contraception/Can an app replace your patients birth control?

Can an app replace your patients’ birth control?

A mobile app designed to prevent pregnancy made headlines earlier this year when it became the first medical application cleared by the US Food and Drug Administration (FDA) for the purposes of birth control. The science behind the app isn’t new—fertility awareness-based methods of contraception have been used and studied for decades—but questions remain about the Natural Cycles app, and whether a software program can truly replace your patients’ birth control.
The AppThe Natural Cycles app uses a fertility awareness method based on basal body temperature (BBT). Women enter their temperature into the app each morning, as well as information regarding their menstrual period. Using a proprietary algorithm, Natural Cycles analyzes BBT trends to accurately predict a woman’s daily fertility.[1]
The results are depicted using a simple color-coded graphic. A green circle indicates that the user is not fertile and can have intercourse without the need for additional protection against pregnancy. A red circle indicates a fertile day and alerts the user to use protection (such as a condom) or abstain from intercourse.[2] Natural Cycles learns a woman’s cycle as more and more information is entered into the app, making its predictions more accurate with continued use.

statics

In a 2011 survey, for example, 41 percent of servicewomen who experienced an unintended pregnancy in the prior year reported not using birth control and another 19 percent said they had used the withdrawal or rhythm methods at the time of their pregnancy.
More than half of the women in the current study reported getting contraception from the military at some point in time and had positive feelings about the militarys contraceptive services.
The majority – 14 of the 21 – said they had used contraception in the three to six months prior to the pregnancy that resulted in their most recent abortion.
Among women on contraception, four participants said their chosen method of birth control failed; four said they hadnt used it consistently; and four said they had stopped using birth control altogether before they conceived.

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