{"id":21302,"date":"2024-09-07T08:00:00","date_gmt":"2024-09-07T13:00:00","guid":{"rendered":"https:\/\/naturalwomanhood.org\/?p=21302"},"modified":"2024-11-29T20:55:09","modified_gmt":"2024-11-30T02:55:09","slug":"el-metodo-couplebeads","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/es\/the-couplebeads-method\/","title":{"rendered":"El m\u00e9todo CoupleBeads"},"content":{"rendered":"\n<p>In your search for \u201cnatural birth control,\u201d or a simpler method of fertility awareness or natural family planning, you may have come across the <a href=\"https:\/\/naturalwomanhood.org\/twoday-method\/\" target=\"_blank\" rel=\"noreferrer noopener\">TwoDay Method<\/a>, the <a href=\"https:\/\/naturalwomanhood.org\/fam-basics-what-is-the-rhythm-method-natural-birth-control\/\" target=\"_blank\" rel=\"noreferrer noopener\">Standard Days Method<\/a>, or <a href=\"https:\/\/naturalwomanhood.org\/fam-basics-what-is-the-rhythm-method-natural-birth-control\/\" target=\"_blank\" rel=\"noreferrer noopener\">Cycle Beads<\/a>. Today, we\u2019ll be talking about another option\u2013<a href=\"https:\/\/www.maternallifeonline.org\/the-couple-bead-method\">The CoupleBeads Method<\/a>\u2013and how it stacks up in terms of efficacy for family planning and ease-of-use.\u00a0<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-what-is-the-couplebeads-method\"><span id=\"what-is-the-couplebeads-method\">What is the CoupleBeads Method?<\/span><\/h2>\n\n\n\n<p>The \u201ccouple\u201d in CoupleBeads refers to coupling cycle-day fertility probabilities with <a href=\"https:\/\/naturalwomanhood.org\/fam-basics-what-is-cervical-mucus\/\" target=\"_blank\" rel=\"noreferrer noopener\">cervical mucus<\/a> observations, as well as celebrating the fact that using fertility awareness to avoid (or achieve) pregnancy gives a couple <a href=\"https:\/\/naturalwomanhood.org\/shared-fertility\/\" target=\"_blank\" rel=\"noreferrer noopener\">shared responsibility<\/a> for their reproductive goals.&nbsp;<\/p>\n\n\n\n<p>As the name implies, CoupleBeads uses a string of different colored beads to keep track of cycle-day fertility probabilities and\u2013this is the important part!\u2013mucus observations. One of the primary goals of CoupleBeads is to be easy to teach and use, and to be accessible to couples regardless of education and income level.<\/p>\n\n\n\n<p>The cycle-day fertility probabilities used by CoupleBeads were created using <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC27529\/\" target=\"_blank\" rel=\"noreferrer noopener\">this 2000 study<\/a> of 213 pregnant women, that used ultrasound measurements to gauge on which day of her cycle each woman conceived [1]. The study used this information to estimate the probability of conceiving on each day of the cycle, and to create the following fertility categories for different days of the cycle, based on those probabilities:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Days 1\u20135: low fertility<\/li>\n\n\n\n<li>Days 6\u20137: intermediate fertility<\/li>\n\n\n\n<li>Days 8\u201314: high fertility<\/li>\n\n\n\n<li>Days 15\u201321: intermediate fertility<\/li>\n\n\n\n<li>Days 22\u2013end of cycle: low fertility<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-how-do-couplebeads-work\"><span id=\"how-do-couplebeads-work\">How do CoupleBeads work?<\/span><\/h2>\n\n\n\n<p>A woman using CoupleBeads will start with a string of different colored beads representing the cycle-day fertility probabilities: brown for low fertility, yellow for intermediate, and green for high fertility. There is also a safety pin between each bead upon which can be added additional beads for personal observations: red for bleeding, gold for intercourse, and beads for mucus observations: brown (dry), yellow (tacky), and green (egg white). Orange beads are used to count off three days of post-peak day mucus to mark where low fertility resumes.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/www.maternallifeonline.org\/the-couple-bead-method\" target=\"_blank\" rel=\"noreferrer noopener\"><img decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXd0UV4Lg74_QORwa69PWaEh99mpg3ClrSC1w5lZuTdrsvKJoy3sG8uwre9eeZDjjR2tRmGPsRnWxpDCEjc8kz-_FlVDnchL76TyCuo02-07cL7BAzI9NS8gGFxzMx6c5dce3LIKaKnTU2H7g_XmqF0QcNY?key=dvSPLk8tXO_fiUxDkyOYcg\" alt=\"Visualization of couple beads\"\/><\/a><figcaption class=\"wp-element-caption\">Image source: Maternal Life International, <a href=\"https:\/\/www.maternallifeonline.org\/the-couple-bead-method\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.maternallifeonline.org\/the-couple-bead-method<\/a><\/figcaption><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p>If a woman\u2019s particular cycle corresponds with the cycle-day probabilities (meaning high fertility and ovulation around day 14), the personal observation beads on the safety pins should mirror the beads on the string. If not, she will be able to see how much earlier or later her fertile window is compared to the \u201cstandard,\u201d and use that information to better inform her reproductive goals (whether that is achieving or avoiding pregnancy).