Family Planning

Explaining How to Use Symptoms-Based MethodsTwoDay MethodIMPORTANT: If a woman has a vaginal infection or another conditionthat changes cervical mucus, the TwoDay Method will be difficult to use.Check forsecretionsóóThe woman checks for cervicalsecretions every afternoon and/orevening, on fingers, underwear, or tissuepaper or by sensation in or around thevagina.As soon as she notices any secretionsof any type, color, or consistency, sheconsiders herself fertile that day and thefollowing day.Avoid sex or useanother methodon fertile daysResumeunprotected sexafter 2 dry daysóóThe couple avoids vaginal sex or uses condomsor a diaphragm on each day with secretions andon each day following a day with secretions.They can also use withdrawal or spermicides,but these are less effective.The couple can have unprotected sex again afterthe woman has had 2 dry days (days withoutsecretions of any type) in a row.248 Family Planning: A Global Handbook for Providers