Fertility awareness-based methods (FABMs) of family planning are methods that use physical signs and symptoms that change with hormone fluctuations throughout a woman's menstrual cycle to predict a woman's fertility. The unifying theme of FABMs is that a woman can reduce her chance of pregnancy by abstaining from coitus or using barrier methods during times of fertility. Natural family planning (NFP) is a subset of FABMs that specifically excludes concurrent use of all other forms of contraception, including barriers, as a supplement to the observation for fertile signs; pregnancy is avoided through abstinence alone.