Guthardt Y et al.2026
Open Access
Scientific reports
This systematic review and meta-analysis examined the relationship between menstrual cycle phases and the incidence of muscle injuries in female team sport athletes, following PRISMA 2020 and PERSiST ...
Frank-Herrmann P et al.2026Fertility and sterility
Peipert et al. (1) claim that restorative reproductive medicine (RRM) originated as a political and religious movement with the purpose to limit access to in vitro fertilization (IVF). In so doing, th...
BACKGROUND: Social Egg Freezing (SEF), often promoted in Western contexts as a means to enhance reproductive autonomy, has seen varied uptake in countries with wider gender disparities. In such settin...
Duane M et al.2025
Open Access
Journal of Restorative Reproductive Medicine
Objective: To assess the effectiveness of an elective to improve students’ knowledge of fertility awareness-based methods for family planning and to determine whether there was a difference in knowled...
Healthcare Professional TrainingMedical School CurriculumEducational Intervention
Wood M et al.2025
Open Access
Journal of the Endocrine Society
Disclosure: M. Wood: None. J.C. Prior: None. S. Shirin: None. A. Goshtasebi: None. Breast tenderness and swelling are associated with premenstrual symptoms but have not been well described in healthy,...
Subclinical Ovulatory DisturbancesPremenstrual Breast ChangesSymptom Documentation
Wainwright E et al.2025
Open Access
Reproductive Health
Background: Fertility rates in the UK are at an all-time low, with infertility affecting approximately 1 in 7 couples. Despite the rising demand for fertility services, fertility awareness, specifical...
Population StudiesMisconceptionsReproductive Education
Damba-Cunningham E et al.2025
Open Access
Journal of Restorative Reproductive Medicine
Background: Fertility awareness-based methods (FABM) of family planning have increased in popularity in recent years. The effectiveness of various methods can vary substantially and can be user depend...
The human menopause is hypothesized to be an adaptive trait that allows post-reproductive females to invest in, and avoid reproductive conflict with, their existing offspring and grand-offspring, ther...
BACKGROUND AND Objectives: Fertility awareness-based methods (FABMs) are evidence-based means of tracking observable biomarkers of a woman's fertility for the purpose of reproductive health monitoring...
Medical TrainingCurriculum DevelopmentFABM Knowledge
Algera E et al.2024The European journal of general practice
BACKGROUND: A general practitioner (GP) standardly provides contraceptive counselling and care in the Netherlands. Recent years have seen the rise of mobile health technologies that aim to prevent pre...
Mobile Health AppsApp-Based MethodsDigital Counselling
Women are considered to have an irregular menstrual cycle if their cycle length is less than 21 days or more than 35 days, accompanied by less or very severe blood flow. The prevalence of menstrual cy...
Health Impact ReviewVital Sign IndicatorMenstrual Irregularity Outcomes
Objective: To assess patient experiences using a Shared Decision-Making (SDM) Tool for fertility awareness-based methods (FABMs) of family planning.
Methods: The study employed a prospective crossove...
Background
Natural Procreative Technology (NaProTechnology) is a system of management of infertility and other reproductive health issues which requires the application of a woman’s observation and re...
Objective: To assess the impact of a Shared Decision-Making (SDM) tool for fertility awareness-based methods (FABMs) of family planning.
Methods: Clinicians familiar with at least one FABM were rando...
Davidson AV et al.2023
Open Access
Kansas Journal of Medicine
Introduction: Evidence-based, nonbiased, counseling on contraceptive options, followed by shared decision-making, is key in facilitating reproductive justice in a diverse population. An estimated 3% o...
This pilot qualitative case study was able to elicit rich data enabling a description of how women went through the journey of achieving pregnancy using fertility awareness-based methods. Findings und...
Youth get their sexual health information from social media, often from social media influencers (SMIs) or microcelebrities with large followings. Previous research suggests that SMIs have powerful pe...
Social Media InfluenceDigital Health InformationDiscontinuation
BACKGROUND AND Objectives: Knowledge and competency in the topics of reproductive health and family planning are important for primary care physicians. Given the high rates of unintended pregnancy, in...
Medical School CurriculaPhysician TrainingMedical Education Gaps
While interest in sexuality\research is growing, in the past, it has been largely invisible in gerontology. By exploring the full range and dimensions of sexuality and their interrelationships with mu...
Natural family planning (NFP) empowers women to control their reproductive health and approach fertility as a normal biological process. Although substantive literature supports their comparative effe...
Purpose: Professional bodies such as the American College of Obstetrics and Gynecology recognize the impact of conscience-based decisions. The first time such decisions affect patients and providers i...
Duane M et al.2022
Open Access
Frontiers in Medicine
Background: Fertility awareness-based methods (FABMs) educate about reproductive health and enable tracking and interpretation of physical signs, such as cervical fluid secretions and basal body tempe...
