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Behavioral Methods of Contraception

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The Handbook of Contraception

Part of the book series: Current Clinical Practice ((CCP))

Abstract

A large proportion of couples rely on behavioral methods of contraception, at least intermittently or at some point in their lives. These methods rely on knowledge about male and female reproductive physiology and the menstrual cycle rather than medications, herbs, devices, or barriers to prevent pregnancy. Behavioral methods can be divided into two categories: methods that do not rely on the menstrual cycle (i.e., abstinence or coitus interruptus) and methods that rely on the menstrual cycle. Methods that rely on the menstrual cycle can be further subdivided into Fertility Awareness Methods (FAM) and “Natural” Family Planning (NFP). FAM includes methods that rely on women to monitor physiologic changes during their menstrual cycle whereas NFP relies on the menstrual calendar to distinguish likely fertile from non-fertile days.

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References

  1. Finer LB, Philbin JM. Sexual initiation, contraceptive use, and pregnancy among young adolescents. Pediatrics. 2013;131(5):886–91.

    Article  PubMed Central  PubMed  Google Scholar 

  2. Kirby D, Korpi M, Barth RP, Cagampang HH. The impact of the postponing sexual involvement curriculum among youths in California. Fam Plann Perspect. 1997;29(3):100–8.

    Article  CAS  PubMed  Google Scholar 

  3. Kirby D. Emerging answers 2007: research findings on programs to reduce teen pregnancy and sexually transmitted diseases. Washington, DC: National Campaign to Prevent Teen and Unplanned Pregnancy; 2007.

    Google Scholar 

  4. Moser W, Jones J. Use of contraception in the United Sates: 1982–2008. National Center for Health Statistics. Vital Health Stat 2010;23(29).

    Google Scholar 

  5. Dude A, Neustadt A, Martins S, Gilliam M. Use of withdrawal and unintended pregnancy among females 15–24 years of age. Obstet Gynecol. 2013;122(3):595–600.

    Article  PubMed  Google Scholar 

  6. de Vincenzi I. A longitudinal study of human immunodeficiency virus transmission by heterosexual partners. European Study Group on Heterosexual Transmission of HIV. New Engl J Med. 1994;331(6):341–6.

    Article  PubMed  Google Scholar 

  7. Kinsey A, Pomeroy W, Martin C, Gebhard P. Sexual behavior in the human female. Philadelphia, PA: WA Saunders; 1953.

    Google Scholar 

  8. Kaye K, Suellentrop K, Sloup C. The fog zone: how misperceptions, magical thinking, and ambivalence put young adults at risk for unplanned pregnancy. Washington, DC: The National Campaign to Prevent Teen and Unplanned Pregnancy. 2009.

    Google Scholar 

  9. Wilcox AJ, Dunson D, Baird DD. The timing of the “fertile window” in the menstrual cycle: day specific estimates from a prospective study. Br Med J. 2000;321(7271):1259–62.

    Article  CAS  Google Scholar 

  10. World Health Organization Task Force on Methods for the Determination of the Fertile Period Special Program of Research, Development and Research Training in Human Reproduction. A prospective multicentre trial of the ovulation method of natural family planning. II. The effectiveness phase. Fertil Steril. 1981;36(5):591–8.

    Google Scholar 

  11. Hatcher RA, Trussell J, Nelson AL, Cates W, Kowal D, Policar M (eds). Contraceptive technology: twentieth revised edition. New York, NY: Ardent Media; 2011.

    Google Scholar 

  12. World Health Organization Task Force on Methods for the Determination of the Fertile Period Special Program of Research, Development and Research Training in Human Reproduction. A prospective multicentre trial of the ovulation method of natural family planning. I. The teaching phase. Fertil Steril. 1981;36(2):152–8.

    Google Scholar 

  13. Burkhart MC, de Mazariegos L, Salazar S, Hess T. Incidence of irregular cycles among Mayan women who reported having regular cycles: implications for fertility awareness methods. Contraception. 1999;59(4):271–5.

