Clearblue Easy User manual

Instruction Booklet
FERTILITY MONITORFERTILITY MONITOR
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How Does the System Work?
Understanding Ovulation and the Menstrual Cycle
How the Clearblue® Easy Fertility Monitor Helps You
Limitations on Use
Step by Step Guide to Using the Monitor
Determine the Correct Testing Window for Use
Setting the mButton
Testing
Your Fertility Status
Approaching the End of Your Cycle
Symbols and Errors: Practical Advice
Your Questions Answered
How to Start Using Your Monitor Again
Helpline
The Clearblue® Easy Fertility Monitor At a Glance Guide
Index
Contents
The Clearblue® Easy Fertility Monitor must be used according to these instructions.The Clearblue® Easy Fertility Monitor is an in vitro diagnostic medical device
designed for home use. Not for internal use. Store in a dry place at room temperature. Keep out of the reach of children. Do not use a Test Stick if the foil wrapper containing
it is damaged. Do not use a Test Stick that has passed its expiration date.
THERE ARE NO PRODUCTS AVAILABLE THAT CAN GUARANTEE SUCCESS IN ACHIEVING PREGNANCY. THE Clearblue® Easy FERTILITY MONITOR HAS BEEN DESIGNED TO
ASSIST IN CONCEPTION. THE Clearblue® Easy FERTILITY MONITOR IS NOT INTENDED FOR CONTRACEPTION.
2
3
4
5
7
10
11
12
16
18
19
22
28
29
30
31
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The Time in Your Life for Children
Now that you have reached the time in your life for children, the
Clearblue® Easy Fertility Monitor can help you by identifying the days
you are most likely to become pregnant.When you have intercourse on
these days, you have the greatest chance of conceiving your baby.
There are only a limited number of days during the menstrual cycle
when sexual intercourse can lead to pregnancy. Conception is most
likely to occur if you have intercourse on the day the ovaries release a
new egg (ovulation), or during the days leading up to it.
Most home ovulation tests only identify the 2 Peak Fertile days during
the cycle, by detecting the surge in luteinizing hormone (LH) that
triggers ovulation.The Clearblue® Easy Fertility Monitor not only shows
these 2 Peak Fertility days, but also identifies additional days when you
can conceive. By detecting a rise in estrogen, it can inform most women
of an extra 1–5 days of High Fertility prior to their Peak Fertility.This
means that you know all the days when intercourse is most likely to
lead to conception, allowing you to identify those days when you are
most likely to conceive your baby.
easy
®
Fertility Monitor
Helps reduce the time it takes
to conceive your baby.
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The Clearblue® Easy Fertility Monitor
The Clearblue® Easy Fertility Monitor consists of Test Sticks and a hand-held
Monitor. Together these identify changes in the hormones that control your fertility.
The Monitor records your personal cycle to build up a complete and accurate picture
of your most fertile days.
The Information That You Need
The Clearblue® Easy Fertility Monitor gives you comprehensive, personal information
that is unique to you.You can relax as the Clearblue® Easy Fertility Monitor will count
the days and tell you which days to test. It will even warn you when your period is
due.This allows you to prepare for your next cycle, or, if you think your period is late,
to test for pregnancy.
• All you need to do are simple urine tests each cycle when requested by the
Monitor. You will always be asked to use one set of 10 Test Sticks each cycle. If your
cycles are long or irregular, then the Clearblue® Easy Fertility Monitor may ask
you to use a second set of 10 Test Sticks to help you identify your most fertile days.
• The disposable Test Sticks collect hormones from your first urine of the day and
convert them into information which can be read by the Monitor.The Monitor
then reads the Test Stick, interprets your hormone changes, and tells you clearly if
your Fertility will be Low, High or Peak, for the next 24 hours.
How Does the System Work
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Understanding Ovulation and
the Menstrual Cycle The Menstrual Cycle
• The menstrual cycle is the process during which your body prepares
for pregnancy. Hormone changes during the cycle trigger the ovaries
to release an egg.
• The eggs are contained within fluid-filled cavities called follicles. Both
ovaries have many follicles, each containing an egg. During the first
part of the menstrual cycle, one of the follicles prepares to release an
egg.This follicle produces increasing amounts of estrogen, which
causes the lining of the uterus to thicken and the cervix to produce
‘fertile mucus.’ This “fertile mucus” is important (refer to page 4). A
high estrogen level triggers the surge of another hormone,
luteinizing hormone (LH). Ovulation normally occurs 24 to 36 hours
after the LH surge, when the follicle ruptures, releasing an egg.