Objective: To assess whether editorial desk rejection at general medical journals (without peer review) of two clinical research manuscripts may relate to author gender or women's physiology topics. G...
Body LiteracyEthics/PhilosophyResearch Methodology
Bouchard TP et al.2021Expert Review of Molecular Diagnostics
Background: A new fertility monitor is now available that provides quantitative measurement of urinary hormones, but clinical use requires validation against an established fertility monitor that prov...
Alvarez-Mon MA et al.2021
Open Access
Frontiers in Public Health
Background: Media outlets influence social attitudes toward health habits. The analysis of tweets has become a tool for health researchers.
Objective: The objective of this study was to investigate t...
Objective: To synthesize the literature on fertility knowledge and fertility-awareness among women seeking pregnancy.
Data Sources: The search terms "fertility-awareness OR fertility knowledge AND wo...
Costa Figueiredo M et al.2021
Open Access
JAMIA Open
Objective: Fertility is becoming increasingly supported by consumer health technologies, especially mobile apps that support self-tracking activities. However, it is not clear whether the apps support...
This study explores differences in the use of CycleProGo™ (CPG), a fertility-tracking app developed by Couple to Couple League (CCL), between those exposed to it as a part of natural family planning (...
Iyanda AE et al.2020
Open Access
International Journal of Public Health
Objectives: We examined the association between incorrect knowledge of ovulation and unintentional pregnancy and child among young women in sub-Saharan Africa countries.
Methods: Using Pearson's Chi-...
Earle S et al.2020BMJ Sexual & Reproductive Health
Introduction: There has been a phenomenal worldwide increase in the development and use of mobile health applications (mHealth apps) that monitor menstruation and fertility. Critics argue that many of...
Fertility App EvaluationMobile Health ApplicationsmHealth Evidence
Simmons RG et al.2020Best Practice & Research. Clinical Obstetrics & Gynaecology
Fertility awareness-based methods (FABMs) of family planning involve monitoring various signs and symptoms of fertility during the menstrual cycle to identify the "fertile window," or the days of the ...
Signs and SymptomsPregnancy PreventionFertility Signs
Delbaere I et al.2020
Open Access
Upsala Journal of Medical Sciences
Delayed childbearing is currently a major challenge in reproductive medicine as increased age has an important impact on successful conception, both in natural and in assisted reproduction. There is a...
Marshell M et al.2019Human Fertility (Cambridge, England)
Women wishing to conceive are largely unaware of fertility symptoms at the time of ovulation. This study investigated the effectiveness of fertility-awareness in achieving pregnancy, particularly fert...
A recent cross-sectional national USA registry of surgery to repair anterior cruciate ligament tears found that fewer adolescent women who reported using combined hormonal contraceptives (CHC) had the...
The ability to accurately predict ovulation at-home using low-cost point-of-care diagnostics can be of significant help for couples who prefer natural family planning. Detecting ovulation-specific hor...
Since contraceptives have been used to remove fertility from the conjugal act, the social consequences predicted in the encyclical Humanae vitae, such as the rise in cohabitation, decline of marriage,...
Humanae Vitae ConsequencesDemographic and Family EffectsMarriage and Complementarity
Since the 1960s, hormonal contraceptives have become the most commonly used method of pregnancy prevention in the United States and the world. Oral contraceptives are used by a large percentage of wom...
Jerilynn C Prior et al.2018
Open Access
International Journal of Environmental Research and Public Health
Approximately 33% of normal-length (21⁻35 days) cycles have subclinical ovulatory disturbances and lack sufficient progesterone, although their normal length ensures enough estrogen. Subclinical ovula...
Molimina Diagnostic UtilityPremenstrual Symptoms and OvulationDetection
Oral contraceptives (OCs) are often prescribed to adolescents and young adults for the treatment of health problems and to avoid unwanted pregnancies. We hypothesized that the use of OCs, among adoles...
Reproductive Outcome ConsequencesContraceptive Influence on Young WomenAdolescent Reproductive Health
The concept of the ovarian continuum can be understood as a process that occurs during a woman's lifetime and begins during intrauterine life with fertilization. Women start their reproductive years w...
Women's Lifespan HealthHealth Indicator Beyond FertilityLifespan Hormonal Health
Frank-Herrmann P et al.2017The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception
Sir,Currently, a variety of start-up companies are developing mobile phone apps to track the menstrual cycle and the fertile window, for the use of women who are trying to conceive or trying to avo...
Mobile ApplicationsFertile Window IdentificationDigital Platforms
Anstey EH et al.2017American Journal of Preventive Medicine
Breast cancer is the most commonly diagnosed cancer and a leading cause of death from cancer among U.S. women. Studies have suggested that breastfeeding reduces breast cancer risk among parous women, ...
