Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

New research finds that a natural family planning method is as effective as the contraceptive pill

21.02.2007
Researchers have found that a method of natural family planning that uses two indicators to identify the fertile phase in a woman’s menstrual cycle is as effective as the contraceptive pill for avoiding unplanned pregnancies if used correctly, according to a report published online in Europe’s leading reproductive medicine journal Human Reproduction today (21 February). [1]

The symptothermal method (STM) is a form of natural family planning (NFP) that enables couples to identify accurately the time of the woman’s fertile phase by measuring her temperature and observing cervical secretions. In the largest, prospective study of STM, the researchers found that if the couples then either abstained from sex or used a barrier method during the fertile period, the rate of unplanned pregnancies per year was 0.4% and 0.6% respectively. Out of all the 900 women who took part in the study, including those who had unprotected sex during their fertile period, 1.8 per 100 became unintentionally pregnant.

The lead author of the report, Petra Frank-Herrmann, assistant professor and managing director of the natural fertility section in the Department of Gynaecological Endocrinology at the University of Heidelberg, Germany, said: “For a contraceptive method to be rated as highly efficient as the hormonal pill, there should be less than one pregnancy per 100 women per year when the method is used correctly. The pregnancy rate for women who used the STM method correctly in our study was 0.4%, which can be interpreted as one pregnancy occurring per 250 women per year. Therefore, we maintain that the effectiveness of STM is comparable to the effectiveness of modern contraceptive methods such as oral contraceptives, and is an effective and acceptable method of family planning.”

A number of fertility awareness based (FAB) methods of family planning have been advocated over the years, but comparisons between different methods and studies of their effectiveness have been limited and hampered by problems such as differences in cultural backgrounds, different ways to measure the effectiveness 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 teacher. Learning STM is usually no problem. There are precise rules that work. However, in contrast to the oral contraceptive pill or other family planning methods, STM needs more engagement and time to learn it.”

Every month the women in the study sent charts to the researchers that showed their cycles, their observations of temperature and cervical secretions, and that recorded their sexual behaviour and family planning intentions for the next cycle.

Of the 900 women, 322 used only STM and 509 women used STM with occasional barriers during the fertile time. Sixty-nine women did not document their sexual behaviour. Out of the women who documented their sexual behaviour and abstained from sex during their fertile period (“perfect use”) the unintended pregnancy rate was 0.4 per 100 women and 13 cycles [2], and 0.6 for women who used STM plus a barrier if they had sex during their fertile period. For cycles in which couples had unprotected sex during the fertile phase, the pregnancy rates rose to 7.5 per 100 women and 13 cycles. The drop-out rate from using STM for reasons such as dissatisfaction or difficulties with the method was 9.2 per 100 women and 13 cycles, and compared well with the drop-out rates from other methods of family planning, which can be as high as 30%, although direct comparisons are difficult due to methodological problems. “This demonstrates a fairly good acceptability for this particular FAB method,” said Prof Frank-Herrmann.

The authors were surprised by the relatively low rate of unintended pregnancies (7.5%) among women who had unprotected sex during their fertile period. “If people are trying for pregnancy you expect a pregnancy rate of 28% per cycle,” said Prof Frank-Herrmann. “Therefore, we think that some of the couples were practising conscious, intelligent risk-taking, and were having no unprotected sex during the few highly fertile days, but had unprotected intercourse on the days at the margins of the fertile time when the risk of pregnancy was lower.”

Some studies have suggested that women’s libido is higher during their fertile period, and this could be one of the reasons why NFP methods traditionally have had a reputation for being less effective than other methods of family planning. However, Prof Frank-Herrmann said: “There are studies that suggest that this is only the case for a small proportion of women, and that, in fact, women also identify other parts of their cycle with increased sexual desire. Most women who use FAB do not find this a problem. It’s possible that the increased libido may be one of the reasons that some of the couples in our study used a barrier, such as a condom, in the fertile phase.

