What Is Natural Family Planning?

May 26, 2018
Paint Texture Border

Have you heard of Natural Family Planning (NFP)?


It’s a Fertility Awareness Method that can be used either to prevent pregnancy or to achieve pregnancy. With NFP, you observe the signs or symptoms of fertility and then you avoid sexual activity during that time if you want to avoid pregnancy, or you have sexual intercourse during that time if you want to achieve pregnancy.


What sort of fertility signs do you look for?

  • Basal body temperature. Your body temperature rises slightly when you ovulate. So to use this method, you take your body temperature every morning when you first wake up. Then you plot the daily temperature on a graph. As you do this, you will see patterns in your body temperature throughout your monthly menstrual cycle. You can predict when you are ovulating based on your body temperature and avoid sexual activity during those days.


  • Cervical mucus changes. Cervical mucus changes in texture, color, and amount throughout your menstrual cycle. To use this method, you feel and look at your cervical mucus every day and chart a description of the mucus. You’ll need to chart the mucus every day for a month or two before you can rely on this method to prevent pregnancy. A medical professional or NFP counselor can help you know what your cervical mucus looks like when you are most fertile in your cycle.


  • Cycle length. This is also called “The Calendar Method.” You keep track of your menstrual cycle on the calendar and count the days in each cycle. For this method to be effective, you need to count the days for at least 6 cycles (or 6 periods). After you know how many days each cycle is, you can use a mathematical equation to figure out which days you’re most likely to be fertile. Then you can avoid sexual activity on those days if you don’t want to get pregnant or have sexual intercourse on those days if you do want to become pregnant.


Some people keep track of only one of these signs of fertility. But to be most effective, you would need to track all three signs of fertility.


How effective is this in preventing pregnancy? According to the Centers for Disease Control (CDC), out of every 100 instances of people using NFP, there are approximately 24 unintended pregnancies each year. So that makes NFP about 76% effective in preventing pregnancy.


Does NFP prevent Sexually Transmitted Diseases (STDs)? No. NFP can only be used to help prevent or achieve pregnancy. The only way to 100% prevent contracting an STD is to be in a mutually monogamous relationship. This means both you and your partner know for certain you do not have an STD and you both only have any type of sexual activity with each other.


Can I do NFP on my own? NFP is most effective if you do this under the guidance of a medical professional — a doctor, nurse, or counselor who knows NFP very well. This person can help you understand the information you chart (your temperature, the description of the cervical mucus, and your cycle lengths) and interpret the signs of fertility.


Observing and keeping track of all your signs of fertility can be effective in preventing a pregnancy or in helping you get pregnant. Other than the cost of the thermometer and the charts you track all the information on, NFP doesn’t cost anything. But it does require a little bit of daily work, dedication and the decision to abstain from any sexual activity during the days you could be fertile.



If you want more information about NFP or if you want to talk about whether or not you are at risk for becoming pregnant, call us and we’ll schedule an appointment at no cost to you.

