For the past decade there has been an increased interest in nonhormonal contraceptive methods. In the United States the trend is an increase of 1.1–2.2% users with almost 1.4 million women in 2014 and an estimated 2.5 million women in 2020 in this category [1]. Nonhormonal, traditional or natural methods of contraception include fertility awareness–based methods (FABM), barrier, rhythm (periodic abstinence), withdrawal and lactational amenorrhea, abstinence, breastfeeding, douching or traditional folk methods. Sterilization and copper intrauterine devices (Cu-IUDs) are also nonhormonal but are not discussed further in this chapter. Here we cover methods that are not hormone-based and that are included in the barrier/spermicide or natural/traditional categories (Figure 13.1). It is important to mention that there is an abundance of adequate resources on the Internet for counseling. A limited but carefully chosen list is provided at the end of the chapter (Appendix 1).