Breast Cancer Risk ReductionBlack Mothers Breastfeeding and CancerProtective Health Effects of Breastfeeding
Danis PG et al.2017
Open Access
Frontiers in Medicine
OBJECTIVE: Traditional medical school curricula have not addressed fertility awareness-based methods (FABMs) of family planning. The objective of this study was to assess (1) 3-year medical students' ...
Medical Student FABM Knowledge AssessmentFABM Curriculum GapPhysician Training in Natural Family Planning
Unseld M et al.2017
Open Access
Frontiers in Public Health
Purpose: Birth control is a persistent global health concern. Natural family planning (NFP) comprises methods to achieve or avoid pregnancy independent of mechanical or pharmacological intervention. T...
Conceição C et al.2017The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception
Objectives: Recent evidence has shown that young adults have poor knowledge about reproductive health and fertility, and that interventions are needed to increase fertility awareness. The aim of this ...
Murcia-Lora JM et al.2017
Open Access
Persona y Bioética
En la actualidad hay suficiente evidencia científica que relaciona directamente adquisición, exposición y prevalencia del virus del papiloma humano (VPH) con el cáncer del cuello de uterino. Por ello,...
HPV PreventionSexual Health EducationSexuality and Personhood
Gibson-Helm M et al.2016The Journal of Clinical Endocrinology and Metabolism
Context: Polycystic ovary syndrome (PCOS) is a complex, chronic, and under-recognized disorder. Diagnosis experience may have lasting effects on well-being and self-management.
Objective: To investig...
Stanford JB2016
Open Access
Frontiers in Public Health
The flourishing of the individual human person, the health of human society, and the ecological well being of planet earth are inextricably connected with the issues of human population, sexuality, an...
Fitzgerald JE2016The national Catholic bioethics quarterly
In 2014, the American Academy of Pediatrics published its policy statement on contraception for adolescents, which provides, in effect, a mandate to temporarily sterilize all adolescents with long-act...
Despite variations worldwide and within the U.S. population, median age at menarche has remained relatively stable-between 12 years and 13 years-across well-nourished populations in developed countrie...
Menstrual Cycle as Vital SignMenstrual EvaluationAdolescent Reference Ranges
OBJECTIVE: To assess the sensitivity and specificity of the self-identified fertile window.
DESIGN: Observational study.
SETTING: Not applicable.
PATIENT(S): A total of 107 women.
INTERVENTION(S):...
Fertile Window DetectionCervical Mucus PatternsUltrasound Validation of Biomarkers
The objective of this editorial is to show that a harmonious relationship between science and faith is possible, as exemplified by great saints of the Catholic Church. It begins with the definitions o...
OBJECTIVE: Unintended pregnancy is common and disproportionately occurs among low-income women. We conducted a qualitative study with low-income women to better typologize pregnancy intention, underst...
By encouraging doctors and scientists to improve the regulation of births through the observation of natural fertility rhythms, Humanae vitae promoted the development of natural family planning (NFP)....
Smith AD et al.2014
Open Access
The Linacre Quarterly
BillingsMentor is an automated Web-based service for the Billings Method of natural family planning in which the guidance and interpretation previously communicated from teacher to student is provided...
There are few studies that have investigated the spiritual problems of couples practicing natural family planning (NFP). The purpose of this paper is to analyze the spiritual problems and intervention...
Beginning January 1, 2009, the Roman Catholic Diocese of Covington mandated that all engaged couples take a full course of NFP instruction as part of preparation for marriage within the Church. Using ...
Fertility awareness constitutes fundamental knowledge for every woman and is an important tool for health professionals. The objective of this review is to show how fertility awareness can be useful i...
Kelly PJ et al.2012Journal of Midwifery & Women's Health
INTRODUCTION: Natural family planning (NFP) methods are effective for contraception with proper and consistent use. However, only 1% of patients at federally funded Title X family planning clinics sel...
Clinician Training and PerspectivesTitle X Clinic ImplementationProvider Barriers and Facilitators
Hemphill CK et al.2012The national Catholic bioethics quarterly
Consecrated women religious have been shown to be at increased risk for uterine and ovarian cancers. The authors critique a proposal by Kara Britt and Roger Short advocating the distribution of a comb...
Gynecologic Health MonitoringCancer Risk and Benefit AssessmentContraception Alternatives for Cancer Prevention
Uchimura NS et al.2011
Open Access
Revista Gaucha De Enfermagem
This is an observational quantitative and analytical study aimed at verifying the knowledge, acceptability and use of natural family planning (NFP) by patients in a university hospital from July to No...
Acceptability and UsePatient Knowledge and AwarenessFamily Planning Method Adoption
Pallone SR et al.2009Journal of the American Board of Family Medicine : JABFM
Modern fertility awareness-based methods (FABMs) of family planning have been offered as alternative methods of family planning. Billings Ovulation Method, the Creighton Model, and the Symptothermal M...