• The egg can be fertilized for up to 24 hours after ovulation. If
fertilization does not occur, estrogen levels will gradually fall. The
lining of the womb is shed and the menstrual flow begins, marking
the start of the next cycle.
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How the Clearblue® Easy Fertility
Monitor Helps You
Please Note: For the greatest chance of conception, you should
have intercourse two or more times during your fertile period.This
means you should have intercourse both when your fertility is
HIGH and when your fertility is PEAK.
How is the Clearblue® Easy Fertility Monitor
Designed to Help You Become Pregnant?
• The Clearblue® Easy Fertility Monitor monitors changes in
estrogen and LH.
• High estrogen is associated with the appearance of“fertile
mucus,” which is thin and slippery. Sperm can swim more easily
through this mucus and can survive in it for several days. If you
have intercourse during this time, there may still be sperm
present several days later, when you release an egg. When the
Clearblue® Easy Fertility Monitor detects a rise in estrogen, it
displays High Fertility status.
• Detection of the LH surge indicates that you are about to release
an egg, and you are at Peak Fertility.
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Limitations on Use
The Clearblue® Easy Fertility Monitor is suitable for women whose natural cycle normally lasts between 21 and 42 days. The
majority of women will need 10 Test Sticks in each cycle. However, women with irregular or long cycles (more than 35 days) may
have to use 20 Test Sticks each cycle in order to detect their most fertile time.
Certain medical conditions and medications can adversely affect the performance of the Clearblue® Easy Fertility Monitor. Women
who have menopausal symptoms, polycystic ovarian syndrome, impaired liver or kidney function, are pregnant or have recently
been pregnant (even if not carried to full term), may get misleading results. Similarly misleading results may be obtained by women
using antibiotics containing tetracyclines, hormonal treatments (e.g. hormonal contraception, hormone replacement therapy),
fertility treatments containing human Chorionic Gonadotrophin (hCG) or Luteinizing Hormone (LH), or any treatment that might
affect their cycle. Clomiphene citrate may elevate estrogen levels and this may result in High Fertility being declared early in the
cycle and more High Days being displayed, and in some cases the Monitor may not show Peak Fertility even when ovulation occurs.
We therefore recommend that women taking clomiphene citrate consult their doctor for advice before using the Clearblue® Easy
Fertility Monitor. Always read the manufacturers instructions for any medication that you are taking before conducting a test.
Women who have recently been breastfeeding, using hormonal treatments (e.g. hormonal contraception, including emergency
contraception, fertility treatments, hormone replacement therapy), or any other treatment that might affect their cycle, may wish to
wait until they have at least two natural menstrual cycles in a row (each lasting 21-42 days), before using the Clearblue® Easy
Fertility Monitor.
Women who have recently been pregnant (even if not carried to full term) may still have hCG in their bodies. HCG can adversely
affect the performance of the Clearblue® Easy Fertility Monitor. Therefore they are advised to wait until they have had at least two
natural menstrual cycles in a row (each lasting 21-42 days), before using the Clearblue® Easy Fertility Monitor.
Please speak to your doctor if you need further advice.
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Please Note: There are no products available that can guarantee success in achieving pregnancy.The Clearblue® Easy Fertility
Monitor has been designed to assist in conception.The Clearblue® Easy Fertility Monitor is designed to help you become
pregnant and is NOT intended to be used for contraception. Some medications are contraindicated in pregnancy and we therefore
recommend that you consult your doctor if you are taking any medication before you try to conceive. Couples with medically
diagnosed fertility problems should consult their doctor before using this product.
Limitations on Use
If you have used the monitor and still have not become pregnant, you should consult a doctor if you are under 35 years of age
and you have been trying to get pregnant for over 12 months, or if you are 35 years of age or over and you have been trying to
get pregnant for over 6 months.
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On/Off
Button
1
Data
Card
Slot
5Cycle Day
Number
Display
Screen
Fertility
Status
Test Stick
Slot
mButton
Knowing Your Clearblue® Easy Fertility Monitor
Before you get started, you will need your Clearblue® Easy Fertility Monitor, a
pack of 30 Test Sticks, and four AAA alkaline batteries. You must wait until your
next period starts before using the Clearblue Easy Fertility Monitor. In the
meantime you should read this instruction booklet fully and familiarize yourself
with the features below.
1. On/Off Button: press once to turn on and again to turn off. The Monitor will
also turn off automatically after 30 seconds to conserve power, and the
Display Screen will go blank.You will be unable to turn the Monitor off while
it is reading a Test Stick.
2. Test Stick Slot: this locates the Test Stick in the Monitor allowing it to read
the test result accurately.
