Top Natural Family Planning Methods

What is natural family planning?

As the name suggests, natural family planning, or NFP, is a form of family planning that does not use medicine or devices. Instead, NFP involves reading the body’s signs of fertility to determine the days of the month you are most likely to get pregnant. 

Natural family planning is also known as fertility awareness. This method utilizes biologic markers to identify the fertile days of a woman’s reproductive cycle. Using natural family planning methods is usually the first step in trying to conceive. 

Natural family planning effectiveness

The effectiveness of natural family planning heavily relies on the couple’s diligence in following the instructions. It also relies on how regular a woman’s cycle is. This family planning option may not be the best option for you if you have irregular periods or if you are currently breastfeeding. 

Fertility awareness can also be used as a form of birth control. For those who are not looking to get pregnant, natural family planning isn’t as effective as other methods of birth control. According to the CDC, NFP has a failure rate of 24%. 

Natural family planning methods

  • Calendar/Rhythm Method

The rhythm method is one of the oldest methods of natural family planning. This method is based on the calendar, as a woman’s cycle typically lasts between 28 and 32 days. To figure out how long your menstrual cycle is, you will need to keep track of the length of your period for at least 6 months. While you can use a regular calendar, there are many apps designed to help you keep track of your menstrual cycle.

To track your cycle, day 1 will be the first day of your period. You will also mark the first day of your next period. From there, you will count the number of days between the first days of each period. 

To find the first fertile day where you can get pregnant, you will look at the shortest cycle in your period record and subtract 18 from the total number of days in that cycle. You will then count that number from day 1 of your current cycle. That will be your first fertile day of the month. To predict the last day of fertility in your current cycle, find the longest cycle in your period record and subtract 11 from the total number of days in that cycle. Count that number from day 1 of your current cycle. 

  • Basal Body Temperature Charting

This method of family planning utilizes the fact that your natural body temperature slightly changes throughout your menstrual cycle. In the first part of your cycle, your body temperature is slightly lower, typically around 96-98 degrees, and then it rises when you ovulate, typically around 97-99 degrees. While the rhythm method requires about 6 months of data (6 periods), using your body temperature only requires 3 months. The more data you have, though, the better you can increase your chance of pregnancy!

To use the temperature method, you must take your temperature the same way and around the same time every day. Dr. Quartell recommends taking your temperature as soon as you wake up, before talking, eating, drinking, or any other activity. The best results will be if you take your temperature before you get out of bed! You will record your temperature within a fertility awareness chart. The changes in your temperature will only be fractions of a degree, so it’s important to get as accurate of a reading as possible. 

Be sure to keep in mind that there are many things that can change your internal temperature. These include sleep deprivation, smoking, drinking, alcohol, jet lag, and stress. Dr. Quartell recommends that you also keep track of these factors in your fertility log to ensure you know when the changes in your temperature aren’t part of your natural menstrual cycle. 

  • Cervical Mucus Monitoring

This method requires you to track the changes in your cervical mucus, or vaginal discharge, throughout your menstrual cycle. The hormones that control your menstrual cycle are also responsible for making your cervix produces mucus. This mucus changes in color, texture, and amount during your menstrual cycle. This is especially true around ovulation. Cervical mucus monitoring is the basis for more modern NFP methods. 

To track your cervical mucus, you are required to feel and look at your discharge every day. You will then record what you notice on a special chart or app. You can check your discharge by using one of the following methods:

  • Using white toilet paper, wipe the opening of your vagina prior to urination.
  • Look at the discharge on your underwear.
  • Insert clean fingers into the vagina to check the color and texture.

Depending on where you are in your menstrual cycle, you will notice the following:

  • During your period: You will not notice any, as your blood flow covers your mucus.
  • After your period: Known as “dry days,” you typically do not have mucus or discharge in the first couple of days following your period.
  • Before ovulation: Typically, you have the most mucus right before ovulation. It is usually clear and feels slippery. These are the days you are most likely to become pregnant.

Top OB/GYN in New Jersey

If you have followed our tips and have successfully conceived, congratulations! This is an exciting time. Anthony C. Quartell, MD. and Associates have been treating patients for over 40 years in the field of Obstetrics and Gynecology, specializing in family planning.  Dr. Quartell is here to guide you during every step of pregnancy. For more information about family planning, pregnancy and the various services we provide, and conditions we treat, be sure to contact us today to schedule an appointment today!


