How effective is NFP?
Who can use NFP?
What are the benefits of using NFP?
How is NFP different from contraception?
How can we learn NFP?
What
is natural family planning?
Natural family planning (NFP) is an umbrella term
for certain methods used to achieve and avoid pregnancy. These methods
work by having the wife observe naturally-occurring signs such as
changes in her body temperature upon waking and changes in her cervical
mucus.
By charting fertility signs daily, a woman can
determine when she is fertile and when she is infertile. If the couple
wishes to generously welcome a child, they know when they have the best
chances of conceiving. If the couple wishes to postpone pregnancy, they
abstain during the fertile time.
NFP is 100% natural -- no drugs, devices, or
surgical procedures are used to avoid pregnancy. And, when practiced
correctly, it is 99.6% effective. (That's higher than any method of
simple contraception, according to the World Health Organization.)
NFP reflects the dignity of the human person
within the context of marriage and family life, promotes openness to
life, and recognizes the value of the child. By respecting the
love-giving and life-giving natures of marriage, NFP can enrich the
bond between husband and wife.
(Standards for Diocesan Natural Family Planning Ministry, p. 23)
How
effective is NFP?
First, a reassurance: NFP is NOT the rhythm method.
The Rhythm (or Calendar) method was developed in the 1930s. It was based
on the theory that the time of ovulation could be determined by
calculating previous menstrual cycles. This method often proved
inaccurate because of the unique nature of each woman's menstrual cycle:
some women have very irregular cycles and almost all women have a cycle
of unusual length once in a while.
Modern NFP methods, however, are progressive. That
is, they are based on progressive, day-to-day observations of the
naturally-occurring signs and symptoms of the fertile and infertile
phases of the menstrual cycle. NFP methods take advantage of the changes
associated with ovulation, treating each cycle as unique.
Study after study has shown NFP to be up to
99 percent effective at helping couples avoid pregnancy. After a
large scale, multi-year study comparing NFP to the IUD, for
example, the Chinese government was so impressed with NFP that
it officially declared in 1995 that the method must be presented
to all citizens as part of its compulsory family planning
instruction. There are currently more than 4 million couples
using NFP in China to avoid pregnancy with an overall success
rate of 98+ percent.
For AAFCP research study, click here.
In early 2007,
a large-scale German study also confirmed that NFP is highly
effective. Researchers studied cycles of 900 women and found
that couples who used the sympto-thermal method and abstained
during the fertile time had a pregnancy rate of less than one
percent.
Who
can use NFP?
Any married couple can use NFP!
Unlike hormonal birth
control methods, which are contraindicated for many women, NFP can be
used by any woman of any age at all phases of her reproductive life. You
can use NFP regardless of your cycle length (short, typical, or long).
You also can use the method effectively during the post-partum period,
while breastfeeding, after discontinuing hormonal contraception, and
during pre-menopause.
What
are the benefits of using NFP?
NFP is completely healthy, highly effective, and
virtually free. But many users report that the best benefits of using it
are emotional and spiritual.
Shared Responsibility
Although modern
contraception was supposed to liberate women, women still typically bear
the majority of the responsibility for family planning. It is often
expected that women will take the necessary steps to avoid pregnancy and
their husbands may have little input into or responsibility for their
family planning.
With NFP, both spouses are taught to understand the
nature of fertility and work with it, either to plan a pregnancy or to
avoid one. Couples who use NFP share responsibility for family planning
because they make the decision to make love or abstain together.
Greater Communication
NFP tends to increase communication between
husbands and wives because it encourages them to speak openly and
frankly about their sexual desires and desired family size. Every cycle
is an opportunity to discuss why it might still be necessary to abstain
or whether you are able to generously welcome another child.
NFP’s ability to help couples improve their
communication can be seen in the impressively low divorce rates for
couples who use it.