Review ArticlesPhysician Knowledge and TrainingFamily Planning Applications
Relatively few Catholic couples in the United States use modern methods of natural family planning (NFP). So too, few Catholic physicians and health professionals prescribe the use of NFP methods for ...
NFP Efficacy and EffectivenessCatholic Healthcare IntegrationBarriers and Adoption
Mirkes R2008The Journal of Medicine and Philosophy
This essay sets down three directives for conscientiously objecting clinicians-physicians, particularly obstetrician/gynecologists, trained in NaProTechnology by the Pope Paul VI Institute and Creight...
Reproductive MedicineConscience RightsHealthcare Provider Training
Popat VB et al.2008Annals of the New York Academy of Sciences
Menstruation is the cyclic, orderly sloughing of the uterine lining on account of the interactions of hormones produced by the hypothalamus, pituitary, and ovaries. There is a tendency among parents a...
Young patients and their parents often are unsure about what represents normal menstrual patterns, and clinicians also may be unsure about normal ranges for menstrual cycle length and amount and durat...
Menstrual Cycle as Vital SignAdolescent Menstrual PatternsMenstrual Assessment
Audu BM et al.2006Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology
Sub-Saharan Africa has one of the highest fertility rates in the world, which is further promoted by the low utilisation of modern contraceptive methods. Yet, many communities claim to have traditiona...
Knowledge Attitude PracticeRhythm MethodDeveloping Countries
Methods: We performed a cross-sectional survey of 357 reproductive-aged women, mostly Hispanic (81.8%), presenting for ambulatory and hospital reproductive care in Phoenix, AZ, about their interest in...
Vigil P et al.2006Journal of Pediatric and Adolescent Gynecology
The concept of the ovarian cycle as a continuum considers that all types of ovarian activity encountered during the reproductive life are responses to different environmental conditions in order to en...
Vigil P et al.2005
Open Access
Revista Medica De Chile
Background: Urgent measures are required to stop the increase in the frequency of pregnancies and sexually transmitted diseases among teenagers. A means of facing this problem is promoting sexual abst...
Adolescent Sexual Health ProgramsTeen ProgramsAbstinence Education Outcomes
Barron ML et al.2005MCN. The American journal of maternal child nursing
Advanced practice nurses in primary care settings are often asked to give appropriate advice to couples seeking pregnancy. This article examines the issue of basal body temperature (BBT), a time-honor...
Basal Body TemperatureOvulation DetectionClinical Counseling
Cabezón C et al.2005The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
Purpose: To evaluate the efficacy of an abstinence-centered sex education program in adolescent pregnancy prevention, the TeenSTAR Program was applied in a high school in Santiago, Chile.
Methods: A ...
Objective: To test the efficacy of the TwoDay Method, a new fertility awareness-based method of family planning that provides women with simple instructions to identify the days each cycle when they a...
Barron ML2004The Journal of Perinatal & Neonatal Nursing
The goal of an integrative science of women's health is bringing together childbearing with women's health during the lifespan. Enhancing a woman's ability to conceive and maintain a pregnancy is infl...
Fehring RJ2004Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
Nurses and other health care professionals often have little knowledge of methods of natural family planning (NFP) and do not readily prescribe natural methods for their patients. One reason for this ...
Professional Training ProgramsHealthcare Provider EducationDistance Education
Hilgers TW2004The Medical and Surgical Practice of NaProTECHNOLOGY
The CrMS charting system is explained in full, including the stamp-based notation for recording mucus characteristics, bleeding, and dry days on the standardized chart, and the conventions for identif...
Charting and ObservationCreighton Model SystemBasic Techniques
Hilgers TW2004The Medical and Surgical Practice of NaProTECHNOLOGY
The structured protocols used to train and certify FertilityCare Practitioners (FCPs) in the uniform delivery of CrMS instruction are detailed, covering the sequence of follow-up sessions, the use of ...
Hilgers TW2004The Medical and Surgical Practice of NaProTECHNOLOGY
Early pregnancy loss encompasses biochemical pregnancy, embryonic demise, and missed abortion, each distinguished by specific hormonal profiles and ultrasound criteria within the NaProTECHNOLOGY surve...
Hilgers TW2004The Medical and Surgical Practice of NaProTECHNOLOGY
The content and sequence of the introductory and follow-up instructional sessions that constitute the formal CrMS education series are outlined, covering observation technique, recording conventions, ...
Hilgers TW2004The Medical and Surgical Practice of NaProTECHNOLOGY
NaProTECHNOLOGY uses the Peak Day of the Creighton Model chart — the last day of the most fertile-type cervical mucus — as the reference point for dating conception, providing a biologically grounded ...
