What is Natural Family Planning utilizing the Mira Monitor?

Written by Monica Rincon, BSc, MSc and Rosemary MacKenzie
Monica was a public health data scientist that was instrumental in the research on the efficacy of the Mira monitor for natural family planning/fertility awareness. This research is ongoing. We lost Monica to eternal life in 2023.

Fertility awareness-based methods of family planning, also known as natural family planning, allow couples to plan their family without using artificial barriers or hormones. These methods involve tracking biomarkers such as cervical mucus, temperature, or hormonal testing to determine the fertile and infertile times during the menstrual cycle. Additionally, they can be used to diagnose menstrual abnormalities. Unlike other family planning methods, fertility awareness-based methods have no medication side effects and are entirely natural.
Methods of NFP can be used effectively to achieve or postpone pregnancy since women can use it to determine their unique fertile window during the menstrual cycles using natural biomarkers such as temperature, cervical mucus changes, and urinary hormone metabolites.

The Marquette Method of Natural Family Planning has used the Clearblue Fertility monitor for many years, and this method is based on scientific research that is published in reputable peer-reviewed medical journals. We’re excited that new case studies and research are giving good evidence for use of the Mira Analyzer as a tool to support couples using Natural Family Planning. We know that technology is continually improving, and fertility awareness technology is not outside of these advancements. Compared to the Clearblue monitor, the Mira monitor offers testing of additional urinary hormone markers since it can measure E3G (urinary metabolites of estrogen), LH, PdG (urinary metabolites of progesterone), and FSH (follicle stimulating hormone). It also offers a user-friendly smartphone interface and provider dashboard that automatically charts your hormone levels.

The Marquette Method has evidence-based and established protocols using mucus observations and/or the Clearblue Fertility Monitor. The healthcare and research behind the development of the Marquette Method protocols, however, gives us room to learn more. We’re excited that new case studies and research are giving good evidence for use of the Mira Analyzer as a tool to support couples using Natural Family Planning. We know that technology is continually improving, and fertility awareness technology is not outside of these advancements!

It is very important to note that the Marquette Method does not have effectiveness data for couples trying to avoid pregnancy while using the Mira monitor yet but in one study when comparing the Mira monitor and Clearblue fertility monitor, the Mira monitor can correctly delineate the fertile window (Bouchard, Fehring & Mu, 2021).

For more in-depth information on the Mira Analyzer vs the Clearblue Fertility Monitor, and if using the Mira in combination with the Marquette Method will be a good fit for you, please check out this comparison document and our Mira FAQ below.

Get connected with our instructors with training and experience with the Mira Monitor

MyCatholicDoctor Mira 20% off discount code: MYCATHOLICDOCTOR*

 A 45% off code can be obtained directly from your Mira NFP instructor with MyCatholicDoctor!

Utilizing the Mira to identify your fertile window to avoid a pregnancy should be taught by an instructor. We will bill your insurance for natural family planning services.

We will bill your insurance for natural family planning services.  In most cases, there is no out-of-pocket cost, because Natural Family Planning is covered pre-deductable and without copay in accordance with the Affordable Care Act.

*MyCatholicDoctor is an affiliate marketer for Mira and when you purchase the program through these links, you help us earn a commission and expand our services.

How Mira Helps With NFP

The effectiveness of NFP methods to postpone pregnancy is based on the accurate detection of the beginning and end of the fertile window in a woman’s menstrual cycle. To avoid a pregnancy, couples choose to abstain during the identified fertile window. Hormone monitoring with technology such as Mira can aid in the detection of the fertile window, especially in women who are breastfeeding, have irregular menstrual cycles, or have hormone imbalances such as PCOS. Mira is also helpful for women approaching menopause.

The data you record when charting your cycles can also be used in the diagnosis of problems such as anovulatory cycles, polycystic ovarian syndrome and other medical concerns. It provides you with important information for you to share with your healthcare provider.

The Catholic Church teaches that couples using natural family planning are called to prayerful discernment and responsible parenthood. Fertility is considered a beautiful gift from God, and the decision to postpone pregnancy using natural methods should be made due to “grave reasons”. The Catechism of the Catholic Church does not define “grave reason.” If you have questions about your personal situation, we encourage you to speak with your parish priest or a spiritual director.

