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Contraceptive apps truly work?

Ernesto J. Sager by Ernesto J. Sager
August 3, 2025
in Apps
0

Caroline Davis had been the usage of the Natural Cycles app as contraception for seven months she discovered she was pregnant. “My duration was every week past due after I took the check,” she says. “The ‘you’re pregnant’ image got here up without delay. I cried in the lavatory earlier than phoning my boyfriend.”

The 33-year-old nurse from south London wasn’t ready for a child; she had most effective been with her companion for some months. After experiencing headaches with the contraceptive tablet, she had taken the risk of switching to the app, and now had to manipulate the results.

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Contraceptive apps truly work? 1

Natural Cycles is a 21st-century take on the age-old rhythm approach of family planning, whilst girls tune their physical adjustments and menstrual records to calculate their fertile window. Heavily advertised on social media (fertility trackers are the most often downloaded sort of fitness app within the Apple Store), it charges £39.99 a year and springs paired with a thermometer, used to log your temperature before you get out of bed every morning.
Post-ovulation, progesterone warms the body with the aid of up to 0.45 °C, so an algorithm uses the information to calculate when users are probably to be fertile and offers them green and pink days; the latter after they should abstain from intercourse or use extra safety, such as a condom. Natural Cycles says it is best offers inexperienced users, whilst it is 99.95 in step with cent sure. Initially, it shows around 40 in keeping with cent purple days, hiking to 70 in step with cent after a few cycles.

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But Davis, who says she followed the app’s guidelines to a tee, isn’t the most effective girl to have fallen pregnant when using Natural Cycles. In the final four months of 2017, the Stockholm South General Hospital in Sweden announced that it had helped 37 women terminate unwanted pregnancies, conceived no matter they used the app.

Although it’s miles nevertheless early days, over half of 1,000,000 girls worldwide have grown to become to Natural Cycles since the app was released in Sweden in 2014. 12 months in the past, the technology changed into certified by of European regulatory body Tüv Süd to be used as a contraceptive clinical tool; a fashionable, widely common practice in the UK. And its popularity has grown here – 127,000 downloads and counting – given that a take a look at of twenty-two,785 girls posted inside the journal Contraception in August observed it was ninety-nine in line with cent effective under “best” use and ninety-three according to cent effective under “ordinary” use. The contraceptive pill, with the aid of comparison, is ninety-nine consistent with cent effective with ideal use but ninety-one in line with cent with regular use.

The majority of customers, around eighty in step with cent, use it for contraception in preference to fertility tracking, consistent with Dr. Raoul Scherwitzl, who co-based Natural Cycles with his wife Dr. Elina Berglund, 32, a Swedish particle physicist who came up with the set of rules to track her very own cycle.

“The usual person uses it for a few years as a contraceptive before switching to get pregnant,” says Dr. Scherwitzl. “It’s a product couples select when they need to save you their pregnancies but are making plans to have a toddler in some years’ time.”

Contraceptive apps truly work? 2

The average Natural Cycles’ consumer is 30-plus and in a solid dating, as in step with Sara Flyckt, 36, a former maitre d’ at Somerset House’s Spring restaurant. A self-described “monster” while taking hormonal contraception, she was thrilled to find out an alternative after giving birth to her son, six years in the past. Natural Cycles hadn’t yet acquired a regulatory stamp of medical approval, but Flyckt didn’t see it as a danger. “I by no means felt involved approximately the use of it in any respect,” she says. “I used it the way I was intended to and fixed to the purple and inexperienced days.”

Switching to the app stabilized her moods and had an effective impact on her sex life. “Hormonal contraception affected how I felt approximately my companion and what I desired,” she says. “Natural Cycles improved that.”

On finding out she was equipped to have another child, Sara stopped the usage of the app. On deciding she was ready to have every other baby, Sara stopped the use of the app. CREDIT: PASCAL VOSSEN.Flyckt used the app and thermometer until the summer season of 2016. “When we decided we wanted to attempt for any other baby, I swapped it over from save you to plan,” she recalls. “By then, I knew my body and cycle quite well, so it took more than one month to turn out to be pregnant.”

Britain’s regulatory body, the Faculty of Sexual and Reproductive Healthcare, is yet to approve the app. Instead, it recommends the ones interested in the herbal technique look for education from their health practitioner.

“The fertility awareness technique is handiest whilst you operate a couple of fertility indicators, and when you’re taught it with the aid of a specialized trainer,” says Natika Halil, chief executive of the Family Planning Association.

“Apps like Natural Cycles permit you to recognize your menstrual cycle better, and they can truly be useful if you’re making plans for a pregnancy. But in the intervening time, we don’t advocate relying just on an app for birth control because there virtually isn’t enough unbiased research on their effectiveness.”

Contraception that doesn’t rely on perfect use, which includes the implant and intrauterine gadgets, is greater efficient, she says, including that it’s miles concerning when generation groups feed into the narrative that “hormones are bad”.

Contraceptive apps truly work? 3
Caroline Davis has been the usage of the combined contraceptive tablet for five years, when she was told it was no longer safe to do so. She was in her mid-20s and had commenced getting migraines with the air of secrecy, which is related to a greater risk of stroke on the tablet. Swapping to the progesterone-only pill made her experience terrible: “I bled each day for 2 months so that they upped my dose,” she recalls. “The better the dose, the worse I felt. I had signs of despair: I had no electricity, desired to live under a mattress, and felt truly emotional.”

It became after listening to approximately Natural Cycles’ certification, that Davis decided to attempt it, and met her associate, who works in coverage, quickly after. By summer season 2017, she had the using the app for around seven months and had reached the point where she had more green days than red ones. She input her temperature around 25 days a month and avoided unprotected sex while advised.

In July, she went to visit her new boyfriend in Amsterdam, where he turned into running. “He immediately said my breasts looked larger,” she remembers. “I ordered a larger one and couldn’t drink it; it didn’t flavor right.” She becomes pregnant.

 

 

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Ernesto J. Sager

Ernesto J. Sager

Infuriatingly humble internet advocate. Unable to type with boxing gloves on. Alcohol expert. Twitter scholar. Creator. Spent 2001-2005 consulting about Virgin Mary figurines in Salisbury, MD. Spent 2002-2008 licensing corncob pipes in Phoenix, AZ. Spent 2002-2009 investing in glucose in Gainesville, FL. Spent 2002-2010 deploying Roombas in Suffolk, NY. Spent college summers testing the market for soap scum in the UK. Prior to my current job I was lecturing about birdhouses in Cuba.

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