May 29, 2026
If you’ve recently learned you are pregnant unexpectedly, we understand how overwhelming this might feel right now. If you're considering abortion as an option, taking time to understand how the process works is important so you can make an informed decision. Collage is here to help provide you with confidential support and abortion information at no cost. We offer a safe space, free of judgment, where you can think calmly about your options, receive lab-quality pregnancy testing, and get a complimentary ultrasound so you can get the facts around your pregnancy and learn what options are available to you. Schedule your free appointment today. Medical Abortion Medical abortion, also known as the abortion pill, ends a pregnancy by using two drugs taken at different times. The first pill, mifepristone, works by blocking progesterone and causes the embryo’s death. The second drug, called misoprostol, is usually taken a day or two after and causes the uterus to contract, expelling the pregnancy tissue through cramping and bleeding. Common side effects can include bleeding and cramping, bleeding with blood clots, and a low-grade fever. Medical abortion is only approved through ten weeks of gestation by the FDA . Follow-up care is typically recommended after a medical abortion to make sure the process is complete. Surgical Abortion Surgical abortion terminates a pregnancy in a clinic or medical setting and involves removing pregnancy tissue from the uterus through a suction device or a tool called a curette. This can also be called dilation and evacuation or dilation and curettage . Common side effects of surgical abortions are bleeding and cramps. You may also have a late or early period as your uterus has to build a new lining after the procedure. What Are The Risks Of Abortion? Medical and surgical abortion both have possible risks that you should be aware of. Some women may also experience emotional responses afterward. Complications that can arise from abortion are: Infection. Scar tissue on the uterine wall, known as Asherman's syndrome . Heavy bleeding that may not stop. Diarrhea and digestive pain. An incomplete abortion. Confirm Your Pregnancy With An Ultrasound Before making a pregnancy decision, it is important to verify your pregnancy with an ultrasound. An ultrasound provides important medical details such as how far along you are, the location of the pregnancy, and whether a heartbeat is detected. These details are important since the abortion pill is not FDA-approved for over ten weeks, and it also rules out ectopic pregnancy, which requires urgent medical attention. As many as 26% of all pregnancies end in a miscarriage, and you can still get a positive pregnancy test result for days or weeks after a miscarriage because it takes time for hCG to leave the body. An ultrasound will confirm whether or not you have miscarried. We provide no-cost pregnancy services at our center, including limited OB ultrasounds, so you can get informed about your pregnancy and options. Get Pregnancy Support at College If you're considering your next step after learning you are unexpectedly pregnant, we are here to give you a safe place to ask questions and learn more about your options. Collage provides confidential appointments and no-cost pregnancy services, including medical-grade pregnancy testing, ultrasounds, and STD testing . You don’t have to figure this out alone. We are here to listen. Schedule your free confidential appointment to learn more about your options. Collage does not provide or refer for abortions; however, we do offer pre-abortion screening through our no-cost services.
April 21, 2026
Facing an unexpected pregnancy brings up a lot of questions, and it makes complete sense that you want to understand every option before deciding anything. If you're considering the abortion pill, knowing what it actually involves, including its side effects, is an important part of making a decision based on the facts.  You don't have to sort through this alone. Schedule a no-cost appointment with Collage today to get your questions answered. How the Abortion Pill Works The abortion pill uses two drugs taken in sequence. The first, mifepristone, blocks progesterone, a hormone that supports the growth and development of the pregnancy. Without it, the pregnancy detaches from the uterine lining. The second drug, misoprostol, is typically taken at home and causes the uterus to contract and expel the pregnancy tissue. Heavy bleeding and cramping will be part of this process, and some women have described the pain as more severe than they anticipated. Side Effects to Know Beyond bleeding and cramping, the abortion pill can also cause these side effects : Upset stomach Vomiting Diarrhea Headache Fever Chills These side effects vary from woman to woman, which is one reason having a healthcare provider involved matters. Without medical oversight, it can be difficult to know what's within the range of normal and what requires immediate attention. Your personal health history also plays a role in how your body responds. Speaking with a medical professional before proceeding is an important step in protecting your well-being. Why an Ultrasound Matters First Before considering any pregnancy option, an ultrasound provides information that a pregnancy test simply cannot. It can confirm whether the pregnancy is progressing, rule out an ectopic pregnancy , and tell you how far along you are. The FDA approves the abortion pill only through 10 weeks gestation, making that last detail a critical piece of information for your safety. We're Here for You Whatever you're feeling right now, there’s no pressure here. At Collage, we genuinely care about you and want to make sure you have everything you need to make a sound decision. We offer lab-quality pregnancy testing and limited obstetrical ultrasounds, and our team is ready to talk through all your options, parenting, adoption, and abortion, in a warm, supportive environment. Schedule your no-cost appointment today. We're so glad you reached out. Collage does not provide or refer for abortions; however, we do offer pre-abortion screening through our no-cost services. All abortion information in this blog is based on accurate information at the time of writing.
March 26, 2026
Facing an unexpected pregnancy can bring a lot of emotions, and often, a sense of urgency to make a decision quickly. You may have seen options online to order abortion pills by mail and wondered if it’s a simple solution. Before making a decision, it’s important to understand how this option could affect your health and what steps you can take to make a fully informed decision. 1. Your Health Should Always Come First Mail-order abortion often skips important medical safeguards. In many cases, there is no in-person evaluation before receiving the drugs. That means key health factors, such as your medical history and potential risks, will not be fully considered. There can also be uncertainty about the source of the drugs, including how they were handled, stored, or dosed. In fact, the FDA does not recommend this option because the drugs’ quality, safety, and effectiveness cannot be guaranteed. Taking time to understand your health first is a smart and proactive way to protect yourself. 2. You Need Clear Answers About Your Pregnancy A pregnancy test alone doesn’t give you the full picture. Before considering abortion, it’s important to confirm details about your pregnancy through an ultrasound. An ultrasound can tell you: How far along are you? Whether the pregnancy is developing (or if you’ve miscarried ) Where the pregnancy is located These details matter more than you might think. Abortion pills are FDA-approved only through 10 weeks of gestation, and without accurate dating, it’s possible to miscalculate how far along you are. An ultrasound can also detect an ectopic pregnancy , which occurs outside the uterus and requires immediate medical attention. Abortion pills will not treat this condition. What’s more, if you’ve experienced a miscarriage, you may require medical follow-up to prevent complications. Getting these details first helps ensure your safety. We offer limited OB ultrasounds following positive lab-quality pregnancy testing with us. 3. It’s Important to Understand the Process and Risks Mail-order abortion may sound straightforward, but it’s important to know what it may actually involve. The process includes significant cramping and bleeding as the body expels the pregnancy, with some women describing the pain as being unexpectedly severe . Other side effects can include: Nausea or vomiting Fever or chills Diarrhea Headaches There are also potential risks , such as heavy bleeding, infection, or an incomplete abortion that may require additional medical care. Without in-person support, it can be difficult to know what’s expected and when something may need medical attention. You Don’t Have to Figure This Out Alone When everything feels overwhelming, it can help to take a moment to evaluate your next steps and get the information you need. At Collage, we provide no-cost, confidential services so you can ask questions, gather accurate information, and explore your options at your own pace in a one-on-one setting. Schedule your appointment today. Collage does not provide or refer for abortions; however, we do offer pre-abortion screening through our no-cost services. All abortion information sourced in this blog is based on accurate information at the time of writing.
Show More