*A Note about Ethics:

We are aware that Mira as a company has shown support for sexual ideas and behaviors that are not consistent with Roman Catholic teaching. At MyCatholicDoctor, our goal is to help our patients grow in both health and holiness. We always support the teaching of the Roman Catholic Church. We only recommend the use of the Mira monitor for use in Natural Family Planning/fertility awareness, preserving the natural fertility of the man and woman. 

MIRA Frequently Asked Questions

What is the difference between the Clearblue Fertility Monitor and the Mira monitor?

The Clearblue Fertility Monitor tracks estrogen and luteinizing hormone (LH) to provide three levels of fertility: low, high, or peak based on threshold levels of fertility hormones. The Mira monitor measures quantitative amounts of these hormones and provides a number value per measurement, and displays this number in a graph on the Mira app on your cell phone. The Mira monitor can measure estrogen in the form of E3G, LH, progesterone in the form of PdG, and follicle stimulating hormone (FSH.)

How do I purchase Mira supplies? 

Your instructor will provide you a streamlined NFP friendly specific website to purchase the supplies ensuring you receive a 45% NFP discount.

Which Mira starter kit should I buy?

It is best if you connect with your instructor before you purchase your Mira device and wands. If this is not possible, we recommend starting with the Mira Max kit (device + 20 Max wands). To receive the highest discount of 45% you will need to purchase a kit + 2 boxes of wands OR 3 boxes of wands at once. The type of wand that you use is based on your situation and needs but here are some general recommendations.

Plus wands (E3G and LH): Best used before ovulation when PdG is not needed. If FSH is needed (perimenopause, premature ovarian failure, PCOS, etc) then consider Ultra4 wands. This wand is typically used in combination with Max wands= Plus before ovulation and Max after ovulation.

Max wands (E3G, LH, and PdG): Best used after ovulation when PdG is needed. Can be used for the entire cycle or specifically after ovulation. If FSH is needed (perimenopause, premature ovarian failure, PCOS, etc) then consider Ultra4 wands.

Ultra4 wands (FSH, E3G, LH, and PdG): Best when consistent FSH testing is needed such as perimenopause, premature ovarian failure, and difficult or severe PCOS cases.

How much does the Mira monitor cost compared to the Clearblue Fertility Monitor?

The Clearblue Fertility Monitor is approximately $105, while the Mira monitor is $70-90 depending on the kit you purchase. Review an NFP price comparison here.

How much does the Mira monitor wands cost compared to the Clearblue Fertility Monitor test strips?

Review an NFP price comparison here. Mira wands prices vary from $1.79 to $2.45/each, depending on the specific type of wands. Clearblue fertility test strips cost approximately $1.50 to $2/each depending on the store and time of year. Your instructor can provide you with a discount code to purchase Mira products to ensure these discounted prices.

References:

Bouchard, T. P., Fehring, R. J., & Mu, Q. (2021). Quantitative versus qualitative estrogen and luteinizing hormone testing for personal fertility monitoring. Expert review of molecular diagnostics, 21(12), 1349–1360. https://doi.org/10.1080/14737159.2021.2000393

World Health O. Natural family planning : a guide to provision of services. Geneva: World Health Organization; 1988.
Vigil P, Ceric F, Cortés ME, Klaus H. Usefulness of Monitoring Fertility from Menarche. Journal of Pediatric and Adolescent Gynecology. 2006;19(3):173-9.
Vigil P, Blackwell LF, Cortés ME. The importance of fertility awareness in the assessment of a woman’s health: A review. Linacre Quarterly. 2012;79(4):426-50.

Other Information

Cost-effective approach for NFP users

Mira recommends either using MAX wands only or a combination of PLUS and MAX wands to decrease costs down to $28.80 per cycle for NFP users confirming ovulation through PdG levels.

Access the document attached for a detailed price breakdown of the Mira kits and approximate cost per cycle. Affordable pricing overview for NFP.pdf

Edit Suspected Ovulation Day

Mira now gives users the ability to edit their suspected ovulation day in the Mira app if the system’s interpretation doesn’t align with their observations, and as an instructor, you can assist with this adjustment. Review the video demonstration here.

Urine Testing Timeframe Update

For optimal accuracy, Mira has updated its recommended urine testing timeframe to within 2 hours of collection, revised from the previous 4-hour window.