Family Planning
Family Planning
PLANNING
NATURAL
FAMILY
PLANNING
NATURAL FAMILY PLANNING
FOR EVERY 100 PEOPLE WHO USE THE PULL OUT METHOD PERFECTLY, 4 WILL GET
PREGNANT.
BUT PULLING OUT CAN BE DIFFICULT TO DO PERFECTLY. SO IN REAL LIFE, ABOUT
22 OUT OF 100 PEOPLE WHO USE WITHDRAWAL GET PREGNANT EVERY YEAR —
THAT’S ABOUT 1 IN 5.
EFFECTIVENESS: 78%
COITUS INTERRUPTUS
SYMPTO-THERMAL METHOD(STM)
To use this method, you track your basal body temperature for at least three menstrual cycles.
While you may not be able to predict exactly when you’re ovulating, measuring BBT may help
you find a pattern. You can use this information to guess when you’re likely to ovulate.
Depending on your goals for pregnancy, you’ll either have sex or avoid sex on the days before
and just after ovulation.
Effectiveness:99% effective in the first year of use, if used correctly and consistently. However,
the method is less effective if the woman does not monitor her temperature accurately or if she
has unprotected sex in the fertile period of the cycle (including during menstrual bleeding).
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CERVICAL MUCUS METHOD
The hormones that control your menstrual cycle also make your cervix produce mucus — the
gooey stuff on your cervix that comes out of your vagina as discharge. Your cervical mucus
changes in color, texture, and amount during your menstrual cycle (especially around ovulation).
To use the Cervical Mucus Method to prevent- pregnancy, you check out your mucus every day
and write the results on a chart. The changes in your mucus help you figure out when you’re
going to ovulate and are able to get pregnant. During your safe days, you can have unprotected
vaginal sex.
Effectiveness: 97%
STANDARD DAYS METHOD
SDM is a method based on fertility awareness; users must avoid unprotected sexual intercourse
on days 8–19 of the menstrual cycle Approximately 5 out of 100 women become pregnant in
the first year of use with perfect (i.e., correct and consistent) use of SDM; effectiveness based
on typical use is not available for this method but is expected to be lower than that for perfect
use. SDM is reversible and can be used by women of all ages. SDM does not protect against
STDs; consistent and correct use of male latex condoms reduces the risk for STDs, including
HIV.
Effectiveness: 88% effective with typical use and 95% effective with perfect use.
Menstrual Cycles of 26–32 Days Two or More Menstrual Cycles of <26
or >32 Days Within Any 1 Year of SDM
The woman may use the method.
Advise the woman that the method
Provide a barrier method of contraception for protection on might not be appropriate for her
days 8–19 if she wants one. because of a higher risk for pregnancy.
Help her consider another method.
If she has unprotected sexual intercourse during days 8–19,
consider the use of emergency contraception if appropriate.
CALENDAR DAYS METHOD
The calendar method helps you predict your fertile days by tracking the length of your
menstrual cycles over several months.
Before you can use the calendar method as birth control, you need to keep track of the length
of your menstrual cycles for at least 6 periods. You can do this with a regular calendar or our
period tracking app.
Here’s how you do it: Mark the first day of your period (this is day 1). Then mark the first day of
your next period. Count the total number of days between each cycle (the number of days
between the first days of each period).
Effectiveness:88%
LACTATIONAL AMENORRHEA METHOD
The lactational amenorrhea method is based on three simultaneous conditions: (1) the baby is
under 6 months; (2) the mother is still amenorrheic; and (3) she practises exclusive or quasi-
exclusive breastfeeding on demand, day and night. Experiments with LAM extended to 9-12
months are ongoing.
The lactational amenorrhea method is at least 98% effective, comparing favorably with other
contraceptive methods. Acceptability and continuity are not very well known; as with other
'natural' methods the figures are probably low in a general population but high for motivated
couples. The lactational amenorrhea method avoids double protection, and thus saves resources,
is especially (but not exclusively) suitable for couples interested in natural family planning and is
accepted by religious authorities.