FDA Stirs Contraception Debate With OK For ‘Natural’ Birth Control App

The Natural Cycles smartphone app figures out the days of the month when a woman is likely to be fertile.

Nishat Ahmed / AP

The Food and Drug Administration took a big-tent approach earlier this month when it approved two new forms of birth control that seek to prevent pregnancy in very different ways.

Women’s health advocates applauded the availability of a new vaginal ring that could be used for up to a year. But some questioned the OK’ing of a mobile phone app that helps women avoid pregnancy by tracking their body temperature and menstrual cycle, a type of contraception called “fertility awareness.”

Critics pointed to reports that three dozen women in Sweden got pregnant despite monitoring their cycle with the app. They also fear that the FDA approval of the app may encourage patients to think that fertility-awareness methods, which include a range of practices to track ovulation and avoid unprotected sex during that time, are just as good at preventing pregnancy as some highly effective types of birth control, like the intrauterine device. While “natural” methods can be successful, they generally require close daily attention.