Getting Started with Fertility Awareness and Charting Your Cycle: A Simple Guide

Imagine feeling fully in tune with your body, understanding its rhythms, and making empowered choices about your health and fertility—naturally. Fertility Awareness-Based Methods (FABMs) give you that power. By charting your menstrual cycle, you’ll learn to recognize natural biomarkers and unlock the wisdom of your body’s signals, revealing key insights about your fertility and overall health and well-being. Whether you’re seeking to better understand your health, achieve or avoid pregnancy, or simply take control of your reproductive journey, this guide will show you the essentials of FABMs and how to start your own path to cycle awareness. The journey begins here!

What Are Fertility Awareness-Based Methods?

FABMs are science-based, natural methods of tracking the signs and symptoms your body produces to indicate fertile and infertile phases in your menstrual cycle. They rely on real-time observation of your body’s biomarkers, such as cervical mucus, basal body temperature, and hormone levels, to understand your fertility.

Types of Fertility Awareness-Based Methods (FABMs)

FABMs offer several approaches to tracking your fertility, each method focusing on different biomarkers. These methods can be categorized into three main groups: Cervical Mucus Methods, Sympto-Hormonal Methods, and Sympto-Thermal Methods. Here’s a breakdown of some of the most popular FABMs, so you can choose the method that works best for you and your lifestyle:

Cervical Mucus Methods
These methods rely on observing and tracking the quality and quantity of cervical mucus to determine fertile and infertile days.

  • Billings Ovulation Method: Based on daily observations of cervical mucus patterns, which signal changes in fertility.

  • Creighton Model: Similar to Billings but with a standardized recording system, often used in medical settings to assess reproductive health. Doctors trained in NaPro Technology often recommend their patients use this method.

Sympto-Hormonal Methods
These methods track cervical mucus while incorporating hormonal monitoring, typically through urine hormone tests that detect estrogen and luteinizing hormone (LH) levels.

  • Marquette Method: Combines cervical mucus observations with hormone monitoring using tools like the Clearblue fertility monitor to pinpoint fertile windows with greater precision.

  • FEMM (Fertility Education & Medical Management): A holistic method that tracks cervical mucus and LH testing, with an emphasis on hormonal health and fertility management. 

Sympto-Thermal Methods
Sympto-Thermal Methods combine several fertility signs, including cervical mucus, basal body temperature (BBT), and secondary indicators like cervical position.

  • Sympto-Thermal Method (STM): Observes cervical mucus and BBT shifts to confirm ovulation, along with changes in the cervix and other signals, allowing for a more comprehensive understanding of the fertility window.

  • Couple to Couple League: Teaches the detection and interpretation of cervical mucus, changes in the basal body temperature (BBT), and in some instances, cervical changes and other secondary signs of fertility.

Each of these methods provides unique tools for charting your cycle, empowering you to better understand your reproductive health and make informed choices based on your body’s signals.

What Are FABMs Used For?

FABMs are versatile and can be used for multiple purposes:

  1. Achieving Pregnancy: By identifying your most fertile days, FABMs help you know the optimal time to conceive.

  2. Avoiding Pregnancy: When used correctly, FABMs can be as effective as hormonal contraceptives. They help you avoid pregnancy naturally by understanding your infertile phases.

  3. Monitoring Reproductive Health: FABMs provide valuable data on your menstrual cycle. Irregularities in biomarkers can alert you to potential health issues such as hormonal imbalances, thyroid problems, or reproductive conditions like PCOS.

Benefits of Naturally Charting Your Cycle

Charting your cycle offers more than just reproductive control. It’s a window into your overall health. By learning to read the signs your body gives you every month, you’ll become empowered to understand your hormonal health and identify irregularities early on.

Why is this important?

  • Your cycle is a vital sign: Like your pulse or blood pressure, your cycle reflects your health. Irregular cycles, skipped ovulation, painful PMS or periods, or other abnormal biomarkers can signal underlying issues.

  • Personalized healthcare: Instead of relying on general guidelines, you can work with a FABM instructor or a FABM-certified healthcare professional to tailor your care based on your cycle patterns.

Getting Started with Charting

Ready to dive in? Here’s an easy way to get started.

Step 1: Choose a Reliable App
Not all cycle-tracking apps are created equal. Many popular apps rely on algorithms and the outdated Rhythm Method, which simply counts days and assumes ovulation occurs mid-cycle. This method is unreliable for most women since cycles vary greatly. I recommend:

  • Read Your Body App: A customizable, research-backed app that allows you to track your biomarkers in detail.

  • FEMM App: Developed by experts in fertility and hormone health, this app helps you record and understand your biomarkers. While this was created specifically for FEMM, other methods can also be easily charted in this free app.

Step 2: Identify Key Biomarkers
To effectively chart your cycle, each method hones in on specific biomarkers to track. You may be asked to observe one or more of the following:

  • Menstrual blood: The quantity and quality of blood during your period is like a report card of your hormone levels from the previous cycle.

  • Cervical mucus: Changes in its consistency (from dry to stretchy) can indicate phases of fertility and infertility in your cycle. Learn more about types of cervical mucus at a high level in Cervical Mucus 101 to assess its qualities.

  • Basal body temperature (BBT): This is your body’s resting temperature. A slight rise in temperature indicates that ovulation has occurred. Some FABMs recommend testing this at the same time each morning to detect changes.

  • LH surges: Some methods recommend using ovulation predictor kits or urine strips to detect the hormone LH (luteinizing hormone), which spikes before ovulation.

Most FABM-recommended apps provide easy tools for recording these biomarkers, and learning to recognize their patterns is essential for accurate charting.

Step 3: Work with a Fertility Awareness Instructor
While charting on your own can be insightful, working with a certified instructor can make all the difference. Instructors can help you interpret your biomarkers, determine whether your patterns are normal, and guide you in navigating health concerns, or in achieving or avoiding pregnancy. They also offer personalized support and answer questions along the way, in addition to pointing you to a medical provider trained in your method for additional support and lab testing if necessary.

Common Misconceptions About Fertility Awareness-Based Methods

  • "FABMs are just the Rhythm Method." Not true. The Rhythm Method assumes a woman’s cycle is the same length every month (and ovulation is the same day every cycle), which is why it’s unreliable. FABMs track real-time biomarkers, making them more accurate, and factor in your hormonal shifts cycle after cycle.

  • "FABMs don’t work as well as hormonal birth control." When used correctly, FABMs can be 95-99% effective for avoiding pregnancy. Compared to hormonal birth control pills, which are 91-99% effective, FABMs have zero side effects, which is a stark contrast to hormonal birth control, which is known to have many adverse side effects. Learn more about the effectiveness of FABMs for natural family planning, based on scientific research.

  • "FABMs are only for women trying to get pregnant." FABMs are just as valuable for avoiding pregnancy or diagnosing health issues.

Best Practices for Effective Fertility Awareness

  • Consistency is key: Tracking your biomarkers daily leads to the most accurate understanding of your cycle.

  • Work with an expert: A certified instructor can help you navigate your charting journey and troubleshoot any concerns.

  • Be patient: It can take a few cycles to understand your unique patterns, so give yourself time to learn.

Take the First Step Toward Understanding Your Fertility

Fertility Awareness is about more than family planning; it’s a tool for managing your health. By tracking your cycle, you can gain valuable insight into your body and make empowered decisions about your reproductive health.

Interested in getting started charting your cycle?

I’m a certified FEMM educator! Get in touch to begin charting your cycle with the FEMM method: FEMM Cycle Charting.

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