Fertility App Almost As Effective As Contraceptive Pill In Preventing Pregnancies, Study Finds

And it doesn't have any side effects.
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Most people use fertility apps to figure out when the best time is to conceive a baby, but it turns out there may be a completely different use for it - contraception.

The 'Natural Cycles' fertility monitor has unexpectedly proven to be as effective as the contraceptive pill at preventing unwanted pregnancies in a new study. 

It predicts and identifies a woman's fertile window by tracking her period and predicting her ovulation day.

A new study analysing how effective the app was at preventing pregnancies among 4,000 Swedish women (aged 20-35) found the app to be almost as effective as the pill. 

Despite the findings, sexual health experts said we need to be "cautious" of the method, particularly as - if not followed correctly - it could end in a high number of unwanted pregnancies.

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Dougal Waters via Getty Images

Researchers said that among those who use the app correctly, five women out of every 1,000 will experience an accidental pregnancy. 

For those who ignore the fertility warning or forget to input their temperature on certain days, seven women in every 100 will experience an accidental pregnancy during the first year.

To use the app correctly, women are required to record the temperature under their tongue and enter it into the app every morning.

It then determines how fertile you are on that day. If it's green, you're not fertile at this stage in time and the risk of pregnancy is very low. 

If it's red, then you're extremely fertile, which means unprotected sex is a no-no. Unless, of course, you're looking to conceive.

The study found that 'Natural Cycles' has a Pearl Index of 0.5 and 7.0. Meanwhile the contraceptive pill has a Pearl Index of 0.3 and 9.0, the Telegraph reports.

This means that a very similar number of women are expected to get pregnant accidentally while using either 'Natural Cycles' or the pill.

With the contraceptive pill, minor side effects include mood swings, breast tenderness and headaches. In some cases, it can also increase the risk of blood clots and cervical cancer, says NHS Choices.

The app, however, does not interfere with a woman's body in any way and, as a result, there are no side effects.

The independent study was carried out at the Karolinska Institute, Sweden, and was published in the European Journal of Contraception and Reproductive Healthcare.

Study author and contraception expert Professor Kristina Gemzell said: "More and more women, especially in the age group of 20-30, tend to abstain from hormonal contraception and desire a ‘hormone-free’ alternative.

"It is important to increase choice among contraceptives for women and inform them about their pros and cons. 

"This work is an important step towards understanding how new technologies can improve old methods."

Natika Halil, CEO for sexual health charity FPA, told The Huffington Post UK that interest in health apps is increasing and they potentially have "wide-reaching benefits in helping women avoid or plan pregnancies".

But we shouldn't necessarily rule out the pill. 

"Natural Cycles is based on fertility awareness methods - also known as natural family planning - a method of contraception that has been around for a long time and suits many women," she explained.

"Current evidence suggests that fertility awareness methods are most effective when they are taught by a specialist and when more than one fertility indicator is used.

"Apps which only involve entering your body temperature and length of your cycle aren’t taking into account cervical secretions, which are another useful indicator of the fertile time.

"We already know that when used correctly, according to teaching and instructions, natural family planning can be up to 99% effective so we’re very interested to see the results of the Swedish study and would like to see further studies done."