“This is the first time that a large, prospective STM database has been established with sufficient detailed information on sexual behaviour. It enables the true method effectiveness for STM to be calculated and we found this was 0.4% per year when there was no intercourse during the fertile phase. The user-effectiveness of STM, in other words the total number of unintended pregnancies that were due to both method and user failure, was 1.8% after 13 cycles of use, and this compares very well with results from other European studies of FAB methods of family planning. The markedly good user-effectiveness rate may be explained partly by the motivation of the couples and their teachers who agreed to participate in the study,” she concluded.

(ends)

[1] The effectiveness of a fertility awareness based method to avoid pregnancy in relation to a couple’s sexual behaviour during the fertile time: a prospective longitudinal study. Human Reproduction. doi:10.1093/humrep/dem003.

[2] This assumes a woman has 13 cycles in a year.

Emma Mason | alfa
Further information:
http://www.eshre.com
http://www.oxfordjournals.org/eshre/press-release/freepdf/dem003.pdf

More articles from Health and Medicine:

nachricht New malaria analysis method reveals disease severity in minutes
14.08.2017 | University of British Columbia

nachricht New type of blood cells work as indicators of autoimmunity
14.08.2017 | Instituto de Medicina Molecular

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Fizzy soda water could be key to clean manufacture of flat wonder material: Graphene

Whether you call it effervescent, fizzy, or sparkling, carbonated water is making a comeback as a beverage. Aside from quenching thirst, researchers at the University of Illinois at Urbana-Champaign have discovered a new use for these "bubbly" concoctions that will have major impact on the manufacturer of the world's thinnest, flattest, and one most useful materials -- graphene.

As graphene's popularity grows as an advanced "wonder" material, the speed and quality at which it can be manufactured will be paramount. With that in mind,...

Im Focus: Exotic quantum states made from light: Physicists create optical “wells” for a super-photon

Physicists at the University of Bonn have managed to create optical hollows and more complex patterns into which the light of a Bose-Einstein condensate flows. The creation of such highly low-loss structures for light is a prerequisite for complex light circuits, such as for quantum information processing for a new generation of computers. The researchers are now presenting their results in the journal Nature Photonics.

Light particles (photons) occur as tiny, indivisible portions. Many thousands of these light portions can be merged to form a single super-photon if they are...

Im Focus: Circular RNA linked to brain function

For the first time, scientists have shown that circular RNA is linked to brain function. When a RNA molecule called Cdr1as was deleted from the genome of mice, the animals had problems filtering out unnecessary information – like patients suffering from neuropsychiatric disorders.

While hundreds of circular RNAs (circRNAs) are abundant in mammalian brains, one big question has remained unanswered: What are they actually good for? In the...

Im Focus: RAVAN CubeSat measures Earth's outgoing energy

An experimental small satellite has successfully collected and delivered data on a key measurement for predicting changes in Earth's climate.

The Radiometer Assessment using Vertically Aligned Nanotubes (RAVAN) CubeSat was launched into low-Earth orbit on Nov. 11, 2016, in order to test new...

Im Focus: Scientists shine new light on the “other high temperature superconductor”

A study led by scientists of the Max Planck Institute for the Structure and Dynamics of Matter (MPSD) at the Center for Free-Electron Laser Science in Hamburg presents evidence of the coexistence of superconductivity and “charge-density-waves” in compounds of the poorly-studied family of bismuthates. This observation opens up new perspectives for a deeper understanding of the phenomenon of high-temperature superconductivity, a topic which is at the core of condensed matter research since more than 30 years. The paper by Nicoletti et al has been published in the PNAS.

Since the beginning of the 20th century, superconductivity had been observed in some metals at temperatures only a few degrees above the absolute zero (minus...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Call for Papers – ICNFT 2018, 5th International Conference on New Forming Technology

16.08.2017 | Event News

Sustainability is the business model of tomorrow

04.08.2017 | Event News

Clash of Realities 2017: Registration now open. International Conference at TH Köln

26.07.2017 | Event News

 
Latest News

A Map of the Cell’s Power Station

18.08.2017 | Life Sciences

Engineering team images tiny quasicrystals as they form

18.08.2017 | Physics and Astronomy

Researchers printed graphene-like materials with inkjet

18.08.2017 | Materials Sciences

VideoLinks
B2B-VideoLinks
More VideoLinks >>>