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Writer's pictureHavva FEM

Natural Family Planning: Managing Your Fertility Without Hormones

Discover the most reliable methods, how they work, and why choosing a natural option might be the best decision for your reproductive health.


Natural Family Planning (NFP) might sound old-fashioned, but it’s a modern and effective way to manage your fertility without the need for hormones or invasive procedures.


Introduction

Natural fertility methods appeal to many for their natural approach and the deeper understanding they offer about one's own body. Whether you're looking to avoid pregnancy or plan for a baby, these methods could be the right option for you. Let's dive into what NFP is, the different methods available, and why the Symptothermal Method stands out.


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What is Natural Family Planning?

Natural Family Planning (NFP) refers to various methods used to track your fertility signs to determine when you're most and least likely to conceive. Unlike other forms of contraception, NFP doesn’t involve hormones, internal devices, or surgical procedures. Instead, it relies on observing the body's natural fertility signals.


Fertility Awareness-Based Methods (FABMs) vs. Natural Family Planning (NFP): What's the Difference?

While all NFP methods are FABMs, not all FABMs are considered NFP according to certain definitions, particularly those with a secular or clinical focus. NFP encompasses a holistic approach to fertility and family planning, often guided by ethical or religious principles, while FABMs are specific techniques for monitoring fertility signs to manage reproduction.


Different Natural Family Planning Methods

There are several methods, each with its own approach to tracking fertility:


Less Effective Methods - Calendar Methods


1. Calendar or Rhythm Method:

Also known as the Ogino-Knaus method, it’s not effective mainly due to its simplistic approach and the natural variability of the menstrual cycle. This method assumes all women have regular, predictable 28-day cycles, with ovulation occurring on day 14. However, in reality, menstrual cycles can vary significantly, and the ovulation day can change from cycle to cycle even in the same woman. This method doesn’t account for the natural variability of menstrual cycles or the specific physiological changes that indicate fertility, unlike other natural methods that use multiple indicators for greater accuracy.


2. Standard Days Method: Simpler and more straightforward than the Calendar or Rhythm method, it works better for regular cycles. It uses a fixed range of fertile days and requires less tracking, only needing to know the cycle length.

Due to the low effectiveness of these two methods, all other natural methods have been unfairly criticized. However, some are highly effective, even comparable to the birth control pill or IUD.


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More Effective Methods - Daily Observation Methods

  • Basal Body Temperature Method: This method involves daily measurement of basal body temperature. The temperature slightly increases after ovulation due to progesterone, allowing for more precise identification of the end of the fertile period.

  • Cervical Mucus Methods: These rely on observing changes in cervical mucus throughout the menstrual cycle. Cervical mucus becomes clearer, more elastic, and abundant near ovulation, indicating fertile days.

    • Billings Ovulation Method: Focuses on observing changes in cervical mucus such as consistency and quantity in a more general manner.

    • Creighton Model: Similar to the Billings Method, but uses a more structured and detailed system to classify and record cervical mucus and other menstrual cycle signs. It’s more precise than Billings.

    • Two-Day Method: Focuses on cervical secretions, asking if secretions were noticed today or yesterday to identify fertile days. It’s the least effective of the Cervical Mucus Methods.

  • Symptothermal Method: Combines basal body temperature, cervical mucus, and other secondary fertility signs, such as changes in the position and firmness of the cervix. This method is more comprehensive and accurate in identifying fertile and non-fertile days in the cycle.

  • Sympto-Hormonal Methods:

    • Marquette Method: The primary sign is cervical mucus and it uses fertility monitors to track hormone levels in urine.

    • FEMM: Combines cervical mucus and LH (luteinizing hormone) urine tests. One of the newest methods, and while it doesn’t claim to be part of NFP, it likely has ties to religious groups.

  • Lactational Amenorrhea Method (LAM): Based on the natural infertility that occurs when a woman is exclusively breastfeeding and hasn’t resumed menstruation. Effective only under three specific conditions: the baby is less than six months old, exclusive breastfeeding, and the mother hasn’t had menstruation.


Effectiveness of NFP Methods

It’s essential to distinguish between perfect use and typical use of contraceptive methods.

  • Perfect use refers to the effectiveness of a method when used correctly and consistently at all times, based on controlled clinical studies that reflect the best possible scenario.

  • Typical use, on the other hand, measures effectiveness in real-life situations where errors may occur. It’s based on broad surveys that reflect a variety of scenarios and demographics.


For example, taking the birth control pill every day at the same time has an effectiveness of 99.7% (perfect use), but if taken inconsistently, its effectiveness drops to 93% (typical use).

Methods requiring high user participation, such as the diaphragm, condom, and birth control pill, have a higher rate of typical use failures due to the potential for human error. In contrast, methods that don’t require user intervention, such as the hormonal IUD, injection, and implants, have a lower rate of typical use failures since they don’t rely on the user to be effective.


The effectiveness rates of FABMs are:

  • Billings Ovulation Method: 98.9% effective with perfect use and 89.5% effective with typical use.

  • Creighton Model: 98.7-99.5% effective with perfect use and 83-97% effective with typical use.

  • Symptothermal Method: 99.4-99.6% perfect use and 98-99% typical use.

  • Sympto-Hormonal Marquette: 98-99% with perfect use and 86-93% with typical use.

  • LAM: 99.5% with perfect use and 98% with typical use.


As you can see, the effectiveness percentages of these methods are very similar to or equal to those achieved with hormonal contraceptive methods.


basal thermometers tempdrop symptothermal method chart on a phone on top of a pillow


Why Choose NFP Over Other Methods?

Many people choose NFP for its natural approach, lack of side effects, and the empowerment that comes from understanding their own fertility. It’s also cost-effective in the long run and can be used both to achieve and avoid pregnancy.

Why the Symptothermal Method is a Standout Choice

The Symptothermal Method stands out because it combines multiple fertility indicators, providing a more comprehensive understanding of your cycle. By tracking basal temperature, cervical mucus, and cycle length, this method offers a high degree of accuracy. It’s like having multiple checks and balances, ensuring you have a clear picture of your fertility status without needing any extra monitors or devices. However, they can be incorporated if necessary.



Conclusion

Natural Family Planning is a powerful tool for those who prefer a natural approach to fertility management. It not only helps avoid pregnancy but also facilitates family planning when the time is right. The Symptothermal Method, with its high effectiveness and comprehensive monitoring, offers a reliable and empowering way to understand and manage your fertility.

Choosing the right contraceptive method depends on your personal circumstances. It’s important to mention that Fertility Awareness-Based Methods (FABMs) and/or Natural Family Planning (NFP) do not protect against Sexually Transmitted Infections (STIs).



Interested in learning the Symptothermal Method or knowing more about Natural Fertility Methods?

Schedule a free call. I’d love to meet you.



Disclaimer: This blog provides general information and discussions about health and related topics. The information shared on this website or any linked material should not be considered or used as a substitute for medical advice, diagnosis, or treatment. If you have a medical concern, it's recommended to consult a healthcare professional for personalized advice.


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