Hilgers TW2004The Medical and Surgical Practice of NaProTECHNOLOGY
Hilgers presents a refined classification of follicular and luteal phase deficiencies grounded in the integration of CrMS mucus pattern characteristics, cycle-phase-targeted estradiol and progesterone...
Hilgers TW et al.2004The Medical and Surgical Practice of NaProTECHNOLOGY
The FertilityCare Practitioner (FCP) is the trained educator and coach who teaches the Creighton Model FertilityCare System to clients, standardizes charting methodology, and serves as the primary dat...
Mirkes R2004The Medical and Surgical Practice of NaProTECHNOLOGY
The philosophical and ethical foundation of NaProTECHNOLOGY is examined through the lens of a "new humanism" that affirms the dignity of women, couples, and the unborn by working within — rather than ...
Hilgers TW et al.2004The Medical and Surgical Practice of NaProTECHNOLOGY
Patients who have undergone multiple failed IVF cycles and are counseled to abandon fertility treatment represent a significant NaProTECHNOLOGY cohort in whom undiagnosed correctable pathology — inclu...
Hilgers TW2004The Medical and Surgical Practice of NaProTECHNOLOGY
Adaptations of CrMS instruction for physiologically distinct reproductive states — including breastfeeding, post-hormonal contraceptive use, long or irregular cycles, and premenopause — are described ...
Hilgers TW2004The Medical and Surgical Practice of NaProTECHNOLOGY
Preconceptional optimization using CrMS cycle data establishes hormonal baselines, identifies correctable pathologies, and guides targeted supplementation before conception is attempted. Systematic pr...
Hilgers TW2004The Medical and Surgical Practice of NaProTECHNOLOGY
Escalating rates of contraceptive use, abortion, divorce, child abuse, teenage pregnancy, and out-of-wedlock births over the preceding four decades are documented as interconnected indicators of syste...
Stanford JB2004The Medical and Surgical Practice of NaProTECHNOLOGY
Methodologically rigorous effectiveness data for the CrMS are presented, including method-effectiveness and use-effectiveness rates for pregnancy avoidance drawn from prospective cohort studies, demon...
Hilgers TW et al.2004The Medical and Surgical Practice of NaProTECHNOLOGY
Compounding pharmacists prepare individualized hormone formulations — including HCG, progesterone, and thyroid preparations — that are central to NaProTECHNOLOGY treatment protocols, where standardize...
Hilgers TW2004The Medical and Surgical Practice of NaProTECHNOLOGY
Postpartum depression in susceptible women is linked to abrupt postpartum progesterone withdrawal following the high-progesterone state of pregnancy, particularly in those with prior PMS, luteal phase...
Hilgers TW et al.2004The Medical and Surgical Practice of NaProTECHNOLOGY
Family physicians trained in NaProTECHNOLOGY serve as primary coordinators of medical management — prescribing targeted hormone support, monitoring biomarker trends, and triaging surgical referrals — ...
Hilgers TW2004The Medical and Surgical Practice of NaProTECHNOLOGY
Cooperative progesterone and estrogen replacement therapy administers bioidentical hormones in precise synchrony with the woman's CrMS-identified Peak day -- beginning progesterone at P+2 or P+3 and c...
Hilgers TW2004The Medical and Surgical Practice of NaProTECHNOLOGY
A systematic framework for managing patient cases within the CrMS-NaProTECHNOLOGY system is presented, addressing how FCPs and medical consultants collaborate to identify abnormal chart patterns, init...
Hilgers TW2004The Medical and Surgical Practice of NaProTECHNOLOGY
Physiological and psychological stress disrupts hypothalamic GnRH pulsatility via CRH-cortisol pathways, producing downstream impairments in LH and FSH secretion that manifest as anovulation, delayed ...
Hilgers TW et al.2004The Medical and Surgical Practice of NaProTECHNOLOGY
Family physicians are optimally positioned to introduce NaProTECHNOLOGY to patients presenting with infertility, irregular cycles, or recurrent pregnancy loss during routine primary care, enabling ear...
Hilgers TW2004The Medical and Surgical Practice of NaProTECHNOLOGY
Women with persistent or continuous vaginal discharges — including those from chronic cervicitis, hormonal imbalance, or other gynecologic sources — present a distinct charting challenge, and this cha...
Vande Vusse L et al.2003Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing
Purpose: Natural Family Planning (NFP) requires periodic abstinence and partner cooperation to prevent pregnancy. The aim of this study was to learn about the effects of modern NFP methods on marital ...
A discrepancy exists between the interest in modern methods of natural family planning (NFP) and their actual use in developed countries. To explore reasons for this discrepancy, we analyzed data from...
Physicians who counsel women for preconception concerns are in an excellent position to give advice to couples regarding the optimal timing of intercourse to achieve pregnancy. The currently available...
