This method varies in efficacy and is dependent on correct and consistent use. Perfect use of a fertility awareness-based method will result in approximately less than 5/100 women becoming pregnant in the first year. Typical use of any fertility awareness-based method will result in approximately 24/100 women becoming pregnant in the first year.
BENEFITS:
- Increased knowledge of the reproductive cycle
- No menstrual changes
- No localized side effects
- No systemic effects
- Couples can work together
- May achieve pregnancy if used in reverse
- Minimal cost
RISKS/SIDE EFFECTS:
- No serious side effects
- May be less effective/difficult with irregular cycles
- May be less reliable if ill, breastfeeding or stressed
- Requires motivation and potentially new learning
- Requires partner motivation and agreement
- May be less reliable with certain medications
- May require abstinence at certain times
- Requires discipline and commitment
- No protection from STI or HIV infection
ALTERNATIVES: You have received information about the other methods of birth control that are available. Emergency contraception is available for situations of suspected contraceptive failure and offers a second chance to reduce the risk of unintended pregnancy.
INSTRUCTIONS: You have received information about natural family planning/fertility awareness and how to use it. This method does not protect against STIs or HIV.
DECISION TO DISCONTINUE USING: You may stop using natural family planning/fertility awareness at any time. A woman is most likely to become pregnant if she or her partner are not using a method of birth control.
QUESTIONS: You may ask questions about this method at any time and may contact the clinic with further questions.
Web sites for FABM/NFP information:
- Bedsider: Fertility Awareness
- Take Charge of Your Fertility - Cycle Chart
- CycleBeads: Natural pregnancy prevention and planning
- Planned Parenthood: What's the Cervical Mucus Method?
- Reproductive Health National Training Center: Fertility Awareness-Based Methods
There are many free and available phone apps to help you navigate your fertility awareness method. Some commonly utilized apps include Natural Cycles (FDA-approved), Fertility Friend, and Clue Period Tracker. Discuss with your provider if you have questions.
Last Reviewed: November 2024