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Methods accepted by this church are referred to as natural family planning (NFP): so at one time, the term "the rhythm method" was synonymous with NFP. Today, NFP is an umbrella term that includes symptoms-based fertility awareness methods and the lactational amenorrhea method as well as calendar-based methods such as rhythm. [7]
Calendar-based methods rely on tracking a woman's cycle and identifying her fertile window based on the lengths of her cycles. The best known of these methods is the Standard Days Method. The Calendar-Rhythm method is also considered a calendar-based method, though it is not well defined and has many different meanings to different people.
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Ovulation occurs about midway through the menstrual cycle, after the follicular phase, and is followed by the luteal phase.Note that ovulation is characterized by a sharp spike in levels of luteinizing hormone (LH) and follicle-stimulating hormone (FSH), resulting from the peak of estrogen levels during the follicular phase.
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A woman's fertility is in generally good quality from the late teens to early thirties, although it declines gradually over time. [1] Around 35, fertility is noted to decline at a more rapid rate. [1] At age 45, a woman starting to try to conceive will have no live birth in 50–80 percent of cases. [2]
64% will conceive ending in a live birth within four years. [38] Studies of couples trying to conceive have yielded better results: one 2004 study of 770 European women found that 82% of 35- to 39-year-old women conceived within a year, [39] while a study in 2013 of 2,820 Danish women saw 78% of 35- to 40-year-olds conceive within a year. [40]
The time needed to pass (during which the couple tries to conceive) for that couple to be diagnosed with infertility differs between different organizations. Existing definitions of infertility lack uniformity, rendering comparisons in prevalence between countries or over time problematic.