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NFP Physician

Guiding your health and fertility journey

Education on Natural Family Planning, cycle health, and fertility from a board-certified, NaProTechnology-trained family medicine physician.

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NFP Methods

Three distinct methods of NFP

Explore each approach — from cervical mucus to basal body temperature to hormone testing — and find the method that's right for you.

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There are multiple types of Natural Family Planning methods including the cervical mucus method, sympto-thermal, and sympto-hormonal. Explore more about each type and see which method is best for you!

The Methods

Understanding each approach

Each NFP method uses different biological markers to identify fertile and infertile phases of your cycle.

1

Cervical Mucus Method

A woman makes observations of cervical mucus seen on toilet paper. She is most fertile when cervical mucus is clear, stretchy, and lubricative in sensation (like raw egg whites).

Types

  • Creighton
  • Billings
  • Two Day Method
2

Sympto-Thermal Method

A woman tracks her basal body temperature every morning (or uses a device to track average temperature while sleeping). Ovulation is indicated when basal body temperature spikes by 0.5–1.0°F and remains elevated through the luteal phase.

Types

  • Natural Cycles
  • Tempdrop
3

Sympto-Hormonal Method

Much like an at-home urine pregnancy test, this method uses urine ovulation tests to track hormones through the cycle. A surge in LH (luteinizing hormone) indicates ovulation has occurred.

Types

  • Marquette Method (Clearblue Monitor)
  • Mira Fertility
  • Inito Fertility

Find Your Fit

Which Method is Right for You?

Quick Guidance

If you like having a fairly consistent morning routine and can be consistent with waking up at the same time every day, then the typical basal body temperature or sympto-hormonal methods may be right for you. They require checking your basal body temperature or LH urine test at the same time every morning. Although they require consistency with making observations every morning, they only require you to make one observation per day (unlike the cervical mucus methods).

MethodPrimary markerObservations per dayRequires same wake time?
Cervical MucusCervical mucus quality & sensationMultiple (each time you use the restroom)No
Sympto-ThermalBasal body temperature (BBT)One (morning temp)Yes — ideally same time daily
Sympto-HormonalLH hormone (urine test)One (morning urine test)Yes — same time for accuracy

Not sure where to start? A good first step is to speak with a certified NFP instructor or your healthcare provider to find the method that fits your health, lifestyle, and goals.

Read the full method comparison

Go Deeper

Learn more on the blog

Dr. Regan has written in-depth guides on each method to help you understand the science and practicalities.

  • Which Natural Family Planning Method Should You Choose?
  • The Cervical Mucus Method Made Simple
  • The Basics of the Sympto-Hormonal Method of NFP
  • BBT: Basal Body Temperature Basics
Browse all articles

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