10 Breast Cancer Facts You May Not Know

What is Breast Cancer?

When someone is diagnosed with breast cancer, it means that their cells in their breast tissue change and divide uncontrollably. This results in a lump or mass in the lobules, ducts, or connective tissue of the breast. There are many different types of breast cancer, and the type is dependent on which cells in the breast turn into cancer. The most common types are:

  • Invasive ductal carcinoma: This type of cancer is where the cancer cells grow outside the ducts into other parts of the breast tissue. Invasive ductal carcinoma can spread to other parts of the body.
  • Invasive lobular carcinoma: This type of cancer is where the cancerous cells spread from the lobules to the nearby breast tissue. Similar to invasive ductal carcinoma, this type of breast cancer can also spread.

Signs of Breast Cancer

While the signs and symptoms of breast cancer vary from person to person, some of the more common warning signs include:

  • Swelling, redness, or other visible skin changes in one or both breasts
  • Increase in size or change in the shape of one or both breasts
  • Nipple discharge (other than breast milk)
  • General pain
  • Lumps or nodes felt on or inside the breast

Signs of more invasive breast cancer may include:

  • Irritated or itchy breasts
  • Change in breast color
  • Changes in touch, including feeling hard, tender, or warm
  • Peeling or flaking of the nipple skin
  • A breast lump or thickening

It’s important to note that you may not experience any symptoms at all, which is why it is crucial to be screened by your gynecologist regularly. 

About Breast Cancer Screening

Your gynecologist will use a mammogram to screen for breast cancer. This screening test uses low dose X-rays to look for changes in your breast tissue. A mammogram can detect lumps that are small and cannot be felt in a self-examination. It is recommended that all women over 40 schedule a yearly mammogram, but it’s important that you discuss your options with your gynecologist. He or she will help guide you in knowing what the right choice for your body is. 

Breast Cancer Facts You May Not Know

  1. 1 in 8 women in the United States will be diagnosed with breast cancer in their lifetime. That equates to about 12% of the female population in the US. About every 2 minutes a woman is diagnosed.
  2. While it is not as common, men can get breast cancer too. About 1 in 1,000 men will be diagnosed.
  3. Except for skin cancer, breast cancer is the most common cancer in American women.
  4. There are more than 3.5 million breast cancer survivors in the US, which is the largest group of all cancer survivors. 
  5. Although many people, unfortunately, pass away from this type of cancer, the death rates for breast cancer have been decreasing since 1989. These decreases may be a result of treatment advances, earlier detection, and increased awareness. 
  6. A woman’s risk of breast cancer almost doubles if her mother, sister, or daughter has been diagnosed. 
  7. 5-10% of breast cancers can be linked to a gene mutation that is inherited from your mom or dad. Women with the BRCA1 mutation have up to a 72% risk of developing breast cancer, while women with the BRCA2 mutation have up to a 69% risk. Breast cancer that is positive for these mutations tends to develop more often in younger women. 
  8. The most significant risk factors are gender (being a woman) and age (the older you are, the higher your chance). 
  9. 62% of breast cancer cases are diagnosed at a localized stage, for which the 5-year survival rate is 99%. If the cancer has spread to the regional lymph nodes, the 5-year survival rate is 85%. If the cancer has spread to a distant part of the body, the 5-year survival rate dips to 27%. Early detection is the best prevention!
  10. Causes of breast cancer can be genetic (age, race, family history) or caused by environmental factors (alcohol consumption, weight).

Breast Health Services in Livingston, New Jersey

No matter if you’re over 40 or not, if you are concerned about your risk of developing breast cancer, it’s important to schedule an appointment with Dr. Quartell and his staff. We are happy to answer any questions you may have about breast cancer or any other gynecological condition you are worried about. For more information about our Livingston, New Jersey office, please contact us today.

  • Dr. Anthony C. Quartell has been recognized by New York Magazine and New Jersey Monthly numerous times in the category ‘Best Doctors’. In addition, he was rated and awarded ‘The Patients’ Choice Award’ by his patients!


  • Dr. Anthony C. Quartell was rated and awarded ‘The Patients’ Choice Award’ by his patients!



The practice of Anthony C. Quartell, M.D. & Associates is dedicated to providing for the special health needs of women of all ages.

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