Fertility-awareness based methods of family planning require that couples abstain from unprotected intercourse during the days the methods identify as fertile. Clearly, communications about sexual issues is key to successful method use. We examine the practices of couples using the Standard Days Method (SDM), a new fertility-awareness based method of family planning, for coping with the 12 days each cycle that the method identifies as fertile. The SDM specifies that women who have cycles that regularly range from 26 to 32 days abstain from unprotected intercourse on days 8-19 (inclusive) of the menstrual cycle if they wish to avoid pregnancy. A necklace of specially colored beads is used to help women keep track of their cycle day. We are currently conducting an effectiveness study of the method in six sites in Bolivia, Peru, and the Philippines. Over 550 couples are followed for up to13 cycles. The last couple is expected to complete cycle 13 in July 2001. Study participants mark in a diary card each day they have intercourse, and if they used another family planning method. Each month they are also asked a variety of questions to assess their abstinence practices, and any difficulties they and their partners may have following the requirements of the method. Data on coital frequency, intercourse patterns during the cycle, use of barrier methods or withdrawal during the 12 days recognized as fertile, and innovative strategies for coping with abstinence, will be addressed.
Learning Objectives: At the conclusion of this presentation, participants will: (1) recognize the strategies couples use to cope with the abstinence period prescribed by fertility-awareness based methods for avoiding pregnancy; and (2) understand the implications of these sexuality issues for counseling.
Keywords: Sexual Behavior, Counseling
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Institute for Reproductive Health, Georgetown University
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.