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These methods may be used to achieve pregnancy by timing unprotected intercourse for days identified as fertile, or to avoid pregnancy by avoiding unprotected intercourse during fertile days. The first formalized calendar-based method was developed in 1930 by John Smulders, a Catholic physician from the Netherlands.
Ovulation is an important part of the menstrual cycle in female vertebrates where the egg cells are released from the ovaries as part of the ovarian cycle. In female humans ovulation typically occurs near the midpoint in the menstrual cycle and after the follicular phase. Ovulation is stimulated by an increase in luteinizing hormone (LH).
Post-ovulation methods (i.e., abstaining from intercourse from menstruation until after ovulation) have a method failure rate of 1% per year. The symptothermal method has a method failure rate of 2% per year. Cervical mucus–only methods have a method failure rate of 3% per year. Calendar rhythm has a method failure rate of 9% per year.
Couples use condoms or barrier methods to prevent pregnancy on fertile days. An efficacy trial found that CycleBeads was more than 95% effective at preventing pregnancy with correct use and approximately 88% effective with typical use among women who reported recent cycles of 26–32 days. [3]
Pregnancy can result in up to 25% of the user population per year for users of the symptoms-based or calendar-based methods, depending on the method used and how carefully it was practised. Natural family planning has shown very weak and contradictory results in pre-selecting the sex of a child, with the exception of a Nigerian study at odds ...
For avoiding pregnancy, the perfect-use failure rate of Creighton was 0.5%, which means that for each year that 1,000 couples using this method perfectly, that there are 5 unintended pregnancies. The typical-use failure rate, representing the fraction of couples using this method that actually had an unintended pregnancy, is reported as 3.2%.
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