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Use of Family Planning (women in union, international surveys)

Use of Family Planning (women in union, international surveys). Source: Levels and Trends of Contraceptive Use as Assessed in 1998. United Nations , Report ESA/P/WP.155 New York, 1999. Development of the Two Day Method.

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Use of Family Planning (women in union, international surveys)

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  1. Use of Family Planning(women in union, international surveys) Source: Levels and Trends of Contraceptive Use as Assessed in 1998. United Nations, Report ESA/P/WP.155 New York, 1999

  2. Development of the Two Day Method Goal: To find a highly reliable indicator that would easily identify a woman’s fertile days. Detailed review of: • Literature on reproductive physiology • Counseling protocols for the ovulation and symptothermic methods • Charts from users of those methods

  3. Function of Secretions To protect the sperm against the acidic environment of the vagina To transport the sperm (prevent or enhance motility) Energy source for the sperm

  4. Cervical Secretions Thick cervical secretions Secretions that are more liquid, transparent, stringy

  5. Cervical Secretions during the Menstrual Cycle Preovulatory Days Less Water Less Fluid Less detectable Periovulatory Days More Water More Fluid More detectable Postovulatory Days Less Water Less Fluid Less detectable Detectable secretions = Sign of Fertility

  6. What does the Two Day Method consist of? It uses cervical secretions as an indicator of fertility. The woman checks daily for the presenceor absence of secretions (of any type). If she notes secretions TODAY or YESTERDAY, she is considered to be fertile TODAY. To prevent pregnancy, avoid unprotected sex TODAY.

  7. Two Day Method

  8. How to use the Two Day Method 3 1 2 Determine whether you are on a fertile day and decide whether you can have sex or not. When you are going to bed, think whether you had any that day. Identify secretions during the day.

  9. Efficacy study of the Two Day Method Main research questions • Is it effective? • Is it acceptable? • Can programs feasibly incorporate it into their services?

  10. Efficacy Study • Multi-site prospective study • Services provided through existing programs. • 450 clients were monitored monthly, each for 13 cycles.

  11. Efficacy Study Sites n=450 Source: Arévalo et al. Fertility & Sterility, October 2004

  12. Characteristics of Participants Source: Arévalo et al. Fertility & Sterility, October 2004

  13. Parity Source: Arévalo et al. Fertility & Sterility, October 2004

  14. Prior Use of Family Planning Source: Arévalo et al. 2004

  15. Efficacy of the Two Day Method Source: Arévalo et al. Fertility & Sterility, October 2004

  16. Failure Rate for User-Directed Methods Source: Método de los Dos Días: Arévalo et al, 2004. Otros métodos: Tecnología Anticonceptiva, 18th Edition 2004

  17. How did women check their secretions? • Touching their genitals with their fingers and feeling or seeing • Observing or touching the toilet paper, underwear • By sensing only

  18. Two Day Method Lessons: • Women want to know how their bodies work. • Women had no problem about observing their secretions. • They could identify their secretions in the first cycle of using the method. • Couples can avoid unprotected sex during their fertile days.

  19. Who can use theTwo Day Method? • Women with cycles of any length. • Women with normal secretions. • Women willing to observe their secretions daily • Couples who can avoid sex for several days in a row every cycle.

  20. Métodos basados en el conocimiento de la fertilidad

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