3. Display Screen: this provides details about your:
3a. Fertility Status.
3b. Cycle Day Number: (day of your cycle)
Other information will also appear on the Display Screen such as when to test.
4. mButton: this is used to set the Monitor at the start of each cycle. Refer to
pages 10 and 11 of this instruction booklet BEFORE pressing the mButton.
5. The Data Card Slot: Clearblue offers a Datacard Reading Service.This service
provides a printout of your monthly cycle information stored in your monitor.
For further information, please call the Helpline or visit www.clearblueeasy.com
Test Stick Cap
Sampling
End
Step by Step Guide to Using the
Clearblue® Easy Fertility Monitor
3a 3
3b
4
2
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CLICK
Inserting the Batteries
• The Clearblue® Easy Fertility Monitor requires four AAA alkaline batteries to
operate. For optimal Monitor performance, use four new batteries that are the
same brand. Using the diagram inside the battery cover to help you, insert the
batteries making sure the + signs are in the correct position. If the batteries are
not inserted correctly, the Monitor will not show anything on the display when the
On/Off Button is pressed.
Replacing the Batteries
• The Monitor will tell you when the batteries need to be replaced by showing the
Battery symbol on the screen .You must insert new batteries within 4 weeks of
this symbol first appearing.
• Towards the end of this time, if you have not inserted new batteries, the Dead
Battery Symbol will appear . This tells you that the batteries are almost dead
and must be replaced immediately. You will not be able to use your Monitor while
this symbol is displayed.
• If you do not replace the batteries within 4 weeks of the appearance of the Dead
Battery Symbol , or if you remove the batteries for longer than 2 hours, the
internal clock may become inaccurate and the information the Monitor provides
may be affected.
Step by Step Guide to
Using the Clearblue® Easy
Fertility Monitor
Push and slide cover
Lift cover until it clicks and stays open
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Turning the Clearblue Monitor On and Off
• Once you have inserted the batteries, you can turn the Monitor on and off by pressing
the white On/Off Button on the top left hand corner of the Monitor. When you turn
the Monitor on you will see a red light flash in the Test Stick Slot and the Display
Screen will briefly show the full range of symbols.This is normal and confirms that the
Monitor is working correctly. After a moment the Display Screen will clear and you will
see ‘--‘ and a flashing ‘m’ on the Display Screen. If you see the red light flash, but
nothing is on the Display Screen, check that the batteries are installed correctly. The
Monitor is now ready for you to set the mButton on the first day of your period.
Pressing the On/Off Button again will turn the Monitor off. You may turn the Monitor
off at any time apart from when it is reading a Test Stick. The Monitor will turn off after
30 seconds if a Test Stick is not being read. Simply press the On/Off Button to turn your
Monitor back on.
Please Note: The time you press the mButton is very important.You should read the
instructions on pages 11 and 12 carefully BEFORE doing this.
Push the On/Off Button
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Determine the Test Window
That’s Best for You
Testing Window example: It is easy to set a
Testing Window that is convenient for you.
For example, if you set the mButton at 9:00
a.m., you will be able to test anytime between
6:00 a.m. and 12:00 noon for that cycle. Please Note: Once you have set your mbutton and you are past day 5, you cannot
change your “Test Window” when traveling to a different time zone. If you need
help determining when to test, call the Helpline.
1. You can start using the Clearblue® Easy Fertility Monitor on the first day of your
next cycle, but not before.The first thing to do is to set the mButton.
2. When you press the mButton you:
• Tell your Monitor that your period has started and a new cycle has begun.
• Establish the 6 hours each day during which you can do a test.This is called the
Testing Window. The Clearblue® Easy Fertility Monitor should be set so that it is
convenient for you to test the first urine of the day. It is important for you to use
the first urine after sleeping as this will contain the highest concentration of
hormones.
3. The Testing Window is set to run from 3 hours before the time you press the m
Button, to 3 hours after. The Clearblue® Easy Fertility Monitor will only request a
test during the Testing Window, so you must check the Monitor during this time to
see if you need to do a test that day. Please see example opposite.
4. At the start of each new cycle you can either press your mButton at the same
time as you did on your previous cycle to give you the same Testing Window, or if
you wish, you can change your Testing Window by setting the mButton at a
different time.
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11
Initial Display
Display after mButton is pressed
Fertility Status Bar
Press mButton and hold for 5
seconds until ‘1’ appears
• If your period starts in the night, or in the morning before your chosen mButton
setting time, you can press the mButton when you wish that morning. If your period
starts during the day, after your chosen mButton setting time, you should WAIT until
the following morning before pressing the mButton. You should set this as day 1 of
your cycle.
