Being Pregnant
Natural Family Planning: How it Can Help You Conceive
If you’re trying to conceive (popularly known as “TTC” online), you already know it can be a rough battle. I was in an online group when I was TTC #1 where some people got pregnant immediately…and some had been trying for a year or more. Many women, after several failed attempts, started to read various books (like Tori Weschler’s “Taking Charge of Your Fertility”), trying out OPKs (ovulation prediction kits), taking their temperatures, and so on.
It strikes me as interesting because the biggest reason that young, healthy women don’t conceive easily is because they are just missing the opportunity. They don’t know their bodies well enough to know “when to do it.” That’s where Natural Family Planning (a method that can be used to conceive or avoid) comes in.
I personally think it’s very sad that we’ve become so disconnected with our bodies these days. We don’t know what’s normal and what’s not. I was so passionate about it that I ran a fairly popular sex ed site for a few years, before I got married. As women we need to know our bodies! There are also significant risks associated with hormonal birth control (yes, it’s easy, because you just have to remember to take it or put on a new patch or whatever) that I believe are definitely understated. We really need more and more honest sex education for our children and teens. That’s really another subject entirely, but one I feel strongly about.
Moving on.
Natural Family Planning is a method that requires the participation of both partners, and one that doesn’t use any form of birth control (necessarily). Barrier methods could be used, but typically are not. Abstinence on the few “unsafe” days is generally practiced (for avoidance) or frequent sex (for conception!). A woman has to be aware of her body, but her partner has to agree to abstain or “go for it” on the appropriate days, so it requires a little advance planning and some self-control.
Personally, using this method, I conceived my first baby in two months and my second and third on the first try (the third on the “first try” that I was sure would actually work — after I stopped breastfeeding around the clock – more on that tomorrow). It was very, very clear when the “right” days were and easy to take advantage of it! Best of all, this requires no special, expensive equipment. No OPKs to keep buying, no fertility monitors, no microscopes, and so forth. Depending on how well you know your body, you may not even need a thermometer (I don’t bother).
Here’s how it works:
There are some major signs and changes that your body goes through as your hormones change through your cycle. You’ll be noting your cervical fluid (or discharge), your cervical texture and position, and possibly your basal body temperature (BBT; your temperature immediately upon waking, before moving at all). BBT is the only way to actually confirm ovulation scientifically, but when you know your body well you may not need this confirmation. By paying attention to all these signs, you can tell when you’re about to ovulate so you know the right days to try!
Cervical Fluid: Starting the month, it’s your period, lasting 4 – 5 days on average. Once this tapers off, you should notice 4 – 7 days of “dry” or not much fluid. It will start to turn creamy, like lotion and become more copious. Then, it will thin out and turn clear and watery. This is the beginning of your fertile period! Discharge should be watery 3 – 5 days prior to ovulation. Then, the day before and day of ovulation (especially day of), you’ll notice thick, stretchy, clear fluid that is like raw egg whites. It is very slippery and you will probably notice it when you wipe because there is so much. This is a great sign, so get down to it when you notice this! After ovulation the egg white fluid will go away, and be replaced by creamy fluid again, which will stay until you get your period…or not!
Cervical Position: You’ll have to get comfortable for this, because you’re actually going to have to reach up and touch it!! It’s easiest while you’re sitting on the toilet anyway. It’s also not a bad idea to get familiar with it, so that you can know how it “should” feel and note if there are ever any differences (normally or in pregnancy). At the beginning of your cycle (and the end), your cervix should be low — very easy to reach — and hard, kind of like the tip of your nose. It should also be closed — you shouldn’t feel an opening in it, or it should be a small opening (if you’ve had a baby before). As you near ovulation, your cervix will rise higher, open, and become softer (more like the inside of your cheek). You may have trouble reaching it, or be unable to. When your cervix is in its highest position, completely open, and very soft — it’s baby-making time! After ovulation, your cervix will close, lower, and get harder again before your next period (and will do this even if you’re pregnant…it rises again and softens when you are more like 6 – 8 weeks along. So if it lowers after ovulation don’t fear, it doesn’t mean anything!).
BBT: This is the most reliable method of noting ovulation. Every morning, as soon as you wake up (before getting out of bed), take your temperature. It’s best to take it to the .00 mark (for example, 97.92). Ideally, it should be around the same time everyday. You should notice that your temperature jumps .1 – .2 degrees after ovulation has occurred, and remains steady at that slightly higher level until your period returns. Some women notice a slight “dip” (or lowered temperature) right before ovulation, but not all. Some notice a third higher level occurring 7 - 10 days after ovulation that can (but not always) signify pregnancy. Generally, if your temperature remains at the higher level for at least 18 days after ovulation, you’re pregnant! Of course, most women have missed their periods and tested already at this point anyway. If you’re struggling to conceive, many doctors will ask you to chart your BBT. If you have long cycles, chances are you’re ovulating late or not ovulating. Most women have very standard 12 – 14 days “luteal phases” (the time from ovulation to your period) even if they have weird cycles. A few women have short luteal phases, which can result in difficulty conceiving. BBT can tell you if this is happening, too.
