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When you’re both a marriage life coach and a doula (like I am), it’s not uncommon for people to want to talk to you about birth control. And indeed, it is a bit of a tricky topic when you’re married because, although it should pretty much be a given that condoms should be used when you’re single, who wants to have, what I call, “college sex” (which is sex with a condom because sex in college tends to need it…A LOT — LOL) when you’re in a long-term, committed and monogamous relationship (for the record, I do know some couples who do it and the husbands hate it)?

Still, when you’re not ready to have a baby, it can be…let’s go with the word “trying” to land on a birth control method that is reliable, healthy, and doesn’t have a ton of side effects.


One option that has been around since, shoot, forever (although technically, it became defined in the early 1930s) is the rhythm method. And although I’m not sure if any other form of birth control creates a more polarizing response than it does because it has been around for as long as it has, I do think it’s worth discussing what it is, along with its benefits and challenges, just so you can make a truly educated decision regarding if it’s the best route for you and your partner to take in this particular season of your family planning journey.

Are you ready to look past the myths about the rhythm method and get into some actual facts?

What Is the Rhythm Method?

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Another term for the rhythm method is natural family planning; that makes a lot of sense when you take in the fact that the rhythm method is a completely chemical-free approach to avoiding pregnancy. What I mean by that is, instead of relying on things like hormone-filled birth control to manipulate your menstrual cycle, the rhythm method is all about keeping up with the natural (pardon the pun) flow or rhythm of your period, including your ovulation time, in order to avoid conceiving — until/unless you are ready.

How Effective Is the Rhythm Method?

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Okay, so before diving even deeper into why you may (or may not) want to consider using the rhythm method as your own personal birth control option, let’s discuss how effective it actually is. For the most part, depending on what source you reference, most medical-related data is going to say that the rhythm method has a success rate of somewhere around 75 percent or a failure rate of between 8-25 percent.

How does that line up with other types of birth control? Well, condoms, when used correctly and consistently, have a success rate of about 98 percent, while the pill, when taken daily and around the same time, has a 99 percent success rate (which is why many people end up getting the side-eye when they are pregnant while claiming that it happened while using birth control).

Some other pretty reliable forms of birth control include IUDs, patches, “the shot,” vaginal rings, and diaphragms although, since some of them also contain hormones and hormones tend to come with side effects (like spotting, nausea, headaches, mood swings, a drop in your libido and weight gain), when a woman doesn’t want to go the permanent route (like cutting or burning her fallopian tubes), that is what ends up making the rhythm method so appealing.

And just what are some of the other proven benefits of the rhythm method?

What Are the Pros of the Rhythm Method?

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When it comes to some of the reasons why the rhythm method is actually a good look:

  • It’s cost-effective
  • No hormone treatments are involved
  • Birth control-related side effects are not an issue
  • It’s a great way to learn about your body via your menstrual cycle
  • There’s no “downtime” when it comes to getting your system off of hormones from birth control

Yeah, definitely, if you’re someone who doesn’t want to take anything that will alter your body’s hormones and/or you don’t want to wait for the hormones to leave your system in order to get pregnant at some point, the rhythm method is worth considering.

That’s not to say that it doesn’t come with its own set of challenges, though.

What Are the Cons of the Rhythm Method?

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As with most things in life, just like there are benefits that come with going with the rhythm method, there are some potential setbacks, too:

  • Again, its effectiveness isn’t as high as other birth control methods
  • Spontaneous sex can be a bit of a challenge
  • If your cycle is not consistent, the rhythm method can be somewhat unpredictable
  • There may be a learning curve (and you could get pregnant in it)
  • For obvious reasons, most of the work/effort falls on the woman

When it comes to some of my (doula) clients, the two things that I hear the most as to why they can find the rhythm method to be a bit, let’s go with “taxing,” is because 1) there is a lot of planning that is involved and 2) when you don’t have everything down to a science, you usually have to end up using a condom anyway. And that brings me to something else that you strongly need to factor in when it comes to using the rhythm method: tracking your ovulation.

The Main Hack to Rhythm Method: Tracking Your Ovulation

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Although reportedly two-thirds of women use some form of birth control, the rhythm method is very low on the list of options. Personally, I think it’s because so much prepping and planning are involved if you want to avoid pregnancy at all costs. I mean, not only do you need to track when you’re ovulating, but you’ve got to remember that sperm can live inside of you for up to five days, which means that not only is your actual ovulation day the time when you can get pregnant, so are a few days before and around 24 hours after.

This alone can get a bit dicey if your period isn’t regulated, and if that is indeed the case, you have to be even more hypervigilant about taking an ovulation test (on a monthly basis), checking your basal body temperature (which needs to be done every morning; if it’s slightly elevated, there’s a good chance that you are ovulating) as well as your cervical fluid (it tends to have the consistency of egg whites during ovulation).

If you want to get pregnant, all of this helps you to know when to have sex. Oh, but there’s another side to this coin: If you don’t want to conceive, this is the time when either you have to go without copulation (or engage in say, oral sex) or use another birth control method — and who wants to basically be abstinent for a week or have “college sex” for that long? Every…single…month? Yep — like I said, the rhythm method is a lot of work; it’s basically like a real live at-home science project that you conduct on a monthly basis.

Oh, and if you’re someone who is thinking, “No problem. We’ll just pull out during that time” — well, just keep in mind that the pull-out method is somewhere around 80 percent effective, which comes down to somewhere around one in every five people getting pregnant from using/doing it. Plus, I don’t know why so many people want to ignore the fact that pre-ejaculate/pre-cum contains sperm, and guys don’t always know when that is going to spill out, so pulling out before climaxing may not be a surefire bet that you still won’t end up with a plus sign on a pregnancy test at some point. #justsaying

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So, what am I saying — that when it comes up to the thumbs up/thumb down game, the rhythm method gets the thumbs down in my book? Nah, that’s not my overall point. What I will say is that this form of birth control requires a ton of personal accountability, that sacrifices will have to be made, and there isn’t a lot of room for error. Oh, and since again, it’s a form of birth control, and if you do happen to get pregnant before you’re ready, whatever decision you make is going to alter your life for the rest of your life…just make sure that you approach this option while being sober-minded and with a partner who will take it as seriously as you do.

And one more thing: also remember that it’s a lot of work for something that has around a 75 percent chance of working in your favor (if you don’t want to get pregnant). Now, if you’re all for taking those odds, have at it. Otherwise, set up an appointment with your doctor ASAP. Technology is ever-changing. They might be able to find something that is more suitable to your expectations, your schedule…and your sex life. Something that is less work, may have fewer side effects (than other popular methods of birth control), and is even more reliable. #againjustsaying

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