The Three Methods of Natural Family Planning--and How to Choose the One for You
/BRIDGET BUSACKER
Exasperated, I looked at my fiance. We discussed NFP while dating and during engagement; we recognized the importance and the need for NFP in our marriage to help us grow in holiness. Although I had been charting for a few years and found great freedom in understanding my fertility and advocating for my health care needs, we didn’t realize there were so many different methods to choose from.
We had scheduled a time to pick a Natural Family Planning (NFP) method during our engagement, but it was difficult to create a pros and cons list of each method and choose one to pursue as a couple. We thought that work had already been done, but here we were, 3 hours later, more frustrated than ever.
It was through this experience that I founded Managing Your Fertility, an online, one-stop shop of NFP resources for women and couples.
PHOTOGRAPHY: HER WITNESS
I didn’t want women and couples to experience what we had gone through; I desire to help facilitate conversations, create pros and cons lists, and simplify picking a method to help women—and their spouses—learn your body, embrace your fertility, and confidently move forward in your marriage.
So, you might be reading this and nodding along, frustrated by a similar situation. Maybe you don’t quite understand the importance of NFP in married life. Or maybe you want to find a different method, but you’re intimidated by all the options.
It can feel daunting. This is the method you are choosing to help you prayerfully discern family planning and embracing new life! But, as my (now) husband and I learned, and are learning, the many options help us to live out different seasons of married life together—prayerfully, open, and discerning every month.
Let’s start at the beginning and review the foundation of NFP, so you and your partner feel confident picking a method, and can embrace this teaching of the Catholic Church with great joy and confidence!
What is Natural Family Planning (NFP)?
Natural Family Planning is the definition given by the Catholic Church that supports the teaching on human sexuality and science of tracking fertility. The Catholic Church does not support the use of contraception of any kind as a means to avoid pregnancy. Rather, the Catholic Church supports a holistic approach of the woman (and couple, working together) tracking her cycles and determining fertile and infertile times. If the couple has prayerfully discerned avoiding pregnancy, abstinence is practiced during fertile times.
In 1972, the National Institute of Child Health & Human Development and the Human Life Foundation co-sponsored an international conference for NFP. Experts from around the world were in attendance and it was at this conference that the definition was developed to encompass the three commonly used methods: hormonal-only, mucus-only, and sympto-thermal. Then, in 1976, the World Health Organization (WHO) provided an official definition: “the naturally occurring physiological manifestation of fertile and infertile phases of the menstrual cycle”.
The Catholic Church supports fertility awareness based methods (FABMs), which are a way to track fertile and infertile times during the reproductive cycle and based on daily observations, which fluctuate each cycle. During fertile times, abstinence is practiced to avoid pregnancy.
You may hear the term Fertility Awareness Methods (FAMs) trending in news articles and social media, so it’s important to know that these methods also track fertile and infertile times and follow daily observations of the cycle, but the difference is that barrier methods are used during fertile periods. And the Catholic Church doesn’t condone the use of barrier methods during fertile times to avoid pregnancy.
How many methods are there?
Now that we have the foundation of NFP and the two different umbrella terms for various methods (FABMs and FAMs), it’s time to break down the methods available under FABMs that are safe, effective, and supported by the Catholic Church and science (these go hand-in-hand and work together)!
There are three different types of FABMs: hormonal-only, mucus-only, and sympto-thermal.
Hormonal-only method | Detects production of key fertility hormones with daily at-home urine tests with an electronic fertility monitor and cross checking it with daily cervical mucus observations.
Mucus-only method | Teaches users how to observe biomarkers during the phases of the menstrual cycle, specifically, through observing and charting changes in the color and consistency of cervical mucus.
Sympto-thermal method | Based on the observations of cervical fluid, basal body temperature (waking temperature) and biological signs (i.e. changes in the cervix).
Under each of these methods, there are various organizations and instructors available, so that you can pick a method that works best for you.
Which one should I choose?
It is a great fortune to have so many options available. Although it can seem stressful, a variety of methods means you can pick what works best for you based on your season of life and lifestyle.
If you are someone who thrives on a schedule and wakes up at the same time every morning, the sympto-thermal method may be a great option for you because it not only requires checking cervical mucus throughout the day, you have an additional checkpoint of taking your temperature at the same time every morning.
Maybe you are expecting a baby and you would like to track your fertility postpartum, but know that hormones are adjusting and your fertility may not come back for a few months, so hormonal-only is a great option. It checks hormone levels in your urine and uses an electronic fertility monitor, while cross-checking mucus to help you navigate those early months as a new mom and beyond.
Perhaps you want something simple and you want to track your cervical mucus, preferring to learn one thing at a time. Then, the mucus-only methods are the best option for you! Checking your cervical mucus is a part of each method and may be just what you need to get started.
Take your time to learn about each method and ask questions of practitioners, so you feel comfortable and confident with the method you choose to move forward in your marriage.
Wherever you and your partner may be in your journey together, I hope this encourages you and inspires you to know that the Catholic Church supports you in understanding your body, recognizing the beauty of your fertility, and relying on scientific research that supports a holistic approach to your health. This journey is not easy, but it is rewarding to put in the work and understand how incredible your body truly is!
For additional professional NFP support and coaching, Spoken Bride’s Vendor Guide includes several NFP Instructors.
If you liked this article, we hope you enjoy this episode of the Spoken Bride podcast featuring Bridget Busacker.
About the Author: Bridget Busacker is a public health communications professional and founder of Managing Your Fertility, a one-stop shop for NFP/FABM resources for women and couples. She is married to her wonderful husband, David, and together they have a sweet daughter.
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