• Press the mButton firmly for 5 seconds. Release it when an ‘m’ and the day number ‘1’
appear on the Display Screen. Both will flash when they first appear but will stop
flashing and stay on the Screen when you release the mButton. Please Note: DO NOT
do a test yet.You only need to perform a test when the Monitor requests one.
• When you have set the mButton correctly, the day number ‘1’ and an ‘m’ will appear,
indicating it is the first day of your cycle. A Fertility Status bar will also appear on the
screen to indicate that your fertility is presently at a Low level, which is normal at the
start of a cycle.
• If you press the mButton for too long, day number ‘2’ will appear. Don’t worry, you can
cancel it. If you have set your mButton on the wrong day, you MUST cancel it. To
cancel, press the m Button for 5 seconds until the ‘m’ Symbol disappears.The Display
Screen will then return to its original state (as if you had not yet set your mButton).
Setting the mButton
Please Note: The mButton can be set from day 1 to day 5 of your cycle. For further
information refer to questions 6 and 7 on page 23.
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Display indicates that the Monitor
requires a Test Stick
Performing Tests
• Turn on your Clearblue® Easy Fertility Monitor every morning within your Testing
Window and before going to the bathroom. You will notice that the ‘m’ symbol is
displayed for the first 5 days of each cycle, and that the number on the Display
Screen changes each day to tell you which day of your cycle you are on. Please
note that the cycle day only advances when the Testing Window opens (refer to
page 10).
• On mornings when the Monitor requires further information about your hormone
changes, a test will be requested . Tests must be performed with the
first urine of the day, within the Testing Window.
• In Cycle 1, your first test will be requested on day 6. The Monitor will then request
a test every day for a total of 10 or 20 days depending on your cycle length, and
when it sees your Peak Fertility. In subsequent cycles the first test day will vary
between day 6 and 9, according to what the Clearblue® Easy Fertility Monitor has
learned about your cycle, and you will still be asked for a test every day for 10 or
20 days.
Testing
Please Note: You will need to buy a box of Test Sticks before starting. Always start
your cycle with enough Test Sticks from the same pack for 10 tests.
Please Note: Only Clearblue®
Easy Fertility Monitor Test Sticks
can be used with the Clearblue®
Easy Fertility Monitor. Unlike
other products, they cannot be
visually interpreted.
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To Perform a Test
1. Remove the Test Stick from its protective foil wrapper and
use immediately.
2. Hold the Sampling End of the Test Stick pointing downwards
in your urine stream for 3 seconds only.This is long enough
to ensure the Sampling End is sufficiently wet. Alternatively,
collect a sample of your urine in a clean, dry container and
hold just the Sampling End in the urine for 15 seconds (refer
to question 18 page 26).
3. Keeping the Test Stick pointing downwards, take the cap off
the handle and place it over the ‘wet’ end of the Test Stick.
Wipe off any excess urine from the Test Stick casing.
4. You are now ready to insert the Test Stick into the Test Stick
Slot of the Monitor.
Please Note: Test Sticks can NEVER be used more than once.
Only Clearblue® Easy Fertility Monitor Test Sticks can be used
with the Clearblue® Easy Fertility Monitor.
Test Stick when removed
from foil
Test Stick ready to insert
into Monitor
Take the cap off the handle
and place over ‘wet‘ end of
the Test Stick
Hold the Sampling End of
the Test Stick pointing
downwards in your urine
stream for 3 seconds only
Cap
Wet Sampling
End
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Inserting a Test Stick
• If your Monitor is not already on, press the On/Off Button, you will see a
red light flash in the Test Stick Slot. This is the Monitor checking that the
Slot is ready to receive a Test Stick. You should not place a Test Stick in the
Test Stick Slot until the red light has gone out, and you see the Insert a
Test Stick Symbol , or the Monitor will ask you to remove it.
• After performing a test, the Test Stick should be placed into the Test Stick
Slot within 15 minutes of wetting it.You should only insert a Test Stick
when you see the Insert Test Stick Symbol
Holding the Test Stick by the cap with the cut corner of the Test
Stick pointing downwards, put it into the Test Stick Slot as shown
on the diagram.
Push the Test Stick down until it lies flat and clicks into place.
• When you have inserted the Test Stick correctly the Display Screen will
flash the Test Stick Symbol for 5 minutes while the Monitor
reads and interprets the information from your Test Stick. Do not remove
the Test Stick while it is being read.The Monitor cannot be turned off
while a Test Stick is being read.
