Trainer document
CASE STUDIES (answers)
Case 1
Elena is 25 year old. She ususally gets her menstrual period every month at about the
same day of the month. Sometimes it comes a day or two late. The first day of her last
period was October 24. she expects her next period to start on November 22.
Please determine:
• What is her cycle length? 29 days
• If today is November 1 st , what day of her cycle is she on today? She is on the day
9 of her cycle.
• Can the SDM work for her today? Yes
Case 2
Maria is 45 years old. The first day of her last menstrual cycle was November 6. She is
not sure when the next period will be. Sometimes it comes in about three weeks;
sometimes two or three months go by and she still doesn’t get her period. Her cycles used
to be regular, but now she never knows when her next period will come.
Please determine:
• What is her cycle length? Unknown
• If today is November 23, what day of her cycle is she on today? She is on the day
18 of her cycle.
• Can the SDM work for her today? No. Offer other method or refer her to
Family planning services.
Case 3
Ann is 30 years old. She uses a calendar to mark when she gets her period and brought
her calendar to show you. Her last menstrual period started on November 7. The one
before started on October 3. The cycle before that started August 29.
Please determine:
• How long were Ann’s last two cycles? 35 days
• Can the SDM work for her today? No. Offer other method or refer her to
Family planning services.
Case 4
Monica has been breastfeeding her daughter for the past 18 months. For the past year, she
has had her period every month at about the same time. Her last period started November
5 and she expects her next period the first week of December, probably December 2 or 3.
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RFHI Training of RHMs in Reproductive Health Session 5: SDM