With the growing trend of self-tracking, there are now a wide variety of period apps and trackers that promise personalized cycle monitoring and ovulation predictions, and suggest that this method can also be used as a reliable form of natural birth control.
Most period tracking apps are digital calendars that don’t require any hardware. In most cases, all you have to do is enter the start and end dates of your cycle, as well as the length of your period. Based on this information and the calendar method, they provide a probability of conception and a prediction of your next ovulation.
Caution: Period tracking apps are generally based on standard cycles and may not provide accurate results for women with irregular, very short, or very long cycles, or for those with PCOS. 70% of all women do not have standard cycles, which is why they cannot be accounted for by the available period tracking apps. As a result, it is virtually impossible to make precise predictions about ovulation and the fertile window using period tracking apps and computers.
Hormone-based cycle computers or ovulation tests measure the concentration of luteinizing hormone (LH) in a woman’s urine and provide information about the timing of ovulation. To practice natural family planning, a barrier method of contraception, such as a condom or diaphragm, must be used during this fertile period. Cycle computers rely on a single measurement per day and require regular cycles that do not exceed 35 days in length. In addition, they require a high degree of discipline (measurements must be taken at the same time every day) and a consistent lifestyle (stress, sleep, and alcohol can skew the results).
The ovulation test is based on the assumption that, once the egg reaches a certain stage of maturity, a surge of the hormone LH is released, thereby triggering ovulation. Until now, it was assumed that ovulation occurs approximately 24 to 48 hours after a prolonged LH surge. However, studies have shown that there are various patterns of LH levels that can vary from cycle to cycle, but also from woman to woman (Diereito 2012).*
The study shows that there is a wider range of LH profiles than previously thought. On average, the LH peak occurred 1.2 days after ovulation, rather than before ovulation as expected. In only 6% of cycles did the LH surge end before ovulation. In the vast majority (94%), however, LH continued to rise after ovulation, and in 60% of cycles, it even rose for longer than 3 days.
*Direito A et al. 2012. Relationships between the luteinizing hormone surge and other characteristics of the menstrual cycle in normally ovulating women. Fertil Steril; 99:279-85. doi: 10.1016/j.fertnstert.2012.08.047. Epub 2012 Sep 19.
As a result, measuring LH levels in urine is imprecise, and ovulation cannot be accurately determined in this way. Hormone-based cycle computers are therefore not recommended as a method of natural contraception.
Temperature-based cycle computers rely on the basal body temperature method, which is not entirely reliable. The method relies on a single daily measurement and requires a high degree of discipline (measurements must be taken at the same time every day) and a regular lifestyle (stress, sleep, and alcohol can skew the results). Since the measurements are neither automated nor continuous, these computers are not suitable for reliable natural contraception.
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