Fertility Awareness: A Natural Approach to Contraception and Pregnancy

Fertility awareness, also known as natural family planning, is a method that allows individuals to determine their fertile days in a menstrual cycle, whether for contraception or trying to conceive. There are various approaches to practising fertility awareness, including the symptothermal method, ovulation method, periodic abstinence, mucus method, Billings method, and rhythm method. In this article, we will delve into the concept of fertility awareness, its advantages and disadvantages, and the different methods available.

Understanding Fertility Awareness:

Fertility awareness involves identifying the days in your menstrual cycle when conception is most likely. By monitoring signs such as body temperature and vaginal mucus, individuals can estimate their fertile period accurately. Typically, pregnancy is less likely during the first half of the menstrual cycle. Therefore, abstaining from sex during fertile days reduces the chances of pregnancy.

Suitability of Fertility Awareness:

Fertility awareness may not be suitable in the following cases:

  1. Recently discontinuing hormonal contraception, such as the pill.
  2. Irregular menstrual cycles.
  3. Approaching menopause.
  4. Lack of full cooperation from the partner.

Advantages of Fertility Awareness:

Fertility awareness offers several advantages as a natural form of contraception:

  1. No side effects: Unlike hormonal methods, fertility awareness does not introduce artificial substances into the body, minimising the risk of side effects.
  2. Cost-effective: Fertility awareness methods are accessible to everyone, as they do not require any additional expenses.
  3. Body awareness: Practising fertility awareness allows individuals to understand their bodies better, fostering a closer connection and empowerment.

Disadvantages of Fertility Awareness:

While fertility awareness can be effective, there are certain disadvantages to consider:

  1. Increased risk of pregnancy: Compared to other contraception methods, fertility awareness carries a higher risk of unintended pregnancy if not followed meticulously. Approximately 1 in 4 women using these methods may become pregnant.
  2. Learning curve: Successfully implementing fertility awareness requires time, patience, and strict adherence to instructions. Some individuals may find it challenging to accurately predict ovulation.
  3. No protection against STIs: Fertility awareness methods do not offer protection against sexually transmitted infections (STIs). Additional forms of contraception, like condoms, are necessary for STI prevention.

Types of Fertility Awareness Methods:

Several methods can be employed to track fertility awareness:

  1. Cervical Mucus Method or Billings Method: By observing changes in cervical mucus, individuals can determine their fertile days. Clear and stretchy mucus indicates ovulation, while thicker and cloudier mucus signifies the end of the fertile period.
  2. Temperature Method: Tracking basal body temperature (resting temperature) helps identify ovulation. A slight rise in temperature after ovulation suggests the onset of the infertile phase.
  3. Symptothermal Method: This approach combines temperature tracking with the examination of cervical mucus and additional ovulation-related symptoms, such as abdominal pain, spotting, or breast tenderness. Integrating multiple indicators enhances the accuracy of fertility awareness.
  4. Calendar or Rhythm Method: While less reliable, this method involves tracking menstrual cycles and estimating fertile days based on past patterns. It is not suitable for individuals with irregular cycles.


Fertility awareness offers a natural and hormone-free approach to contraception and family planning. By understanding the menstrual cycle and tracking signs of fertility, individuals can make informed decisions about their reproductive health. While fertility awareness requires careful adherence and may carry a higher risk of pregnancy compared to other methods, it provides an alternative for those who prefer a non-invasive and cost-effective approach. Consult with a family clinic in Australia, such as Family Clinic Prospect or Family Clinic Hove, for guidance and support in implementing fertility awareness methods


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