I used FAM for many years during a time when I had to get off the pill due to health reasons. Even though my periods were off kilter for a while, the basal temp method in addition to FAM worked. A woman has to be committed to charting and being aware. It helps to have a steady mature partner as well. I also used condoms/spermacide for extra protection on my iffy days. No it's not the old fashioned calendar method, it takes a bit of studying to learn, but it is worth it to a. get off of hormones that mess with your natural fertility and moods and health, b. to become more aware of your own body. c. to have a sense of control over when to get pregnant/not get pregnant.