Letter
Contraceptive services
Shortcomings of natural family planning methods
Cite this as:
BMJ
2012;345:e5566
This article has a correction
Please see: Shortcomings of natural family planning methods
- Douwe A Verkuyl, obstetrician1
- 1Refaja Hospital, Stadskanaal, Netherlands
- verkuyl{at}freeler.nl
Stress, alcohol use, sexually transmitted diseases, partial breastfeeding, mental and intellectual challenges, chronic diseases, and uncooperative partners all thwart fertility awareness based methods (FABMs). Libido can be so strong that a 30% chance of encountering an HIV positive partner will not dampen it.
I remember John Billings around 1978 promoting his method in Lesotho, where I first witnessed the tyranny of excessive fertility. Many Basotho worked in South Africa, returning home for a …
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