Fertility based awareness method as a mode of Contraception or Family Planning.

Fertility awareness

Fertility based awareness method is a traditional method, among the oldest methods of contraception or family planning and still in use today. This type of Contraception uses the knowledge and identification of the fertile window of the menstrual cycle.

Knowledge of these methods is very important for their effectiveness. When used correctly, its effectiveness is very high and pregnancy rates are between 1-9% only.

Some of these methods are:-

  • Periodic abstinence
  • Coitus interruptus or the withdrawal method
  • Post coital douche

Periodic abstinence

In this type of contraception or family planning, the couple avoids coitus during the fertile period around ovulation. Fertilisation occurs in the fallopian tubes after ovulation which is on the 14th Day of the menstrual cycle counting from the 1st day menses started. The ovum remains in the fallopian tubes for about 3 days.

Standard Day method

This type is kind of similar to periodic abstinence, that’s why I like combining the two since it uses the same knowledge of the fertile period. This is a new method. Ovulation takes place on the 14th day. The ovum produced by the woman remains in the fallopian tubes for about 2-3 days. Therefore a woman is fertile 2-3 days after ovulation. The sperm can survive in the woman’s reproductive system for 2-5 days.

Using the above knowledge and for purposes of effectiveness, the fertile period has been put to 8-19 days of the menstrual cycle. This method of contraception is appropriate for women with 26-32 days cycle.

Abstinence or barrier method such as condoms is used during the fertile period.

Effectiveness is 95%. Traditionally, the women have been using cycle beads where they move a bead each day and the fertile days are marked with white beads.

Beads used to remember the menstrual cycle.

The fertile period can be determined by the calendar, the temperature method (taking temperature) whereby women are warmer during this, observing cervical mucus and signs of ovulation such as bloating and vulvar swelling.

Coitus interruptus

This method of contraception involves withdrawal of the penis from the vagina before ejaculation. This method requires high levels of self-control and it has a high rate of failure due to the pre-cum which contains sperms too.

Post coital douche

Douching with plain water, vinegar or other products some of which are spermicidal. This method is ineffective as sperms have been found in the cervical canal 90 seconds after ejaculation.

In these article we have introduced the more natural and traditional ways one can practice contraception or family planning. We have also shown those that are effective and those that are not.

With the above knowledge, good-luck and let us plan our families.

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