    Article  CAS  PubMed  Google Scholar 

  14. Lamprecht VM, Grummer-Strawn L. Development of new formulas to identify the fertile time of the menstrual cycle. Contraception. 1996;54(6):339–43.

    Article  CAS  PubMed  Google Scholar 

  15. Frank-Herrmann P, Heil J, Gnoth C, Toledo E, Baur S, Pyper C, et al. 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. Hum Reprod. 2007;22(5):1310–9.

    Article  CAS  PubMed  Google Scholar 

  16. Arevalo M, Jennings V, Sinai I. Efficacy of a new method of family planning: the Standard Days Method. Contraception. 2002;65(5):333–8.

    Article  PubMed  Google Scholar 

  17. World Health Organization Task Force on Methods for the Determination of the Fertile Period Special Program of Research, Development and Research Training in Human Reproduction. A prospective multicentre trial of the ovulation method of natural family planning. III. Characteristics of the menstrual cycle and of the fertile phase. Fertil Steril. 1983;40(6):773–8.

    Google Scholar 

  18. Arevalo M, Jennings V, Nikula M, Sinai I. Efficacy of the new TwoDay Method of family planning. Fertil Steril. 2004;82(4):885–92.

    Article  PubMed  Google Scholar 

  19. Jennings V, Sinai I, Sacieta L, Lundgren R. TwoDay Method: a quick-start approach. Contraception. 2011;84(2):144–9.

    Article  PubMed  Google Scholar 

  20. Bouchard TP, Genuis SJ. Personal fertility monitors for contraception. Can Med Assoc J. 2011;183(1):73–6.

    Article  Google Scholar 

  21. Fehring RJ, Schneider M, Barron ML. Efficacy of the Marquette Method of natural family planning. MCN Am J Matern Child Nurs. 2008;33(6):348–54.

    Article  PubMed  Google Scholar 

  22. Leiva R, Burhan U, Kyrillos E, Fehring R, McLaren R, Dalzell C, et al. Use of ovulation predictor kits as adjuncts when using fertility awareness methods (FAMs): a pilot study. J Am Board Fam Med. 2014;27(3):427–9.

    Article  PubMed  Google Scholar 

  23. Freundl G, Godehardt E, Kern PA, Frank-Herrmann P, Koubenec HJ, Gnoth C. Estimated maximum failure rates of cycle monitors using daily conception probabilities in the menstrual cycle. Hum Reprod. 2003;18(12):2628–33.

    Article  CAS  PubMed  Google Scholar 

  24. Visness CM, Kennedy KI, Gross BA, Parenteau-Carreau S, Flynn AM, Brown JB. Fertility of fully breast-feeding women in the early postpartum period. Obstet Gynecol. 1997;89(2):164–7.

    Article  CAS  PubMed  Google Scholar 

  25. World Health Organization Task Force on Methods for the Natural Regulation of Fertility. The World Health Organization multinational study of breast-feeding and lactational amenorrhea. III. Pregnancy during breast-feeding. Fertil Steril. 1999;72(3):431–40.

    Article  Google Scholar 

  26. Riman T, Nilsson S, Persson IR. Review of epidemiological evidence for reproductive and hormonal factors in relation to the risk of epithelial ovarian malignancies. Acta Obstet Gynecol Scand. 2004;83(9):783–95.

    Article  PubMed  Google Scholar 

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Correspondence to Anna L. Altshuler MD, MPH .

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Altshuler, A.L., Blumenthal, P.D. (2016). Behavioral Methods of Contraception. In: Shoupe, D., Mishell, Jr., D. (eds) The Handbook of Contraception. Current Clinical Practice. Humana Press, Cham. https://doi.org/10.1007/978-3-319-20185-6_14

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  • DOI: https://doi.org/10.1007/978-3-319-20185-6_14

  • Publisher Name: Humana Press, Cham

  • Print ISBN: 978-3-319-20184-9

  • Online ISBN: 978-3-319-20185-6

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