Participants provided suggestions and recommendations for improving users' experience, including raising awareness of the Billings Method among healthcare providers. Challenges for participants included the inherent learning curve for identifying sensations at the vulva and the required periods of abstinence. They included finding the method easy to use and learn, successfully using it to either postpone or achieve a pregnancy and increasing their awareness of their bodies. Experiences related to learning and using the Billings Method were mainly positive. Reasons for selecting the Billings Method included perceiving it as more precise and easier to understand than other FABMs, having a scientific basis, and being recommended by family and friends. Reasons women described choosing a FABM included to follow religious beliefs, to avoid side effects of hormonal contraception, and/or to learn more about their bodies.
Twenty women between the ages of 23 and 43 participated in the FGs. We performed a content analysis of the transcribed FGs to explore key themes from the discussions. We asked questions about users' reasons for selecting a FABM and the Billings Method, positive experiences and challenges learning and using the Billings Method, and suggestions for improving the user experience. We conducted four virtual focus groups (FGs) in May and June 2021 with current adult women users of the Billings Method. Few studies have documented user experiences with FABMs. This allows people to choose when to have intercourse, depending on whether they want to avoid or achieve pregnancy.
The Billings Ovulation Method®(the Billings Method) is a fertility awareness-based method (FABM) of family planning that relies on the observation of patterns of fertility and infertility based on vulvar sensations and appearance of discharges.
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