Yes. By definition, NFP requires
that only abstinence during the fertile time be used to avoid pregnancy. However, couples
who know how to identify the fertile time may choose to use a barrier method or withdrawal
during the fertile time. These alternative approaches are not NFP, but are referred to by
different names, such as "fertility-awareness methods" or "mixed
methods."
- For example, women who wish to breastfeed can use the
Lactational Amenorrhea Method (LAM) in lieu of, or before, using NFP. When the criteria
for LAM use (see LAM chapter) are no longer met the woman can
use NFP to identify her potentially fertile days.
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For couples who are not at risk
for sexually transmitted diseases, an approach which combines the use of fertility
awareness and barrier methods or withdrawal may increase the acceptability and
effectiveness of these methods, since the use of other contraceptive methods is needed
only when the woman is fertile. Further research is necessary to establish guidelines for
combining fertility awareness and barrier method use.
- European Natural Family Planning Study
Group. Prospective European multi-center study of natural family planning (1989-1992):
interim results. Advances in Contraception 1993;9:269-83.
- Rogow D, Rintoul E, Greenwood S. A
year's experience with a fertility awareness program: a report. Advances in Planned
Parenthood 1980;15(1):27-33.
- Kennedy KI, Gross B, Parenteau-Carreau
S, Flynn AM, Brown JB, Visness CM. Breastfeeding and the symptothermal method. Studies in
Family Planning 1995; 26(2):107-15.
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