<\/p>\n\n\n\n<p>Someone using CoupleBeads without regular cycles (for example, while breastfeeding) can use a string of white beads with safety pins to remember to look for and track mucus observations to watch for returning fertility.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-what-separates-couplebeads-from-standard-days-or-cycle-beads\"><span id=\"what-separates-couplebeads-from-standard-days-or-cycle-beads\">What separates CoupleBeads from Standard Days or Cycle Beads?<\/span><\/h2>\n\n\n\n<p>The key distinction between CoupleBeads and other methods which use cycle-day probabilities is the inclusion of mucus observations with CoupleBeads. Unlike the Standard Days or Cycle Beads Methods, <strong>which do not track cervical mucus<\/strong> (or any biomarkers of fertility, meaning they are <em>not <\/em>fertility awareness methods, and are essentially an updated form of <a href=\"https:\/\/naturalwomanhood.org\/fam-basics-what-is-the-rhythm-method-natural-birth-control\/\" target=\"_blank\" rel=\"noreferrer noopener\">the Rhythm Method<\/a>), CoupleBeads uses three categories for mucus observations: dry, tacky, and egg-white. Tracking these observations allows a woman to understand her own cycle pattern, while having the benchmark of a \u201cstandard\u201d cycle to compare it to.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-benefits-of-the-couplebeads-method\"><span id=\"benefits-of-the-couplebeads-method\">Benefits of the CoupleBeads Method<\/span><\/h2>\n\n\n\n<p>CoupleBeads set out to be highly accessible, and it\u2019s fair to say they\u2019ve achieved this goal. Far from needing a special health-tracking device, monthly subscription, or smartphone, CoupleBeads doesn\u2019t even require literacy. For the small upfront cost of plastic beads and safety pins, the tools can be used over and over again with a few simple rules to memorize and follow, making it a good candidate for use in <a href=\"https:\/\/www.maternallifeonline.org\/the-couple-bead-method\" target=\"_blank\" rel=\"noreferrer noopener\">communities with few health resources<\/a>.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-drawbacks-of-the-couplebeads-method\"><span id=\"drawbacks-of-the-couplebeads-method\">Drawbacks of the CoupleBeads Method<\/span><\/h2>\n\n\n\n<p>The 2000 study cited to calculate cycle-day fertility probabilities (meaning the probability that a given day of the cycle is high, intermediate, or low fertility) collected data from a little over 200 women, whose cycles fit perhaps too neatly into the classic 28-day cycle model with ovulation on day 14. In contrast, we at Natural Womanhood recently reviewed the 2023 data collected and published by Natural Cycles, which analyzed over <a href=\"https:\/\/naturalwomanhood.org\/menstrual-cycle-health-data\/\" target=\"_blank\" rel=\"noreferrer noopener\">600,000 menstrual cycles<\/a>.&nbsp;<\/p>\n\n\n\n<p>The Natural Cycles data paints a different picture of what an \u201caverage\u201d cycle looks like. In their analysis, the average cycle length was found to be just over 29 days long, with ovulation (and therefore, \u201chigh fertility\u201d) most likely on day 17. Concerningly, Day 17 is in the \u201cintermediate fertility\u201d category in the CoupleBeads system.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-why-does-the-average-cycle-length-matter-so-much\"><span id=\"why-does-the-average-cycle-length-matter-so-much\">Why does the average cycle length matter so much?<\/span><\/h3>\n\n\n\n<p>This matters because, according to Natural Cycles\u2019 data, Day 17 may be the <em>most f<\/em>ertile day of the whole cycle. The cycle-day fertility probabilities represented by the string of beads in the CoupleBeads method could prove to be misleading or confusing, as they may actually represent a significantly shorter follicular phase than the average woman might expect to see. It\u2019s true that women using the CoupleBeads method are also encouraged to observe their own cycles via their cervical mucus observations, but confusion and\/or difficulties may arise if the beads suggest infertility but mucus suggests otherwise (or vice versa).