Are you having back pain with any of the following?
We understand that you are experiencing one or more of the health issues that might be impacting your back pain.
We recommend that you discuss these health issues with your doctor before proceeding with this program.
Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.
Natural family planning (NFP) is a nonsurgical, nonhormonal, and nonpharmaceutical (no medicines) method to plan or prevent pregnancy. There are 4 methods, based on a woman's monthly cycle of fertile days.
Risk of pregnancy
Natural family planning (NFP) is a less effective method of birth control. The risk of pregnancy with NFP ranges from 12 to 25 percent. This means that if 100 women use this method, 12 to 25 women will become pregnant each year. Consider other methods of birth control if you want to lower your risk of pregnancy. We can help you choose the best option for you and your lifestyle.
Did you know that half of all pregnancies are surprises? Because of this we recommend all women of childbearing age (15 to 49 years old) take 0.4 mg of folic acid daily to ensure a healthy pregnancy. The easiest way to do this is with a standard multivitamin.
How it works
A woman is most fertile (likely to become pregnant) during ovulation, the time during her monthly cycle when a mature egg is released into the uterus. During the 10 to 15 days each month when you are most fertile, you must either abstain from intercourse or use another form of birth control (such as the cervical cap, condom, diaphragm, or female condom) if you are not planning to get pregnant.
If you are thinking about NFP as a method of birth control, you should consider a few things. NFP is effective only if you:
In other words, it requires more effort and time than many of the other forms of birth control.
Four methods can help you predict when you are ovulating and when to avoid unprotected intercourse. NFP is most effective when these 4 methods are used together:
When it will not work
NFP will not work well:
The calendar method involves tracking your menstrual cycle to help you predict your next ovulation. This method is most effective if you have a regular 26 to 32-day menstrual cycle and use it in combination with other birth control methods.
We don’t recommend the calendar method if you:
Risk of pregnancy
The calendar method is a less effective method form of birth control. The risk of pregnancy with the calendar method is 12 percent, when practiced correctly and consistently. This means that 1 in 8 women who use this method will become pregnant each year.
How to use the calendar method
Record the dates of your menstrual periods for 6 to 8 months.
Calculate which days of the month you are fertile (ovulating) using these guidelines. Pregnancy is most likely to occur if you have vaginal intercourse right before or after you ovulate.
If you are not planning to get pregnant, do not have intercourse or be sure to use another method of birth control for 1 week before your fertile days, during your fertile days, and 3 days after your fertile days.
These guidelines can help you figure out which days you ovulate. Keep in mind that these estimates might not be accurate for everyone, because every woman's cycle is different. Many women find that their cycle varies each month.
You may want to use an online ovulation calculator to help predict your monthly ovulation.
The standard days method (SDM) is another way to help you track your menstrual cycle and determine your monthly fertility phase. It works best for women who have regular menstrual cycles (between 26 and 32 days long).
There are different ways to keep track of your cycle in SDM including using a calendar, a computer program, or a string of beads. Different brands of beads are available to buy.
We do not recommend this method if you:
Risk of pregnancy
SDM is a less effective method of birth control. The risk of pregnancy with the SDM method is 12 percent. This means that with normal usage, 1 in 8 women will become pregnant each year. The risk of pregnancy may be lower if you practice this method perfectly.
How to use SDM
With this method, certain days of your cycle are considered fertile and certain days are considered infertile. Day 1 is the first day of your period.
The temperature method involves checking your body temperature every morning for several months to figure out when you ovulate. You will use this information to know when it’s safe to have unprotected sex.
During ovulation, your body temperature will rise by 0.4ºF (0.2ºC). It will stay high for about 3 to 5 days. You will use a special ovulation thermometer, called a basal thermometer, which shows tenths (0.1º) of a degree. Most local drugstores carry these thermometers, and some Kaiser Permanente pharmacies have them as well.
Using your body temperature as a guide, you should avoid unprotected intercourse on the last day of your period and until 3 days after you ovulate. It is safest to avoid unprotected intercourse during the last few days of your period because sperm can remain in the vagina for up to 5 days after intercourse.
The temperature method is most effective if you have a regular menstrual cycle (28 to 32 days). We recommend that you use the temperature method in combination with other birth control methods.
This method will not be effective if you:
Risk of pregnancy
The temperature method is a less effective method of birth control. The risk of pregnancy with the temperature method is 13 to 20 percent. This means that 13 to 20 percent of women who use this method will get pregnant each year.
How to use the temperature method
Your temperature may be affected by a number of things besides your menstrual cycle. The temperature method may not work well if you:
The cervical mucus method involves observing changes in your cervical mucus. It is also called the Ovulation or the Billings Method. This method helps you look for the following changes in your cervical mucus:
You may be able to predict when you will ovulate by watching, feeling, and recording this information for several cycles.
We do not recommend the cervical mucus method for women who have short, long, or irregular cycles. This method is most effective for women who have a regular menstrual cycle (28 to 32 days). We recommend that you use the cervical mucus method in combination with other birth control methods.
The cervical mucus method will not work well if you:
Risk of pregnancy
The cervical mucus method is a less effective method of birth control. The risk of pregnancy with the cervical mucus method is 20 to 22 percent This means that 1 in 5 women who use this method will become pregnant each year.
How to use the cervical mucus method
Each day put one clean finger in your vagina to test the stretchiness of your cervical mucus.
Right after your period, you will notice:
Just before and during ovulation, you will notice:
Mark your calendar every day. If you are not planning to get pregnant, do not have vaginal intercourse or be sure to use another method of birth control during the few days before, during, and after ovulation.
You can connect with me in a variety of ways, depending on the situation and what is most convenient for you at the time. I am available online, by telephone, or in person.
Having all of our Kaiser Permanente departments located together or nearby, including pharmacy, laboratory, radiology, and health education, makes getting your care easier for you.
Another major benefit is our comprehensive electronic medical record system, which allows all of the doctors and clinicians involved in your care to stay current on your health status and to collaborate with each other as appropriate.
When every member of the health care team is aware of all aspects of your condition, care is safer and more effective.
We will work together to monitor and assess how your medications are working and make adjustments as needed. Prescriptions can be filled at any Kaiser Permanente pharmacy. Just let me know which pharmacy works best for you, and I will send the prescription electronically in advance of your arrival at the pharmacy.
If refills are needed in the future, you can:
For lab tests, I will use our electronic medical record system to send the requisition to the Kaiser Permanente laboratory of your choice. For imaging procedures, we will schedule an appointment with the radiology department. When the results are ready, I will contact you with your results by letter, secure e-mail message, or phone. In addition, you can view most of your laboratory results online, along with any comments that I have attached to explain them.
My specialty colleagues are readily available to assist me if I need additional advice about your condition. In some cases, I may contact them during your visit, so we can discuss your care together. If we decide you need a specialty appointment after that discussion, we can often schedule it the same day or soon thereafter.
As part of our commitment to prevention, additional members of our health care team may contact you to come in for a visit or test. We will contact you if you are overdue for cancer screenings or conditions which may require monitoring.
As your personal physician, I have a goal to provide high-quality care and to offer you choices that make your health care convenient. I recommend that you become familiar with the many resources we offer so that you can choose the services that work best for you.
My Doctor Online is available 24/7 so that you can access and manage your care where and when it is most convenient. From my home page you can:
If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.
This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.