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Recommendations for Contraceptive Use

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Natural Family Planning

Q.7. What client counseling is required?

Recommendations

Rationale

a) Commitment by both the man and the woman is required for the effective use of NFP.

a) NFP is a "couple method" and requires good communication and cooperation between partners. NFP is not only a method of FP, but is also a method of self-knowledge and self-control, and mutual respect.

   

b) NFP requires the ability to observe and interpret fertility indicators accurately.

b) A couple must be willing to monitor the changes in the woman's fertility signs consistently so that the fertile time can be identified accurately.

   

c) NFP requires abstinence from vaginal intercourse for up to half the days of the menstrual cycle.

c) On average, most NFP methods require 10 to 12 days of abstinence per cycle. The length of abstinence depends upon the NFP method chosen and individual characteristics of the woman's cycle.

   

d) If the man or the woman abuses drugs or alcohol, the couple should be offered another method of FP.

d) If either the man or the woman abuses alcohol or drugs, it will be difficult for the couple to follow the rules of abstinence.

   

e) If the male partner is not interested in NFP, then the woman or couple should be informed of alternative methods.

e) NFP will not be effective in preventing unplanned pregnancy if the male partner is unwilling to accept abstinence during the fertile period. Such couples should be informed of other FP options.

   

f) If the man or the woman is at risk for acquiring or transmitting a sexually transmitted disease (STD), the couple should be counseled about risk factors for STD transmission.

f) NFP is not protective against STDs, and couples at risk should be informed that to reduce their risk, they should abstain or use condoms.


Any part of Recommendations for Updating Selected Practices in Contraceptive Use may be reproduced or adapted to meet local needs without prior permission from the TG/CWG Secretariat, provided the TG/CWG is acknowledged and the material is made available free of charge or at cost.


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