Unpacking the Trend of Natural Birth Control

Birth control options have never been more effective, diverse, or affordable — so why are many women favoring older methods?

Lux Alptraum
Elemental

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Credit: Kwangmoozaa/Getty Images

WWhen Layna was a teenager, she went on her first birth control pill: Loestrin 24 Fe. For a few years, she was content with her hormonal contraception. Then Loestrin was discontinued. She tried taking Seasonale, another hormonal birth control pill, but she found that it made her bleed when she had sex. Other pills weren’t much better: She experienced mood swings, gained weight, and even says she felt suicidal. “I knew in my heart that I did not feel like that, that that was not me,” she says.

Eventually Layna, who requested that her last name not be included for privacy reasons, decided to move away from hormonal birth control altogether, which brought her to the fertility awareness method (FAM), a collection of behavioral birth control strategies that help people follow and predict their cycles through period tracking, daily temperature taking, cervical mucus monitoring, and a lot of math.

She first tried Natural Cycles, an algorithm-driven FAM app that recently became the first app to receive approval from the U.S. Food and Drug Administration (FDA) to market itself as a contraceptive. She says that app didn’t…

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