Post # 46
I think we are going to try natural family planning after the wedding. It won’t be the end of the world if we end pregnant but we would like to wait until after our honeymoon which is a few months after the wedding. During our marriage preg course the Billings method was outlined and it seems pretty straightforward.
Course we might just say shag it and let nature take its course lol.
Post # 47
The paper above explains a lot of reasons why effectiveness rates vary.
Briefly, these are:
1) FAM has been developed over the past 40 years by a variety of researchers. So, each FAM method is slightly different, and this contributes to the differing effectiveness rates.
2) Studies are derived from a mix of cultures. Research methods may vary from culture to culture, along with motivaiton to avoid pregnancy.
3)”The methods currently used to calculate the method effectiveness are questionable. Many investigators have recognized the importance of distinguishing between pregnancies attributable to user failure and method failure (method effectiveness). The standard procedure up to now was to compute separate method and use-effectiveness rates (pregnancies divided by exposure). In this procedure, all exposure from perfect and imperfect use is included in denominator of both method and user failure rates. The common misinterpretation is that the resulting method effectiveness rate yields information about the inherent efficacy of the method. Inherent method efficacy can be measured only when the numerator (method failures) is assessed in relation to the proper risk set, i.e. the exposure only when the method is used perfectly. For this reason, method effectiveness rates computed by the standard procedure are biased downwards to an unknown extent (Trussell and Grummer-Strawn, 1990).
This problem is further confounded by the different ways an unintended pregnancy is classified. Some prospective studies ensure the couple’s intention to avoid a pregnancy is recorded at the beginning of each menstrual cycle. Other studies are retrospective and only question the couple’s intention after sexual intercourse has been recorded during the fertile time. “
4) Developing countures tend to use the more simpler and less effective forms of FAM, and so this results in lower effectiveness rates.
Post # 48
- Wedding: June 2014 - DD born 2015 DS born 2017
I’ve followed my ovulation with a calendar and cervical mucus and avoided danger days as well as the pull-out method with my husband. 3+ years successful! I like how I’m in-tune with my body too 🙂
I’d like to mention that we’ve always been financially capable of raising a child if it did happen; I would never have depended on the pull-out method for previous relationships when a child would have been unwelcome.