The (PD) peak day of cervical mucus is an important biologic marker for the self-determination of the optimal time of fertility in a woman's menstrual cycle. The purpose of this article is to provide ...
Barron ML et al.2001Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
The Creighton Model system of natural family planning (NFP) is useful in achieving pregnancy, avoiding pregnancy, and detecting some gynecologic disorders. NFP practitioners support the client in usin...
Practitioner TrainingNFP Instruction MethodsNFP Practitioner Role
Fehring RJ et al.2001Journal of Midwifery & Women's Health
The purpose of this study was to describe and assess certified nurse-midwives' (CNMs) knowledge and promotion of two modalities for child spacing, natural family-planning (NFP) and the lactational ame...
Healthcare Provider KnowledgeProvider Promotion of NFPChild Spacing Methods
Janssen CJ et al.2000The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception
Objectives: The primary objective of this study was to investigate the profile of the Dutch Persona user and her opinion about this relatively new way of natural birth control. The results of the stud...
Hormone Monitoring DevicesFertility Monitor UseUser Profiles and Satisfaction
Effective use of natural family planning is strongly dependent upon adequate instruction. The Creighton Model Fertility Care System (CrMS) has a standardized protocol for instruction of new users that...
User Education and ComplianceFollow-up and RetentionUser Demographics
OBJECTIVE: To assess physicians' knowledge and practices of modern methods of natural family planning.
METHODS: A questionnaire was mailed to 840 physicians selected randomly from Missouri state lice...
Physician KnowledgeHealthcare Provider AwarenessNatural Family Planning Effectiveness
In Brief Objective To assess physicians' knowledge and practices of modern methods of natural family planning. Methods A questionnaire was mailed to 840 physicians selected randomly from Missouri stat...
Physician Knowledge and PracticesCounseling GapsNFP Effectiveness Perception
Is Menstruation Obsolete? argues that regular monthly bleeding is not the “natural” state of women, and that it actually places them at risk of several medical conditions of varying severity. The auth...
Lemaire JC et al.1998The Journal of Family Practice
BACKGROUND: In the United States, approximately 4% of women of reproductive age use natural family planning (NFP) to avoid pregnancy. It is unclear whether this low number is related to a lack of avai...
Interest and UtilizationFamily Planning PreferencesReproductive Health
Trent AJ et al.1997Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
Two common natural family planning (NFP) methods are the ovulation method based on characteristics of cervical mucus and the symptothermal method based on changes in cervical mucus, basal body tempera...
Ovulation and Symptothermal MethodsNursing PracticeClinical Application
Blake D et al.1997The Australian & New Zealand Journal of Obstetrics & Gynaecology
Eighty women attending for consultation at a tertiary referral fertility unit over a 3-month period were surveyed for their knowledge of fertility awareness and how they used this information to enhan...
Aumack-Yee K1997Advances in Contraception : the Official Journal of the Society for the Advancement of Contraception
To protect and advocate for their own reproductive health, people of all ages can greatly benefit from enhanced body/self awareness and strong interpersonal communication skills. Body/self awareness a...
Reproductive Health AwarenessBody KnowledgeCommunication Skills
Andreasen AR1997Advances in Contraception : the Official Journal of the Society for the Advancement of Contraception
Social marketing applies commercial sector ideas to programs to change behavior. It involves a mindset that is customer-focused; a process that starts with customers and continually returns to them fo...
Behavior ChangeSocial MarketingReproductive Health Awareness
Marshall M et al.1997Advances in Contraception : the Official Journal of the Society for the Advancement of Contraception
The Georgetown University Institute for Reproductive Health has evolved a multi-dimensional approach to reproductive health education which has grown from their work in natural family planning and fer...
Reproductive Health AwarenessProgram DevelopmentCommunity Education
France M et al.1997Advances in Contraception : the Official Journal of the Society for the Advancement of Contraception
This study has determined long-term continuation rates of clients who attended clinics of the New Zealand Association of Natural Family Planning and became autonomous users. It has also identified fac...
Continuation RatesSatisfaction and BarriersNFP User Characteristics
Girotto S et al.1997Advances in Contraception : the Official Journal of the Society for the Advancement of Contraception
The hospital-centered trend that has dominated medical culture and the management of health care during this entire century has, in the last few years, undergone a reversal in Italy. Conditions in oth...
Provider Knowledge and TrainingHealthcare Provider AttitudesFamily Planning Services
Fehring RJ1996Journal of the American Academy of Nurse Practitioners
The purpose of this study was to compare the CUE Ovulation Predictor with the ovulation method in determining the fertile period. Eleven regularly ovulating women measured their salivary and vaginal e...
There are couples with unmet family planning needs and couples who do not use any modern method, yet they desire to space or avoid pregnancies. Many of them look for safe and effective options like th...