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10 Things You May Not Know About Your Fertility
(01 of10)
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1. Your fertility is mostly determined by genetics, which influences how many eggs you are born with. Doctors believe that the number of eggs you have at birth determines the length of time you will remain fertile. At birth, women have about two million eggs in their ovaries. For every egg ovulated during your reproductive life, about 1,000 eggs undergo programmed cell death. Other things, such as smoking cigarettes and certain types of chemotherapy, can accelerate egg cell death and promote an earlier menopause.
(02 of10)
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2. Regular menstrual cycles are a sign of regular ovulation.Most women have regular cycles lasting between 24 and 35 days. This is usually a sign of regular, predictable ovulation. Women who do not ovulate regularly have irregular menstrual cycles. Those who do not ovulate at all may have a genetic condition called polycystic ovarian syndrome (PCOS).
(03 of10)
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3. Basal temperature charting does not predict ovulation.An older method of tracking ovulation involves taking your oral body temperature each morning before getting out of bed. This is called basal body temperature. This method is used to spot a rise in basal temperature, which is a sign that progesterone is being produced. The main problem with using this method is that your temperature rises after ovulation has already occurred. This makes it more difficult to time intercourse at an optimal time for conception. A better method is to use over-the-counter urine ovulation predictor test kits such as Clearblue Easy. These kits test for the hormone that prompts ovulation, which is called luteinizing hormone (LH).
(04 of10)
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4. Most women with blocked fallopian tubes are completely unaware they may have had a prior pelvic infection.About 10 percent of infertility cases are due to tubal disease, either complete blockage or pelvic scarring causing tubal malfunction. One major cause of tubal disease is a prior pelvic infection from a sexually transmitted disease such as chlamydia. These infections can cause so few symptoms that you may be completely unaware your tubes are affected. This is why fertility physicians will order a dye test of the tubes, called a hysterosalpingogram (HSG), if you have been trying and failing to conceive for 6 months or longer.
(05 of10)
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5. In most cases, stress does not cause infertility. Except in rare cases of extreme physical or emotional distress, women will keep ovulating regularly. Conceiving while on vacation is likely less about relaxation than about coincidence and good timing of sex.
(06 of10)
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6. By age 44, most women are infertile, even if they are still ovulating regularly. Even with significant fertility treatment, rates of conception are very low after age 43. Most women who conceive in their mid-40s with fertility treatment are using donated eggs from younger women.
(07 of10)
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7. Having fathered a pregnancy in the past does not guarantee fertility. Sperm counts can change quite a bit with time, so never assume that a prior pregnancy guarantees fertile sperm. Obtaining a semen analysis is the only way to be sure the sperm are still healthy!
(08 of10)
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8. For the most part, diet has little or nothing to do with fertility. Despite popular press, there is little scientific data showing that a particular diet or food promotes fertility. One limited study did suggest a Mediterranean diet with olive oil, fish and legumes may help promote fertility.
(09 of10)
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9. Vitamin D may improve results of fertility treatments. A recent study from the University of Southern California suggested that women who were undergoing fertility treatments, but had low vitamin D levels, might have lower rates of conception. This vitamin is also essential during pregnancy. At Pacific Fertility Center, we recommend our patients take 2,000-4,000 IU per day.
(10 of10)
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10. Being either underweight or overweight is clearly linked with lowered levels of fertility. The evidence in recent years is that obesity is clearly linked with a longer time to conception. Having a body mass index less than 18 or over 32 is associated with problems ovulating and conceiving, as well as problems during pregnancy.

Halil added that women should be "cautious" of the results for the moment, particularly as other evidence suggests that typical use of fertility awareness methods - when they are not used according to instructions - can result in as many as 24 out of 100 women becoming pregnant in a year.

She continued: "Effectiveness depends on women being able to take their temperature and record it in the app every day, which won’t be suitable for some women in the same way the pill might not be suitable if you have trouble remembering to take it at the same time every day.

"And don’t forget that if you’re relying on an app you might not always have a working, charged mobile phone or tablet."

She noted that there are plenty of other contraceptive methods where effectiveness doesn't rely on a woman remembering to take or use them, such as the implant or an intrauterine device.

"It’s also important to remember non-hormonal methods aren’t for everyone – hormonal contraception gives a wide range of other benefits, including improving acne, controlling or stopping periods and improving PMS," she said.

While she said she would never recommend one method of contraception over another, she did say that women should opt for something based on what suits them at a particular time in their life.

"We want women to find a method that they are happy with that suits their lifestyle but it’s really important not to demonise the pill," she said.

"It may have a number of potential side-effects, and some of them are very serious, but they don’t affect all women and there are many benefits as well.

"A lot of women have really positive experiences on the pill and it can sometimes take a few tries to find a brand that works for you."

Would you trust a fertility app over the pill? Let us know in the poll below.

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