Proposed Statement to the 49th Commission on the Status of Women, Review and Appraisal of the Beijing Declaration and Platform for Action and the Outcome Document of the twenty-third Special Session of the General Assembly, United Nations, New York, February 28 - March 11, 2005  


On behalf of the Caucus for the Advancement of the Billings Ovulation Method (BOM) I am happy to report on the contribution that the Billings Ovulation method has made in the last ten years to the implementation of the Beijing Declaration and Platform for Action, particularly in the areas of education, health, equality of women and the girl-child.

The role of the woman as child bearer has exposed women to contraceptive practices that are harmful to their health and fertility. There is a growing awareness in the medical community of the damage caused by hormonal contraception and the resulting increasing incidence of infertility, as well as the profound physical and psychological damage that can be caused by induced abortion.  Girls are routinely given contraceptive medication without complete information about its harmful effects. While regulating the timing of producing a family is an understandable human need, it can be achieved in a natural, simple, effective and cost free way by the use of the Billings Ovulation Method. Millions of women in the last ten years  have learned the four common sense guidelines of the Method. This knowledge empowers them as they learn which act of intercourse may lead to pregnancy and which one cannot possibly do so. The Method is easily spread by women teaching each other, mother to daughter, etc., and is open and acceptable to all, regardless of their economic status, religion and culture.

Progress in the use of the Method and the benefits for women in the last ten years can be illustrated by developments in The People’s Republic of China.  Since the official introduction of the Billings Ovulation Method by the Chinese Ministry of Health in 1995, the Method has been distributed over large areas of the country, including  industrial, agricultural and  minority regions.  By the end of 2003 Drs. John and Evelyn Billings had trained 1,871 core-teachers who in turn have been responsible for training 48,449 other Chinese teachers.  Dr.Evelyn’s book, “The Billings Method” has been translated into Mandarin and teaching techniques have been simplified with the use of symbols.  Today the method is being used by more than 3,645,600 fertile couples as the means for avoiding pregnancy. The overall success rate is around 99%. The method is also invaluable in the case of achieving pregnancy when desired particularly by those with low fertility.  Of 48,267 such couples 15,640 have already conceived using the Method.  Undoubtedly many more couples are using the method without notifying centralized records and the BOM is now one of the principal choices of fertility regulation in China.

The benefits for women’s health are difficult to measure but can be deduced from the following. A large Chinese trial conducted by the Jiangsu Family Health Institute and published in 1998 in the Chinese Medical Journal, gives results of a randomized one-year comparison of the efficacy of the BOM and the intrauterine device (IUD) known as the copper T. It was shown in the study that both pregnancy and discontinuation rates are much lower in the BOM than in the IUD group. Of IUD users pregnancies, expulsions, hemorrhage and pain led to 65 couples discontinuing its use in the group of 662 cases. In the BOM group of 992 cases there were no pregnancies related to the method and only 5 pregnancies overall, all of which resulted from a failure to apply the guidelines of the method correctly. Recent surveys also found that where the BOM is taught there is a seven-fold decline to 0.61% in the rate of artificial abortion compared to a 4.06% rate where the BOM has not yet been introduced.

The internet has played a major role in educating women and the girl-child since the inauguration of the first Billings Method web site, in Canada, in 1995.  Recently, all national Billings sites, in many languages, are linked to the official web site: woomb.org which is maintained by the conscientious work of John and Audrey Smith of Canberra, Australia.  This official web site has enabled Billings Method teachers in over 100 countries to access standardized teaching materials at the click of a button. The booklet, “Teaching the Billings Ovulation Method - Part one” may now be downloaded in PDF format or ordered from the Ovulation Method Research and Reference Centre of Australia.  PowerPoint presentations and CDs have been made available together with interactive spreadsheet charts, information on upcoming conferences, medical teacher training and animations of cervical functions.  However, these are not a substitute for personal instruction from an accredited teacher.

Increasing numbers of doctors have been educated in the Billings Method in the past ten years. University medical departments in many countries including Australia, the United States of America, Italy, and Turkey are granting credits for participation in training programmes organized by the Education Committee of the Ovulation Method Research and Reference Centre in Melbourne, Australia.    Metabolic abnormalities, often detected in the pattern of infertility on a woman’s chart, can lead to disorders of ovulation and alert doctors to investigate the cause of such disorders. Diseases such as those relating to the thyroid, diabetes and polycystic ovarian disease (PCOD), may be detected early.  

A method so simple to understand and apply can suffer from a lack of credibility in the medical world. However, the method is underpinned by extensive research into the complex features of the reproductive cycle which provides physicians with an understanding of the scientific basis of the method. Two leaders in this research for many years are Professor- Emeritus Erik Odeblad, of the University of Umea, Sweden and Professor-Emeritus James Brown of the University of Melbourne, Australia. The former was able, with the use of electron microscopy, to verify the different properties of cervical mucus at various stages of the fertility cycle as interpreted in the Billings Ovulation Method. The results were published in the Journal of Human Reproduction in 2003. (Vol. 18) Professor James Brown’s Monograph with PowerPoint presentation entitled, “The Continuum of Ovarian Activity,” provides increased understanding of hormonal fluctuations in normal fertile cycles, whether short or long, and cycle variants that may indicate fertility disorders and disease but which any woman may experience from time to time throughout her reproductive life; adolescence, breastfeeding, pre-menopause, recovering from emotional and physical stress and coming off contraceptive medication.

In conclusion, all women of childbearing age in the world should have knowledge of the Billings method. Such knowledge empowers a woman and raises her status in the eyes of her husband. She is able to make decisions about having children on an equal footing with her husband.  She is entitled to this knowledge and the benefits for her, the family and society as a whole are many.   Her health and fertility remain unscathed and her new knowledge leads to enhanced self-confidence and communication within the marriage. This leads to strong families and stable society. This goal will be reached if as much progress is made in the next ten years as has been made in the last ten.

(To be read by Susan Fryer, NGO Representative of W.O.O.M.B. International Inc. and Endeavour Forum (Eco-Soc status) e-mail: jandsfryer@shaw.ca