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The Billings ovulation method is a method in which women use their vaginal mucus to determine their fertility. [3] It does not rely on the presence of ovulation, rather it identifies patterns of potential fertility and obvious infertility within the cycle, whatever its length. Effectiveness, however, is not very clear. [3]
Post-ovulation methods (i.e., abstaining from intercourse from menstruation until after ovulation) have a method failure rate of 1% per year. The symptothermal method has a method failure rate of 2% per year. Cervical mucus–only methods have a method failure rate of 3% per year. Calendar rhythm has a method failure rate of 9% per year.
John Billings AM, KC*SG (5 March 1918 – 1 April 2007) and his wife, Evelyn Livingston Billings AM, DCSG (née Thomas; 8 February 1918 – 16 February 2013), were Australian physicians who pioneered the natural method of family planning known initially as the Ovulation Method, then the Ovulation Method Billings, specified by the WHO in 1978 and finally as the Billings Ovulation Method.
The monitor measures estrogen and LH to determine the peak day. This method is also applicable during postpartum, breastfeeding, and perimenopause, and requires less abstinence than other NFP methods. [59] Some couples prefer this method because the monitor reading is objective and is not affected by sleep quality as BBT can be.
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In women, ovulation causes a sustained increase of at least 0.2 °C (0.4 °F) in BBT. Monitoring BBTs is one way of estimating the day of ovulation. The tendency of a woman to have lower temperatures before ovulation, and higher temperatures afterwards, is known as a biphasic temperature pattern.