&nbsp;<\/p>\n\n\n\n<p>By way of demonstration: Before having children, my cycle was usually around 35 days long, with peak day on day 21. CoupleBeads considers day 21 to be the <em>end <\/em>of fertility, barring any egg-white mucus observations on that day. Let\u2019s imagine I had been using CoupleBeads for pregnancy avoidance during this time. If I had been inconsistent in recording mucus observations and instead fell back on using the cycle-day probability beads to time intercourse, pregnancy would have been a likely outcome in my situation. The disparity between a model \u201cstandard\u201d cycle and real-life cycles (which can fluctuate and be different lengths at different times and life-stages) contributes to the high failure rates <a href=\"https:\/\/naturalwomanhood.org\/officially-declaring-the-death-of-the-rhythm-method\/\" target=\"_blank\" rel=\"noreferrer noopener\">calendar-based methods<\/a> use.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-takeaways\"><span id=\"takeaways\">Takeaways<\/span><\/h2>\n\n\n\n<p>CoupleBeads was developed to help women in low-resource communities better understand their bodies, foster communication with their spouses, and space births. Cognizant of lack of access to healthcare resources, these women and couples stand to benefit from family planning methods that won\u2019t simultaneously <a href=\"https:\/\/naturalwomanhood.org\/fertility-awareness-methods-better-serve-african-women-contraception-nigeria-fabm-fam-nfp-05262018\/\" target=\"_blank\" rel=\"noreferrer noopener\">compromise their health<\/a>. This is a worthwhile goal and a wonderful mission, and I\u2019m glad that this tool is being provided at low-cost to women who otherwise would not be able to learn about fertility awareness and could be <a href=\"https:\/\/www.liveaction.org\/news\/strings-attached-documentary-western-abortion-africa\/\" target=\"_blank\" rel=\"noreferrer noopener\">coerced<\/a> or <a href=\"https:\/\/www.liveaction.org\/news\/western-nations-blackmailing-africa-contraception\/\" target=\"_blank\" rel=\"noreferrer noopener\">pressured to take hormonal contraceptives<\/a> that threaten their health.&nbsp;<\/p>\n\n\n\n<p>I can see the appeal of providing the cycle-day probabilities as a fallback option for women who are still learning the method and may lack confidence in their mucus observations, or for women who only chart intermittently and might miss when peak day occurred. My concern is that it may prove to be more confusing than helpful, especially for women with longer cycles. Ultimately though, CoupleBeads <em>does<\/em> teach and encourage daily cervical mucus observations so women can learn to understand their own cycles, giving it a huge advantage over simply using the Rhythm Method.<\/p>\n\n\n\n<p>References:&nbsp;<\/p>\n\n\n\n[1] Wilcox AJ, Dunson D, Baird DD. The timing of the &#8220;fertile window&#8221; in the menstrual cycle: day specific estimates from a prospective study. BMJ. 2000 Nov 18;321(7271):1259-62. doi: 10.1136\/bmj.321.7271.1259. PMID: 11082086; PMCID: PMC27529.<\/p>\n\n\n\n<p>Additional Reading:<\/p>\n\n\n\n<p><a href=\"https:\/\/naturalwomanhood.org\/target-africa-uju-ekeocha-harms-of-western-funded-contraceptive-campaigns\/\">Addressing the real unmet needs of African women<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/naturalwomanhood.org\/fam-basics-what-is-the-rhythm-method-natural-birth-control\/\">What is the Rhythm Method?<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Lo que lo diferencia del M\u00e9todo Rhythm","protected":false},"author":98,"featured_media":21303,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":true,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","csco_singular_sidebar":"","csco_page_header_type":"","csco_page_load_nextpost":"","csco_post_video_location":[],"csco_post_video_url":"","csco_post_video_bg_start_time":0,"csco_post_video_bg_end_time":0,"footnotes":""},"categories":[5179,5304],"tags":[4104,4421,58],"class_list":{"0":"post-21302","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-fertility-awareness-methods","8":"category-how-fam-works","9":"tag-fertility-awareness-methods","10":"tag-natural-birth-control","11":"tag-natural-family-planning","12":"cs-entry","13":"cs-video-wrap"},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - 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She holds a B.A. in biology from Benedictine College with a research focus in cancer biology. She has also worked on cellular biology at Kansas State University (https:\/\/pubmed.ncbi.nlm.nih.gov\/34849760\/), lead a university organization geared towards preventing sexual assault and harassment, worked with Denver-area teens on social and emotional skills and healthy relationships, and has presented on sexual ethics at Regis University. Now she uses her research background to keep up-to-date on issues in fertility, pregnancy, and sexual health and advocate for authentic women\u2019s health all while keeping up with her three small children. 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