Objective: To assess whether temperature is increased by medroxyprogesterone (MPA) and thus whether basal temperature records could be used to determine ovulation during cyclic MPA therapy.
Design: A ...
Barr SI et al.1995The American Journal of Clinical Nutrition
We compared energy and macronutrient intakes across the menstrual cycle in participants (n = 42) in a study that assessed the frequency of ovulatory disturbances in regularly cycling vegetarians and n...
Energy Intake VariationAnovulation DetectionOvulation Confirmation
Barr SI et al.1994The American Journal of Clinical Nutrition
Ovulatory function was prospectively assessed over 6 mo in 23 vegetarians and 22 nonvegetarians with clinically normal menstrual cycles. Subjects were 20-40 y of age, of stable weight (body mass index...
Natural family planning (NFP) methods can be effective if taught well and practised by well-motivated couples. Midwives should be able to give couples an understanding of the basic principles of the m...
Ovulation MethodCervical Mucus and TemperatureReturn of Fertility Detection
A recent survey conducted by the American Academy of Natural Family Planning (AANFP) found that over 55% of Catholic hospitals surveyed either provide or would like to provide some form of Natural Fam...
Sinha G et al.1993Journal of the Indian Medical Association
In spite of constant efforts by health and social workers, existing family planning measures are not used by a vast majority of eligible couples. This is because of the fear that the method may affect...
The Billings method, or cervical mucus method, is a natural family planning method developed during the 1970s by the Australian physicians John and Evelyn Billings. The method requires periodic abstin...
Natural family planning (NFP) is based on the knowledge *largely nonexistent) of a women as to whether she is in her fertile period or not. In contrast to the calendar method, the Billings method cons...
Davis MS1992NAACOG's Clinical Issues in Perinatal and Women's Health Nursing
Natural family planning includes the calendar (rhythm), basal body temperature, ovulation (mucus), and sympto-thermal methods. Reliability of such methods often is underestimated, but effectiveness of...
Fehring RJ1991Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
In recent years, several new devices have been developed to help women achieve or avoid pregnancy. These devices include computerized basal body temperature thermometers, electronic fertility monitors...
Electronic Fertility MonitorsOvulation Detection DevicesTechnological Aids
Vigil P et al.1991Human reproduction (Oxford, England)
In this study we have evaluated the score, sperm migration and ultrastructural characteristics of cervical mucus present in amenorrhoeic women under exclusive breastfeeding at 30, 60, 90, 120, 150 and...
Ducharme maintains that the Vatican's moral argument against all instances of in vitro fertilization (IVF), as set forth in its Instruction on Respect for Human Life in its Origin and on the Dignity o...
Catholic Teaching on IVFAssisted Reproductive TechnologyReligious Perspectives on Reproduction
Fehring RJ1990Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
Time of ovulation as detected by a self-test of luteinizing hormone (LH) in the urine was compared with time of ovulation as detected by self-observation of cervical mucus. Twenty regularly cycling wo...
Ovulation Prediction AccuracyLH Surge vs Cervical MucusComparative Validation
Fehring RJ et al.1989International review (Steubenville, Ohio)
The purpose of this study was to compare the intimacy, spiritual well being (SWB), and self-esteem of couples using natural family planning (NFP) with those couples using oral contraceptives (OCs). 22...
Couple RelationshipsPsychosocial EffectsCreighton Model
Women can accurately predict the day of ovulation by examining vaginal mucus using the Billings Ovulation Method (BOM). they then can choose to either have sexual intercourse if they wish to conceive ...
Gomes I et al.1988International Journal of Fertility
A 12-month evaluation of the Ovulation Method of Natural Family Planning programme in Bangladesh is presented. Four hundred and forty-eight women entered the programme, 232 for spacing, 184 for limiti...
Klaus H et al.1988International Journal of Adolescent Medicine and Health
Fertility awareness is experiential learning about cyclic fertility. This awareness, used as a family planning method, differs from contraception because it does not isolate the procreative capacity o...
Natural methods of family planning make use of the naturally occurring signs and symptoms of the fertile and infertile phases of the menstrual cycle. Recognizable signs and symptoms occur cyclically, ...
Symptothermal MethodBillings Ovulation MethodMucus Patterns and Fertility
Hatherley LI1985Clinical reproduction and fertility
A prospective six-year study (1975-1980) of 273 patients, monitored in the use of natural family planning (NFP), has shown that those with previously irregular menstrual cycles are disadvantaged in th...
Hatherley LI1985Clinical Reproduction and Fertility
Luteal phase abnormalities in early menstrual cycles after pregnancy have been shown to cause confusion in the practice of natural family planning (NFP) for some patients and to restrict severely the ...
