Why BBT is #2!

When women chart their fertility signs using the Fertility Awareness Method, we’ve already learned from a recent blog post "Why Cervical Fluid is #1!"

Taking her basal body temperature first thing in the morning usually lets a woman know if she has or hasn’t ovulated yet. It doesn’t tell her if her fertile time has started (which is VERY important) but it can tell her that her fertile time has ended (another important factor). If she’s trying to get pregnant and she sees her temp has gone up, it’s often too late to have sex for conception. If she’s avoiding pregnancy, she’s fertile for the 5 or so days BEFORE her temp goes up… and there’s no way to predict the future!

Also, getting accurate morning temperatures is of the utmost importance. If her temps are inaccurate (she slept in, drank alcohol the night before, got up to pee in the middle of the night, is coming down with a cold, etc.), then her chart is inaccurate. If her chart is inaccurate, then any information we try to extrapolate from it will probably be wrong.

Want to know more?!? Contact me… or better yet, come to a class!

Preconception Nutrition

Aside from reducing stress, eating a plant-based, whole-foods diet is a great way to boost your fertility. Basically, our bodies are designed to try and “get us pregnant" every cycle. If there are outside factors (like stress, poor nutrition, repeated illnesses, etc.) telling our bodies “this isn’t a good time to get her pregnant," then conceiving might be a bit more challenging.

"Real Food for Mother & Baby: The Fertility Diet, Eating for Two, and Baby’s First Foods" by Nina Planck is a great place to start. The rule-of-thumb is to eat REAL food… what our great-grandmothers would have recognized as food ;)

Two things to keep in mind… avoiding the “dirty dozen" and eating low-mercury fish. The dirty dozen includes foods in which we eat the skin or the skin is thin (and potentially covered in pesticides): apples, bell peppers, blueberries, celery, cherries, grapes (imported), kale, nectarines (imported), peaches, potatoes,  spinach/lettuce, and strawberries. It’s best to buy these organic and/or local. Low-mercury fish choices (so our body doesn’t store heavy metal poisons) include arctic cod, anchovies, catfish, clam, crab, oyster, sardine, scallop, shrimp, tilapia, trout, and wild salmon (http://www.montereybayaquarium.org/cr/seafoodwatch.aspx).

Yum! Eating for 1 so that eventually you’re “eating for 2" can taste really good!

Why Cervical Fluid is #1!

When women first learn to chart using the Fertility Awareness Method, more often than not, they seem to use their Basal Body Temperature (BBT) as the most important fertility sign… but it’s not!

I can understand (and even relate) as to why that is… it’s a number you can record… it’s objective… it’s black and white… there’s no guesswork. But in the end, it’s retrospective… it’s what’s happened “back there" and when charting cycles, we want to know what’s “going to happen," particularly when ovulation is about to occur. We want to know when we’re fertile (ovulation is just around the corner) and when we’re not fertile (ovulation is still far off or it happened awhile ago).

That’s where the importance of charting Cervical Fluid (CF) comes into play. For a variety of reasons, CF is the definition of fertility! But a lot of women are confused about interpreting their CF and what it means. There can be a lot of, “I’m pretty sure I’m not fertile, but I’m not certain." That’s why finding an instructor that’s qualified to teach the FAM is so important! If you’re confused about what your CF is and means, I encourage you to find the answers to your questions by coming to one of my classes or finding a teacher in your area. Our Cervical Fluid is speaking a language, we just have to learn how to be a part of the conversation!

Am I fertile or not fertile today?

While using the Fertility Awareness Method for avoiding pregnancy or trying to conceive, this is the question women ask themselves each day: “Am I fertile or not fertile today?" The answer should be either yes or no. If it’s ever… I don’t think so… or I’m not sure… or maybe… then something’s up!

Aside from reading great books like Taking Charge of Your Fertility by Toni Weschler and Garden of Fertility by Katie Singer, there aren’t a lot of resources to help women answer this question. In addition to the classes that I teach, I offer one-on-one consultations which is a great way for a woman to read, interpret, and understand her body even better. Books can’t offer that… phone apps can’t offer that… online groups can’t offer that.

My hope is that if you’re looking for accurate information about your body, that you can find it. And I would welcome the opportunity to be of assistance to you!

