Natural Family Planning

What Is Natural Family Planning?

Natural Family Planning (NFP) and the Fertility Awareness Method (FAM) are pregnancy prevention methods based on:

  • Understanding how men and women's reproductive systems work.
  • Understanding how a woman can know which days she can and cannot become pregnant.
  • Knowing there are only a few days between menstrual periods that she can become pregnant.
  • Choosing not to have intercourse during the days a woman can become pregnant. (This is NFP.)
  • Choosing to use a barrier method during the days a woman can become prgnant. (This is FAM.) Barrier methods include the male and female condom, diapraghm, sponge, and cervical cap.

If you choose NFP or FAM, you will need to take a special class to learn more about how to use them correctly. The information given here will give you a basic idea of what to expect.

NFP and FAM help prevent pregnancy, but they do not protect you from HIV or other STDs. Use a condom every time you have sex to help protect yourself from these diseases.

Types of Natural Family Planning Methods

Cervical Mucus

The instructor teaches you how to check your cervical mucus a few days during each cycle. By checking it and learning how your mucus changes, you will know when you can and cannot get pregnant. If you don't want to become pregnant, you don't have sex during the days you could get pregnant.

About 3 women out of 100 who use this method perfectly may get pregnant in a year.

Basal Body Temperature (BBT)

Your instructor will teach you how to take your Basal Body Temperature and write your temperature on a special chart. You will learn when, after your BBT rises, you can safely have sex.

Using the BBT method tells you only when your fertile days end after the egg leaves the ovary. It cannot tell you when your fertile days start. So you don't have sex at all during the first part of the cycle.

About 1 woman out of 100 who use this method perfectly may get pregnant in a year.

Sympto-Thermal

With this method, you use two signs to know when your fertile days may be: cervical mucus and basal body temperature. Like the other methods, your instructor will teach you what to do to use this method the right way. This method tells you when your fertile days begin and end.

About 2 women out of 100 who use this method perfectly may get pregnant in a year.

Calendar Method

This method uses a formula to tell you which days you could be fertile. When you use this method, there may be more days each month when you can't have sex than with other NFP methods.

The calendar method works well for women who use it the right way. However, with this method, you will not know if you are going to ovulate earlier or later than usual each month. That increases your chances of getting pregnant. Your instructor will teach you how to use this method.

About 9 women out of 100 who use this method perfectly may get pregnant in a year.

Standard Days

This method helps you keep track of the days of your menstrual cycle. If you have regular 26- to 32-day cycles, you can use a set of small plastic beads to help you know what days you could safely have sex and which days you could get pregnant. Each day of your cycle is marked by either a brown or white bead, indicating which days you should either abstain or use another method, like condoms.

About 5 women out of 100 who use this method perfectly may get pregnant in a year, according to one study.

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Effectiveness

Perfect user: A person that uses their method of pregnancy prevention correctly all of the time.

Typical user: A person who does not use their method of pregnancy prevention correctly.

For couples who chart the signs carefully and follow all the rules taught in class, these methods can work very well.

With perfect use, these methods are 91% to 99% effective.

This means that if 100 women use NFP or FAM perfectly, as few as 1 or as many as 9 of those women may get pregnant in a year. It depends on which method they are using.

With typical use, these methods are 75% effective.

For women who don't use the methods perfectly, 25 women out of 100 may get pregnant in a year.

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Advantages

Things that some people like about NFP and FAM:

  • They enjoy learning about the body and how it works.
  • They feel closer to their partner by talking about family planning.
  • They may like these methods for religious or other personal reasons.
  • These methods do not cause any health problems.

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Possible Side Effects

NFP is safe for anyone. There are no side effects. It does not cause any health problems, so there are no warning signs.

FAM is also safe and does not cause health problems. There are no side effects, complications, or precautions other than those caused by whatever birth control method clients use during the woman's fertile days.

Not everyone can always use these methods the right way. If a woman has irregular periods, or her cycles are longer than 35 days, it may be hard for her to use these methods.

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To Learn More

For more information about Natural Family Planning Methods:

  • Call your local family planning clinic
  • Search for books on NFP at your local library, bookstore, or on Amazon.com
  • ContraceptINFO

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