Return of FertilityLuteal Phase AbnormalitiesPostpartum Monitoring
Reliable indicators to detect the fertile and infertile phases in the menstrual cycle are now available, largely due to the intensive scientific research into fertility over the past decade. This mean...
Natural Family Planning OverviewMethod ReliabilityCouples Education
The efficacy, the ability of Indian women to use the Billings' Ovulation Method, and its effectiveness in helping them to control their fertility was studied in a sample of urban poor living in the De...
Muzzerall L1984Canadian Family Physician Medecin De Famille Canadien
With the Billings Ovulation Method of natural family planning, women chart the symptoms of changes of their cervical mucus to determine when they are ovulating. The Ovulation Method is simple to learn...
By studying the changes of microscopic and ultramicroscopic structure of cervical mucus and the corresponding changes of ovarian hormone levels throughout the cycle, a close correspondence was found b...
The ovulation method makes women aware of certain changes in their cervical mucus. These modifications help to distinguish the beginning and end of the cycle's fertile period and indicate the time of ...
Klaus H1983Journal of American College Health : J of ACH
Despite skepticism on the part of the health care delivery system, increasing numbers of women and couples are relying on natural family planning methods to avoid or achieve pregnancy. Most clients re...
Billings Ovulation MethodSympto-Thermal MethodClinician Role
The symptothermal methods include all those that identify the woman's fertile period through the basal body temperature and the periovulatory signs. Research conducted following the discovery over a c...
Methodology and InterpretationNatural Family Planning EffectivenessOvulation Indicators
All forms of birth control require some motivation, and motivation calls for understanding. If a woman learns to interpret her own cycles, her understanding of her body will be enhanced, and this coul...
Nursing and MidwiferySympto-Thermal MethodCycle Interpretation and Signs
There is renewed interest in natural family planning (NFP) as the Philippine Population Program enters the 1980s. Much of this interest is due to the realization that, properly practiced, NFP can be a...
Comprehensive ReviewMethod ComparisonPublic Health Programs
In studying the structural changes of human cervical mucus during the ovulatory cycle, they have been observed to be directly related to ovarian hormone changes. Mucus structural changes, if taken acc...
Structural Changes and HormonesCervical Mucus MorphologyCervical Mucus Observation
Bourdillon C1982The Central African Journal of Medicine
Frequently, when one mentions natural family planning methods, the response is doubt, bewilderment, ridicule, or scorn. Much of this is due to the fact that many people know only of the rhythm method,...
22 physician-providers who serve natural family planning (NFP) programs, mostly in the private sector, gathered to formulate a standard terminology for the field. The Billings and sympto-thermal metho...
Terminology and DefinitionsCore CurriculaNFP Effectiveness Definitions
Billings JJ1982American Journal of Obstetrics and Gynecology
Wade et al.'s report, entitled "A randomized prospective study of the use-effectiveness of 2 methods of natural family planning," contains items worthy of emphasis. These includes the following: 1) le...
Use EffectivenessMethod ComparisonPattern Recognition
The ovulation method provides a woman with an awareness of her cervical mucus pattern. This enables her to mark the beginning and end of the fertile phase of the cycle as well as the time of maximum f...
Cervical Mucus ObservationBiomarker of FertilityMucus Pattern Recognition
Now that principles of NFP have been established specific programs are necessary to disperse information and to teach techniques. The hospital-based NFP program offers the community a needed service a...
This article describes the theory, methodology, and effectiveness of three natural methods of family planning: rhythm by calendar, strict basal body temperature rhythm, and combination calendar-BBT rh...
Client CounselingCalendar and BBTReproductive Physiology
St. Louis University Natural Family Planning Center. St. Louis. Missouri and Creighton University Natural Family Planning Education and Research Center, Omaha. Nebraska
The ovulation method of natural family planning is described in detail as taught in the ovulation method centers with an account of its development in Australia and the underlying philosophy. Hormonal...
From January 1, 1968 to May 31, 1973, 100 patients received first kidney transplants from sibling donors. All recipients have been followed for at least two years and several as long as 7.5 years. One...
Flynn AM et al.1976British Journal of Obstetrics and Gynaecology
Nine healthy fertile women were studied during 29 menstrual cycles. A cervical mucus grading system, assessed by the patient and used in conjunction with basal body temperature, was correlated with pl...
A personal series of 600 private patients using natural family planning techniques is presented. The total failure rate was 4.7 pregnancies per 100 woman-years. The advantages of this method over conv...
Clinical OutcomesEfficacy ComparisonPatient Series
The ovulation method of family planning relies on self-recognition of physiological changes occuring around time of ovulation rather than a calendar to enable a couple to avoid sexual intercourse duri...
Billings Ovulation MethodField TrialsMucus and Temperature Indicators
Since classical times there has been discussion on the existence or non-existence of variations in libido in women during the menstrual cycle.*This discussion reached its peak in the nineteenth and ea...