I recently received yet another inquiry from a woman asking me about one of the scores of fertility apps currently flooding the internet. While I find most of the apps concerning, one in particular worries me the most. The developers claim it is the first FDA-approved birth control app that purports to tell you when you are safe for unprotected intercourse. And therein lies the problem. “FDA approved.” I’m loath to mention its name for fear that women will run out and download it without understanding its most serious pitfall, which I will get to in a minute.
When I first decided to write Taking Charge of Your Fertility back in the Stone Age of 1995, the internet had yet to dominate our lives. So back then, the thing that kept me up nights was my concern that women would maybe misunderstand concepts in the book, leading to unplanned pregnancies.
Today, those fears seem almost quaint compared to a much bigger concern: the pervasiveness of scores of apps which claim to be able to predict a woman’s fertility based on nothing more than inputting the first day of her period (as do scores of bogus apps), or occasionally basal temperatures. In fairness, those that include basal temperatures might tell you when you are safe for unprotected intercourse after ovulation, but one of the huge drawbacks of these type of apps is that they claim to be able to predict upcoming preovulatory fertility using an algorithm based on past cycles . . . which is nothing more than a high-tech version of the obsolete Rhythm Method.
In order to judge whether an app is reliable, at a minimum, it should allow you to input your cervical fluid in addition to basal body temperature, as well as other secondary fertility signs such as ovulatory pain. Those that only include temps (as does the app that this woman asked me about called Natural Cycles) cannot indicate when ovulation is about to occur, but only confirm if ovulation has already happened. To know on a daily basis whether or not you are fertile before ovulation (since sperm can live up to five days), you need to observe and record your cervical fluid, which is critical for both contraceptors and pregnancy achievers.
Regardless, I encourage you to thoroughly read my book, Taking Charge of Your Fertility and take a class in the Fertility Awareness Method before using one of these apps, because they alone can’t possibly provide you with the instruction and personal counseling necessary to be able to understand how to rely on your primary fertility signs. And even with my own app, https://www.ovagraph.com, I admit that it should be used only as a convenient way to always have your charts with you, and even to share them with a clinician or others. However, no app is a replacement for proper education about your body, fertility and cycles.
Hi Toni-
I want to clarify as someone who uses Natural Cycles, that you DO input cervical mucus info into the app everyday. And you DO take regular ovulation strip tests. It’s not just temp readings. That being said, everyone who uses N.C. should have a clear understanding of how it works manually on a paper chart without an app before using it.
I thought I read that the algorithm does not take anything but BBT into account for fertility?
Correct, while the app allows you to input your cervical mucus information, it does NOT use that data in it’s predictions or information that it gives you. It only uses BBT when determining your fertile and non-fertile days.
Hi Toni. I have just tried to download your app, I currently chart on paper but thought it would be handy to have on my phone too. But it says he app is not available in my location, I am in the Uk is this right?
I want to thank you. Because of your book I began to understand my body and developed an interest in endocrinology that allowed me to all but cure my polycystic ovarian disease and have 3 (possibly #4 on the way) when I was told at 24 I would require fertility treatment.
I have used your book to teach my neice about menstruation when she started and then fertility and how to manage her pcos as she’s grown up. I’ll use your book to help my own children understand their bodies. My girls see me check my toilet paper for cervical fluid (because I haven’t peed alone in 10yreas lol) and whenever they I ask I explain what I’m watching for and why. I know it sounds gross but I hope being open with them helps them advocate for their bodies when they’re women. I think it’s important for girls and women to understand not just the textbook biology but their own personal biology.
I have your book and am doing my best to chart, but How do I take/where do I find a class? And moreso than that a Dr that supports/is knowledgeable about this method vs not?
Hello Kelly,
The following sites list educators throughout the States. The first are those that teach from a secular perspective, and the second from a more religious perspective, which you may or may not appreciate. And even if there aren’t any close to you, most are amenable to working with clients through Skype or phone.
http://www.fertilityawarenessprofessionals.com/find-a-fertility-awareness-educator/
http://www.usccb.org/issues-and-action/marriage-and-family/natural-family-planning/nfp-distance-learning.cfm
And depending where you live, they should be able to suggest names of doctors in your area that are familiar with charting.
Good luck, Kelly,
Toni Weschler