FAQ about the Fertility Awareness Method

The Fertility Awareness Center is located in New York City and is operated by Ilene Richman. She has compiled a GREAT list of questions that are often asked about the Fertility Awareness Method. My favorite one is: “Why haven’t I heard about FAM before? Why didn’t my gynecologist offer it to me?" Follow the link above to find the answer!

Describing the Fertility Awareness Method

Hi there and welcome to my very first Flowers Fertility blog! I thought the best first blog entry should be one I already wrote :)  The plan (fingers-crossed) is that you’ll be hearing a lot more from me in the coming months as I develop my online presence. I’ve been teaching classes and offering individual consultations since 2011, but hope to expand this little educational business I’ve started. Cheers to the New Year!

Originally posted on a blog managed by Mountain Midwifery Center in 2011:

We've all heard the joke, "What do you call couples who use the Rhythm Method for birth control? Parents." The Fertility Awareness Method, specifically the Sympto-Thermal Method, is most decidedly NOT the Rhythm Method. Instead, it is a woman-centered, holistic, educational, and versatile model of gathering information from one's body. Women and couples successfully use the Fertility Awareness Method to monitor reproductive health, to properly time intercourse in hopes of consciously conceiving, and to avoid pregnancy.The advantages are that it is simple to use, is easy to learn, is inexpensive, doesn't harm reproductive health, and can be a reliable form of birth control. (Wait... did she really just say it can be a reliable form of birth control?)

The Fertility Awareness Method looks at what's going on in a woman's body today, and uses data from (in order of importance) cervical fluid, basal body temperature, and cervical position to answer the question, "Am I fertile or not fertile today?" It also helps to answer a lot of other questions we may find ourselves asking: "Is my period late because I'm pregnant or because I'm stressed out? Is this a late period or a miscarriage? Why can't I get pregnant? Is my vaginal discharge supposed to be like this? How many times am I going ovulate each cycle?"

The sentiment I hear over and over from women who learn about Fertility Awareness is, "Why didn't they teach us this in school? I wish I had known this stuff when I was a teenager!"

The foundation of the Fertility Awareness Method is observing the daily hints/clues/signs/symptoms that our bodies give us about what's going on with our reproductive cycle. It's scientifically validated: specific reproductive hormones cause the menstrual cycle to progress in a certain way and produce symptoms in our bodies that can be observed. It is a secular alternative to Natural Family Planning that is taught by the Catholic Church. (More about the differences here.)

Many thorough studies have been done on the Fertility Awareness Method. A recent 2007 German study of the Sympto-Thermal Method of Fertility Awareness showed that for preventing pregnancy, the method effectiveness was 99.6% and the total effectiveness was 98.2% [1]. This is extremely high when compared to the Center for Disease Control's (CDC) statistics for other forms of birth control: male condoms are 85-98%, pills/patches/rings are 92-99%, and Fertility Awareness Methods are 75-99% [2]. The lower range of effectiveness for the CDC's figures of Fertility Awareness Methods could be that it included the data for non-Sympto-Thermal Methods of Fertility Awareness like the outdated Rhythm Method and perhaps couples who did not adhere to the specific rules for avoiding pregnancy. The high range (99%) shows that the method can be extremely effective when it's properly taught, understood, observed, interpreted, and followed-up for individual concerns with a qualified teacher.

Many women successfully use the Fertility Awareness Method to achieve their personal reproductive goals. While this method is not right for everyone, adding this valuable information of body knowledge to one's repertoire would be an asset to anyone working in women's health.


Colleen Flowers is a Holistic Reproductive Health Practitioner and teaches Natural Conception and Natural Birth Control classes using the Justisse Method, a Sympto-Thermal Method of Fertility Awareness at Mountain Midwifery Center. She suggests Taking Charge of Your Fertility and Cycle Savvy (specifically for teens) by Toni Weschler, and The Garden of Fertility by Katie Singer for information about the Fertility Awareness Method.

[1] Frank-Herrmann P, Heil J, Gnoth C, Toledo E, Baur S, Pyper C, et al. (2007)."The effectiveness of a fertility awareness based method to avoid pregnancy in relation to a couple's sexual behaviour during the fertile time: a prospective longitudinal study. Human Reproduction. May;22(5):1310-9. Retrieved February 15, 2011 from http://tiny.cc/opsk6

[2] http://www.cdc.gov/reproductivehealth/unintendedpregnancy/contraception.htm