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Family planning allows individuals and couples to anticipate and attain the desired number, spacing, and timing of children.1 Fertility awareness methods of family planning use one or more biologic markers to identify fertile days of a woman's reproductive cycle.

Intercourse is avoided or a contraceptive method is used on these fertile days to avoid pregnancy.

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Lactational amenorrhea is 92 to 100 percent effective in preventing pregnancy during the first six months postpartum in women who exclusively breastfeed their infants, provided that menstruation does not resume.

A = consistent, good-quality patient-oriented evidence; B = inconsistent or limited-quality patient-oriented evidence; C = consensus, disease-oriented evidence, usual practice, expert opinion, or case series.

For information about the SORT evidence rating system, go to amenorrhea is 92 to 100 percent effective in preventing pregnancy during the first six months postpartum in women who exclusively breastfeed their infants, provided that menstruation does not resume.

For information about the SORT evidence rating system, go to

The first four methods allow couples to plan intercourse around the days of increased fertility during the woman's reproductive cycle.

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