Other signs to note are cramps (especially one-sided pain occurring with ovulation signs), spotting, headaches, nausea, etc. All of these can be signs of both your body gearing up to ovulate and pregnancy (occurring at different points in the month, obviously!).
After a few months you’ll start to notice your body’s specific pattern (and, you’ll notice if things are maybe not-so-normal). It will be easier to predict when you should ovulate, and your signs will just corroborate this. Hopefully, once you know your body, it won’t take you long at all to conceive! (It really is true that most women don’t conceive because they are just “missing” the right days.) And it’s totally free!
Have you used Natural Family Planning to help you conceive? Did it work?
Top image by DigitalEm
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20 Comments
[...] Natural Family Planning: How it Can Help You Conceive [...]
Pregnancy Journal: I’m So Hot | Modern Alternative Mama commented on Dec 31 11 at 9:58 amSarah commented on Apr 13 11 at 11:02 amthanks for all the tips! we’ve been “ttc” #1 for 8 months now with no luck, i’ve been tracking my ovulation more seriously the last 3 months and my luteal phase is barely a week long (about 5-6 days only). :( i’m hoping if i take all my details in to my doc she won’t make me wait until we’ve been trying for over a year before having me see someone else to help.
Kari commented on Apr 13 11 at 11:35 amQuick correction: It’s Toni Weschler, not Tori. I know that because her book changed my life in a lot of ways. When I was on hormonal birth control, I never felt like having sex and I just felt kinda cloudy all the time. When we switched to NFP, I felt so much better and my sex drive came back. Since it changed my life, I passed my Taking Charge of Your Fertility book on to 2 different friends, who both got pregnant within 2 months of receiving the book and TTC. My husband jokes that being in possession of that book will get you pregnant.
Melanie commented on Apr 13 11 at 12:13 pmIs that really true that the biggest reason healthy women don’t conceive is because they don’t know when to do it? As an infertile, healthy women, I would think they would smart up after 6 + months of trying.
BecomingCrunchy commented on Apr 13 11 at 4:28 pmI was JUST thinking about starting this and came across your blog (for avoidance at the moment, TTC not too far away though). Thank you so much for all the great information!
kayare commented on Apr 13 11 at 4:59 pmWe used natural family planning in conjunction with a little help from my doctor because we already knew I have PCOS. The first go-round, we were able to conceive by try 2. This second time around, we managed to miss it anyway for almost a year. One thing for women with PCOS to be aware of is that sometimes you may be missing the fertility signs of an ovulation cycle (and it can be exacerbated by using some drugs, like clomid), so you have to be extra-aware of how your body works.
Suebee commented on Apr 15 11 at 6:55 pmI noticed the Cervical Fluid right away… egg white is the perfect description! That’s the method I used, and we conceived on the second try (I’m convinced my cycle wasn’t quite back on track with the first try, after going off BC about a month and a half prior. :)
Whitney commented on Apr 20 11 at 9:21 amThank you for sharing NFP! My husband and I have used NFP both to avoid and be open to having a child, which I conceived after 2 months of “trying!” I can’t begin to tell you the health benefits I’ve felt going off artificial birth control in addition to the relationship and sexual benefits! I try to share NFP with everyone I know because it changed my marriage. Thank you!!!
Justine commented on Apr 26 11 at 7:19 pmThanks for the great info! This is very helpful in mine and my partner’s search for information about the best time to conceive!
MD commented on Apr 26 11 at 8:43 pmMy wife and I successfully used NFP to avoid pregnancy for 9 months and then used it to get pregnant on the first try!
And to your comment on the risks of hormonal contraception, I work as a med student in a hospital and in just 4 weeks, I managed 2 women, one aged ~25 and one ~35 who had massive strokes for no other reason than that they were taking “the pill.” Workups for clotting disorders, etc. were all negative. They were severely disabled in their prime from taking a pill that wasn’t even treating a disease!
Foxy commented on May 24 11 at 2:40 pmNatural Family Planning is a great tool for many couples, however we need to be cautious about presenting it as a ‘solution’ for getting pregnant (not stated as such in this article, but referenced as the cure for infertility by a babble lead in to this article.) For the 1 in 8 couples who have a medical condition that causes infertility, natural family planning is not a solution. A huge number of couples will require medical interventions to build their family. 1 in 8 is not a small statistic.
The author was right in her dismay that so few women (and their partners) understand their monthly cycle, and natural family planning is a great tool to educate and support natural conception. Maybe the lack of knowledge about how to get pregnant is one reason why the medical community suggests waiting for 1 year before getting a referral for a fertility work-up. I’d argue that a disease which affects so many men and women deserves more attention.
For instance, male factor issue are the cause of 50% of infertility. A cheap ($20), non-invasive semen analysis can provide critical information to a couple who is not conceiving. A simple blood test can provide critical information about the female partner’s chances of conception.
Couples who are really trying, using the information available from NFP, and not experiencing success, should be encouraged to see their doctor sooner and ask for these simple tests to rule out common causes of infertility. The more that we can all talk about infertility in the ttc community, the less suffering that will occur among the 1 in 8 couples who are unsuccessful on their own.
