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Systems of fertility awareness rely on observation of changes in one or more of the primary fertility signs (basal body temperature, cervical mucus, and cervical position), tracking menstrual cycle length and identifying the fertile window based on this information, or both.
The Couple to Couple League was founded in 1971 by John and Sheila Kippley, and lay Catholics, with the help of Dr. Konald Prem. The League was the first organization to teach a symptoms-based method of fertility awareness that relied on all three primary fertility signs: temperature, mucus, and cervical position. [1]
The speed of ovulation is periodic and impacts the length of a menstrual cycle. After ovulation, the egg cell travels through the fallopian tube toward the uterus. If fertilization is going to occur, it often happens in the fallopian tube; the fertilized egg can then implant on the uterus's lining.
The menstrual cycle is on average 28 days in length. It begins with menses (day 1–7) during the follicular phase (day 1–14), followed by ovulation (day 14) and ending with the luteal phase (day 14–28). [ 1 ]
It is not known if historical cultures were aware of what part of the menstrual cycle is most fertile. In the year 388, Augustine of Hippo wrote of periodic abstinence. . Addressing followers of Manichaeism, his former religion, he said, "Is it not you who used to counsel us to observe as much as possible the time when a woman, after her purification, is most likely to conceive, and to abstain ...
There is little data on the worldwide use of natural family planning. In Brazil, NFP is the third most popular family planning method. [33] The "safe period" method of fertility awareness is the most common family planning method used in India, although condoms are used by some. [34]
The follicular phase (or proliferative phase) is the phase of the menstrual cycle during which the ovarian follicles mature. The follicular phase lasts from the beginning of menstruation to the start of ovulation. [12] [13] For ovulation to be successful, the ovum must be supported by the corona radiata and cumulus oophorous granulosa cells. [14]
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