Making decisions about achieving and avoiding pregnancy and the methods used to attain those ends are some of the most central decisions during a couple's reproductive life. Health professionals (especially professional nurses) are often consulted to aid couples in their reproductive decisions and provide couples with choices of reproductive control. Information provided on family planning choices, however, is often limited and usually involves issues of effectiveness to avoid pregnancy, convenience, health risks, and life-style preferences.1,2 Little information is provided on how family planning methods compare on psychological, spiritual, and social well-being variables. One method of family planning that needs further study on these variables is Natural Family Planning (NFP). The purpose of this study was to describe how NFP influenced the intimacy, self-esteem, and the spiritual well-being of couples who used NFP to avoid pregnancy for at least a one year period. A secondary purpose was to describe and compare the intimacy, self-esteem and spiritual well-being of couples who stopped using NFP and who have used contraception for at least a year.