Tests and Procedures

Cervical mucus method for natural family planning

What you can expect

You can use the cervical mucus method no matter how many days long your menstrual cycles are. To use this method:

  • Record your cervical secretions for several cycles. Starting the day after your menstrual bleeding stops, observe and record your cervical secretions on a daily chart — either on paper or with an app designed to track fertility signs.

    To avoid confusing cervical secretions with semen or normal sexual lubrication, avoid sex or use a barrier method of contraception during your first cycle. Also avoid douching, which can wash out cervical secretions and make it difficult to notice changes.

  • Check your cervical secretions before and after urinating. Wipe — front to back — with toilet tissue. Record the color (yellow, white, clear or cloudy), consistency (thick, sticky or stretchy) and feel (dry, wet or slippery) of your secretions. Also note sensations of dryness, moistness or wetness in your vulva.
  • Plan sex carefully during fertile days. You're most fertile when your cervical secretions are abundant, clear, stretchy, wet and slippery — much like a raw egg white. If you're hoping to get pregnant, this is the time to have sex. Ovulation most likely occurs during or one day after your last day of this type of cervical secretion — known as your peak day.

    If you're hoping to avoid pregnancy, unprotected sex is off-limits from the day your cervical secretions begin until four days after your peak day. If you have sex before your cervical secretions begin, you may want to avoid sex the next day and night so that you don't confuse semen and arousal fluids with cervical secretions.

    Some health care providers also recommend avoiding unprotected sex or using a barrier method of contraception during your period because it's difficult to detect cervical secretions when they're mixed with menstrual blood.

Interpreting and charting cervical secretions can be challenging. Most women need more than one instructional session to recognize the pattern of secretions in a typical menstrual cycle. Talk with your health care provider if you have questions or concerns.

A simpler version of the cervical mucus method is an approach called the TwoDay Method. With the TwoDay Method, you note whether you've seen cervical secretions that are clear, stretchy, wet and slippery — a sign of peak fertility — either today or yesterday. If the answer is "yes," then consider yourself fertile. Abstain or use a barrier method of birth control to avoid unintended pregnancy.