CLICK
Testing
Test Stick
1
2
1
2
Cut
Corner
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The Test Stick Symbol will flash while
the Monitor is reading a Test Stick
Monitor has finished reading a Test Stick
Inserting a Test Stick
• The Test Stick will not be recognized until correctly inserted.The symbol
will continue to be displayed until the Test Stick has been
properly placed and recognised.
• At the end of 5 minutes, the Monitor will ask you to remove the Test Stick,
which should be thrown away.Your Fertility Status will then be
displayed.
• If you do not remove the Test Stick within 60 seconds after the Monitor has
finished reading it, the Monitor will turn itself off. Don’t worry, just remove the
Test Stick and switch the Monitor back on to see your Fertility Status.
Number of Test Sticks Required
• You will be asked for a test on 10 days each cycle to build up an accurate
picture of your cycle. If the Monitor does not detect your LH surge with 10
tests, it will require an additional 10 tests for that cycle.This may happen if
your cycles are irregular or long. You should perform all of the tests requested
by the Monitor.
Please Note: Always look at the Display Screen after you have inserted the Test
Stick to check that the Test Stick is being read. A flashing Test Stick Symbol
indicates that the Test Stick is being read.
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Low Fertility:
very small chance of conception
Fertility Status: What does this mean?
• The Clearblue® Easy Fertility Monitor will display your Fertility Status using three
bars which correspond to three different levels of Fertility: Low, High and Peak. The
Monitor will interpret your fertility based on the Test Stick reading and the
information stored in its memory.
Low Fertility: What does this mean?
• Low Fertility is indicated by one bar in the bottom left hand corner of the Display
Screen. Low Fertility is displayed at times during the cycle when your fertility
hormones are low. Although you may still wish to have intercourse on a Low
Fertility day, it is unlikely, but not impossible that you will conceive.
Your Fertility Status
Please Note: It is important that you do all the tests requested by the Monitor. If
you occasionally miss a test, then the Monitor will use the information it has already
collected to calculate your Fertility Status. If a test is missed close to ovulation,
however, then you may miss the chance to identify your days of Peak Fertility.
Following a missed test you should still continue all further testing as requested by
the Monitor.
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High Fertility:
increased chance of conception
High Fertility: What does this mean?
• High Fertility is indicated by two bars in the left hand side of the Display Screen.These are
displayed when the Clearblue® Easy Fertility Monitor detects an increase in estrogen,
which occurs as you approach your Peak Fertility.
• If you have intercourse on days of High Fertility you will increase your chances of becoming
pregnant.
• In the first cycle the Monitor will need to get to know you. It is possible therefore that you may
get more than 5 High Fertility days prior to Peak Fertility in this cycle.Don’t worry, from cycle 2
on the Monitor will reduce this for the majority of women to between 1 and 5 High Fertility days.
• Please refer to question 12 and question 13 on page 24 for further information.
Peak Fertility: What does this mean?
• Peak Fertility is indicated by three bars in the left hand side of the Display Screen and the
symbol.You are at Peak Fertility around ovulation, when an egg is released (refer to page 4).
• If you have intercourse during this Peak Fertility time, then you have the greatest chance of
becoming pregnant.
• The Clearblue® Easy Fertility Monitor identifies your days of Peak Fertility by detecting the
surge in luteinizing hormone (LH), which triggers ovulation to occur approximately 24-36
hours later (refer to pages 3 and 4). Peak Fertility will be indicated on the day of the LH
surge, as well as the following day.
• There is a chance that the egg can still be fertilized after this time, therefore you will be
shown 1 day of High Fertility following your days of Peak Fertility.
• There may be a small percentage of cycles in which you do not see Peak Fertility –
for more information refer to question 11 on page 24.
Peak Fertility:
highest chance of conception
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Preparing for the Next Cycle or Pregnancy Testing
• Usually, a few days before your next period is due, the ‘m’ Symbol will begin to
flash to indicate that you are approaching the end of your cycle.
If your period starts then you should set your Monitor for the next cycle.
The procedure is the same as setting the mButton for the first time (refer
to page 11). Don’t worry if the ‘m’ Symbol is not flashing and your period
starts: the mButton can still be set.
If the ‘m’ Symbol flashes for several days, and you think that your period is
late, then you may have conceived. You can find out if you are pregnant
by using a Clearblue Easy Pregnancy Test.
• From the day your period is due Clearblue® Easy Pregnancy Tests give you a clear
result that is over 99% accurate.*
• You should consult your doctor if the pregnancy test result is ‘Pregnant’ as it is
important to begin prenatal care as early as possible.
Approaching the End of
Your Cycle
1
2
* 99% accurate at detecting typical pregnancy hormone levels. Note that hormone
levels vary.
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