Shortcomings of natural family planning methodsBMJ 2012; 345 doi: https://doi.org/10.1136/bmj.e5566 (Published 21 August 2012) Cite this as: BMJ 2012;345:e5566
- Douwe A Verkuyl, obstetrician1
- 1Refaja Hospital, Stadskanaal, Netherlands
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 …