Several studies have reported the divorce rate for
NFP users to be between 1 and 5 percent. (1,
2,
3). It is currently
estimated that 40 percent of all U.S. marriages will end in divorce.
Greater Appreciation
When you can have something any time you wish, you
can easily take it for granted. But when you must abstain from something
you enjoy — especially something as wonderful as making love to your
spouse — you tend to appreciate it more when it is available.
Many couples who use NFP say that periodic
abstinence (about 10 days per cycle) actually hones their appreciation
for one another. The abstinence tends to have a “honeymoon effect,”
causing couples to anticipate being together again in the infertile
time.
Increased Romance
When a couple who uses NFP has agreed that they
need to avoid pregnancy, spouses can be confident that affection during
the fertile time is “just because.” Having a time each month when
sexual expression is to be avoided also helps couples learn to express
their love for one another in non-sexual ways. This is why NFP often
cultivates greater romance between spouses and helps them rediscover why
they fell in love in the first place.
Increased Intimacy
NFP encourages greater intimacy between spouses
because it enables that “one-flesh union” God intends sex to be. With
NFP, there is nothing between you — no latex, no chemicals, nothing. You
are able to give your spouse the total gift of yourself and receive the
total gift of your spouse, with nothing held back.
Greater Sexual Self-Mastery and Maturity
One of our culture’s most damaging messages about
sexuality is that human beings are virtually incapable of controlling
their sexual desires. This is the core of the push for contraception and
abortion for teens.
Christ, however, has assured us that with His help,
we can control all of our actions, even our sexual ones. In short,
“nothing is impossible with God.”
In fact, St. Paul tells us in
Galatians 5:21-23 that our ability to restrain ourselves is proof that
the Holy Spirit lives within us: “[T]he fruit of the Spirit is love,
joy, peace, patience, kindness, goodness, faithfulness, gentleness, and
self-control.”
When a couple postpones the pleasure of being
together for the greater good of each other, their children, or other
family members who may need their care, they are practicing sexual
self-mastery. The ability to temporarily sacrifice one’s personal
desires for the good of another is a sign of emotional and spiritual
maturity.
How
is NFP different from contraception?
Contraception attempts to prevent conception. In
short, it attempts to remove the life-giving component of a couples’
fertility from the equation when they make love. Often this is
accomplished by the use of barriers or chemicals that suppress the
woman’s natural, healthy fertility process.
NFP, on the other hand, helps couples avoid
pregnancy through abstinence during the fertile times. When the couple
does come together during the infertile times, there is no deliberate
attempt to sterilize their love-making. They are still able to offer
each other the total gift of self and achieve the “one-flesh” union God
desires for them.
For a more comprehensive discussion of the
differences between NFP and contraception, contact
Laura Hall at (434) 384-1798. If you are interested, Laura can send you a free copy of the tape Contraception: Why
Not? by Dr. Janet Smith.
How
can we learn NFP?
NFP classes are offered in English throughout the
diocese, and they are taught by certified instructors. Each class
teaches basic reproductive physiology, how to observe and chart the
signs of fertility, how to determine the fertile and infertile times of
a woman’s cycle, and a review of Catholic teaching on marital sexuality
and responsible parenthood.
The two methods
taught in the diocese are the Billings Ovulation method (BOMA) and the
Sympto-Thermal method. With the Sympto-Thermal method, individuals and
couples have the option to utilize the programs developed by the Couple
to Couple League or the Diocese of Harrisburg.
The BOMA
classes meet once a month for two months with individual consultations
as needed. Each class is two hours in length.
The Couple
to Couple League classes meet once a month for four months. Each
class is two hours in length. Instructors then provide individual
consultation until the couple reaches autonomy with the method.
The Diocese
of Harrisburg classes meet for an initial two hour group session.
The instructors then schedule two follow-up sessions over the next six
months, meeting individually with participants to answer questions and
review their charts.
To obtain class information and a list of certified NFP instructors in our
diocese, click
here.