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Family Planning Method is as Effective as the Contraceptive Pill

fectiveness of a FAB method, different ways of classifying unintended pregnancies and other methodological problems.

“To be able to make an informed choice when selecting a family planning method, couples need to know the efficacy of a method when used both perfectly and imperfectly,” said Prof Frank-Herrmann. “We believe that this is a significant prospective cohort study that clearly defines STM and perfect and imperfect use, and which defines intended and unintended pregnancies, classifying them according to the couples’ intentions before conception.”

The researchers selected data from a cohort of 900 women who were part of a much larger study of 1,599 women using STM, which was conducted by the German Natural Family Planning study centre between 1985 and 2005. The 900 women provided data on 17,638 cycles to Prof Frank-Herrmann and her colleagues.

STM identifies the beginning and end of a woman’s fertile period using two measurements (body temperature and cervical secretions) in order to have a double-check system. The first fertile day is when the woman first identifies either: 1) first appearance or change of appearance of cervical secretion, or 2) the sixth day of the cycle. After 12 cycles, this second guideline is replaced by a calculation that subtracts seven days from the earliest day to show a temperature rise in the preceding 12 cycles, in order to identify the first fertile day. The woman is then in her fertile period. The fertile phase ends after the woman has identified: 1) the evening of the third day after the cervical secretion peak day, and 2) the evening when the woman measures the third higher temperature reading, with all three being higher than the previous six readings and the last one being 0.2 degrees C higher than the previous six.

Prof Frank-Herrmann said: “The women or couples who want to learn the method have to buy a book, or attend an NFP course, or get some teaching by a qualified NFP t
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