Digital Contraception A qualitative exploration of why women in The Netherlands use Cycle Tracking Apps as contraception.

Abstract

Background: Cycle-Tracking Apps (CTAs) are digital tools to monitor the menstrual cycle and fertility. To date, there is a lack of in-depth qualitative understanding of why women in the Netherlands choose to use CTAs as a contraceptive method, and which factors shape this decision. This study aims to gain insight into the following question: What experiences, beliefs, and considerations shape women's decision to use a cycle-tracking app as a contraceptive method in the Netherlands? Methods: In-depth qualitative data was collected through semi-structured interviews with CTA users. The analysis focused on the personal experiences, beliefs, and considerations that shape their contraceptive choices. Results: Participants commonly associated CTAs with a desire to avoid hormonal or invasive contraceptive methods. Four key themes emerged: (1) avoidance of side effects, (2) concerns about the long-term health impacts of hormonal contraception, (3) a desire to (re)connect with their natural menstrual cycle, and (4) a desire to share responsibility for pregnancy prevention with their partners. These motivations were rooted in broader values and personal health philosophies. Conclusion: The decision for a CTA is more than a practical tool to prevent pregnancy, it is also an expression of values, concerns, needs, and a (re-positioning) in relation to healthcare systems, gender norms and understandings of the body.