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Natürliche Familienplanung

Natural Family Planning

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Zusammenfassung

Bei der modernen natürlichen Familienplanung beobachten Frauen die zyklischen Veränderungen des Zervixschleims und der basalen Körpertemperatur. Zur Bestimmung des Anfangs und Endes der fertilen Phase werden jeweils zwei Parameter herangezogen, die sich gegenseitig absichern (double-check). Wenn kein ungeschützter Geschlechtsverkehr in der fertilen Phase stattfindet, liegt die Methodensicherheit dieser in Deutschland gebräuchlichen symptothermalen Methode bei 0,3–0,5 Schwangerschaften pro 100 Frauenjahre, die Gebrauchssicherheit bei 2. Diese Ergebnisse stammen aus großen europäischen Datenbanken. Diese Methode ist die einzige hocheffektive natürliche Methode. Sie ersetzt deshalb in Industrieländern die alten Methoden wie Kalendermethode und Temperaturmethode und auch die Billings-Methode.

Abstract

The symptothermal method (STM) is the most effective method of natural family planning, if two parameters to determine the beginning as well as the end of the fertile phase are used (double-check). The main parameters observed by women are BBT and cervical mucus changes. The method-effectiveness is 0.3–0.5 pregnancies per 100 women years, if there is no unprotected intercourse in the self-detected fertile phase. The use-effectiveness is about 2 in Germany. These results are derived from large European databases. In developed countries, the STM replaces the old calendar and temperature methods and the Billings method.

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Literatur

  1. Arbeitsgruppe NFP (2006) Natürlich und sicher. Trias, Stuttgart

  2. Barbato M, Bertolotti G (1988) Natural methods for fertility control: a prospective study. Int J Fertil [Suppl]: 48–51

    Google Scholar 

  3. Bigelow JL, Dunson DB, Stanford JB et al. (2004) Mucus observations in the fertile window: a better predictor of conception than timing of intercourse. Hum Reprod 19: 889–892

    Article  PubMed  Google Scholar 

  4. Colombo B, Masarotto G (2000) Daily fecundability: first results from a new data base. Demographic Research Vol 3/5 (online)

    Google Scholar 

  5. Ecochard R, Boehringer H, Rabilloud M, Marret H (2001) Chronological aspects of ultrasonic, hormonal, and other indirect indices of ovulation. BJOG 108: 822–829

    Article  PubMed  Google Scholar 

  6. Frank-Herrmann P, Freundl G, Baur S et al. (1991) Effectiveness and acceptability of the symptothermal method of natural family planning in Germany. Am J Obstet Gynecol 165: 2052–2054

    PubMed  Google Scholar 

  7. Frank-Herrmann P, Freundl G, Gnoth C et al. (1997) Natural family planning with and without barrier method use in the fertile phase: efficacy in relation to sexual behavior: a German prospective long-term study. Adv Contracept 13: 179–189

    Article  PubMed  Google Scholar 

  8. Frank-Herrmann P, Gnoth C, Baur S et al. (2006) Zyklusverhalten nach Absetzen von oralen Kontrazeptiva. J Reproduktionsmed Endokrinol 1: 54–57

    Google Scholar 

  9. Freundl G, Frank P, Baur S, Döring G (1988) Demographic study on the family planning behaviour of the German population: the importance of natural methods. Int J Fertil [Suppl]: 54–58

    Google Scholar 

  10. Gnoth C, Frank-Herrmann P, Freundl G et al. (1995) Sexual behavior of natural family planning users in Germany and its changes over time. Adv Contracept 11: 173–185

    Article  PubMed  Google Scholar 

  11. Gnoth C, Frank-Herrmann P et al. (1996) Wir korrelieren selbstbeobachtete Zyklussymptome mit der Ovulation? Zentralbl Gnyäkol 118: 650–654

  12. Gnoth C, Bremme M, Klemm R et al. (1999) Research and quality control in natural family planning with relational database systems. Adv Contracept 15: 375–380

    Article  PubMed  Google Scholar 

  13. Gnoth C, Godehardt D, Godehardt E et al. (2003) Time to pregnancy: results of the German prospective study and impact on the management of infertility. Hum Reprod 18: 1959–1966

    Article  PubMed  Google Scholar 

  14. Grimes DA, Gallo MF, Grigorieva V et al. (2004) Fertility awareness-based methods for contraception. Cochrane Database Syst Rev 18(4): CD004860

    Google Scholar 

  15. Raith E, Frank P, Freundl G (1999) Natürliche Familienplanung heute – mit ausführlicher Darstellung der Zykluscomputer. Für Ärzte, Berater und interessierte Anwender. Springer, Berlin Heidelberg New York Tokio

  16. Rice FJ, Lanctot CA, Garcia-Devesa C (1981) Effectiveness of the sympto-thermal method of natural family planning: an international study. Int J Fertil 26: 222–230

    PubMed  Google Scholar 

  17. The European Natural Family Planning Study Groups (1993) Prospective European multi-center study of natural family planning (1989–1992): interim results. Adv Contracept 9: 269–283

    Article  PubMed  Google Scholar 

  18. The European Natural Famlily Planning Study Groups (1999) European multicenter study of natural family planning: efficacy and drop-out. Adv Contracept 15: 69–83

    Article  PubMed  Google Scholar 

  19. Trussel J, Kost K (1987) Contraceptive failure in the United States: a critical review of the literature. Stud Fam Plan 18: 237–283

    Article  Google Scholar 

  20. Trussel J, Grummer-Strawn L (1991) Further analysis of contraceptive failure of the ovulation method. Am J Obstet Gynecol 165: 2054–2060

    PubMed  Google Scholar 

  21. Wilcox AJ, Weinberg CR, Braid DD (1995) Timing of sexual intercourse in relation to ovulation. N Engl J Med 333: 1517–1521

    Article  PubMed  Google Scholar 

  22. World Health Organisation (1981) A prospective mulitcentre trial of the ovulation method of natural family planning. I. The teaching phase. Fertil Steril 36: 152–158

    PubMed  Google Scholar 

  23. World Health Organisation (1981) A prospective mulitcentre trial of the ovulation method of natural family planning. II. The effectiveness phase. Fertil Steril 36: 591–598

    PubMed  Google Scholar 

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Frank-Herrmann, P., Gnoth, C., Baur, S. et al. Natürliche Familienplanung. Gynäkologe 39, 671–677 (2006). https://doi.org/10.1007/s00129-006-1876-4

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