Nasrin commented on May 24 11 at 2:51 pmWhile I have no problem with NFP, I think your take on it comes off as a bit smug. Where is your data that the “biggest reason” young people don’t conceive easily is because they just haven’t the foggiest idea that a woman’s prime fertility is in the middle of her cycle?
Tips are helpful for anyone who wants to try this, but NFP is not a magic bullet. Many women do not have the exact right cervical mucus as you describe. As you mention, BBT tells you AFTER you ovulated, and the egg degrades very quickly after ovulation. BBT’s helpfulness is limited, unless you are tracking over many months and getting results consistent enough for you to predict ovulation, by which time you have already failed the “conceive easily” test.
Ovulation tests aren’t super cheap, but in the scheme of things fertility and baby related, not that expensive (about $20-30/month), and they predict ovulation very accurately BEFORE it occurs, plus, if you didn’t know already, the instructions will tell you when it’s most likely to occur.
NFP is free, and if it works for you, great, but doesn’t give you the excuse to sneer at those who don’t use it as too stupid to know their own bodies.
Also you do NOT need to get your partner to “agree to abstain”. If you want to abstain, at any time, in any circumstance, that is your right.
Mel commented on Jun 01 11 at 4:20 pmSeveral of my close friends use NFP due to religious reasons, and have been very successful at getting pregnant. In fact, one of them now has 3 children, only 1 of whom was planned. Still, I recently suffered a small stroke at the age of 29, and currently have no other explanation for its occurrence than possibly the Nuvaring I was using for birth control. We’re not sure if we want another baby, but the hormones I was once such an advocate for (regardless of the side effects I also experienced) are now in the trash.
Eliza commented on Jun 11 11 at 11:15 amI hope all of this is true because it gives me a sense of hope that something will happern for us soon. I’ve been trying to get better at reading my body and thought for sure I was going to get a positive last month but nada. Thanks for the tips though!
I have a blog that follows our path to parenthood. I hope some of you can stop by!
Christina Spencer commented on Aug 14 11 at 9:57 pmMy husband and I have been using NFP for five years to both avoid and conceive. We have a beautiful little girl that we conceived on the first try. It’s been truly a blessing to understand my own bodies natural cycle.
David commented on Aug 28 11 at 12:16 amI’m so glad to read this post and see women interested in “listening” to their body.
My wife as been using a device based on the BBT (Basal Body Temperature) for 5 years now and I can confirm it really works. I’m not advertising on the product but, you know, if that can help women to conceive, I’ll be happy to help.
.
So, it not just a thermometer. it’s an electronic cycle computer using a combination of temperature readings and cycle data that goes well beyond the traditional “rhythm method” in order to achieve a level of accuracy which exceeds that of the hormonal pill.
Here it is: http://www.lady-comp.com
liarna commented on Nov 24 11 at 6:49 pmttc 4 months now and started using the bbt method this month. reading up on this also made me aware of the cervical fluid. atm tho my temps have been all up the wazoo so not sure if thats got something to do with bbn past few months. hopefully this month ill get a bfp or next month :)
ikenga commented on Jan 12 12 at 4:45 pmI think the NFP only works for ladies of 30 and younger. am 42 and been trying naturally for three years now with no success. have seen many fertility drs and they gave me no hope. now just making it with hussy anytime . see what will happen
Kelsey commented on Feb 13 12 at 2:46 pmThis article isn’t entirely helpful. Those are the basic factors in tracking fertility, but not everyone has a cervical fluid pattern as was described. The method Toni describes in her book is FAM (Fertility Awareness Method), not NFP. I have been tracking my fertility for almost a year now and have been TTC for the past two months with no luck. I am 24, have clockwork cycles, am vegetarian and active, have a wonderful husband, and am all together in my prime fertile years. I only comment so others know that this isn’t a magic solution to getting pregnant and many of the other comments allude to. It can take more than a couple months to get pregnant, even with fertility tracking. We are keeping our chin up and trusting in the Lords timing for our family.
Sarah commented on Apr 30 12 at 12:52 pmI second ikenga, Foxy and MD. It’s misleading and quite offensive (to me anyway) to put this article out there without a disclaimer saying “This article is for everyone who won’t actually have trouble getting pregnant anyway”. The scenario you’re describing is for a woman whose body is “functioning” (for lack of a more sensitive term) perfectly; someone who ovulates each month, has regular cycles, has regular cervical mucus, has no hormone imbalances, basically a woman that doesn’t struggle with any level of infertility. Natural method or not, 85% of the women you’re addressing will be pregnant within a year just because they had regular sex (this stat can be found in numerous places including nhs.uk).
As someone struggling with ovulatory infertility it grated on my emotions to read you cheerfully exclaim that you got pregnant on the “first try” using this method and you don’t even bother with tests, kits or thermometers. Yay you! (I said sarcastically, because admittedly very irrationally: I’m bitter about people who get pregnant easily.) You probably would have gotten pregnant a month or so later not using the Natural method anyway…..because you’re FERTILE. Duh. The Natural method doesn’t have much to do with it, in my opinion. Important information to know about your body, but not helpful for people that really need help.
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