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In one of the largest trials of the Billings Ovulation Method™, a 12-month multi-centre study in China, the method-related pregnancy rate was zero. The method-related rate is when couples correctly follow all the instructions for the method of birth control. The use-related pregnancy rate was 0.5%. The use-related rate includes couples who misunderstood or did not comply with all the instructions. These results make the Billings Ovulation Method™ as effective as the Pill, and more effective than IUDs, condoms and diaphragms.
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