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If you do not want to have a baby...
(05/04/2004) by Unknown
All options are available to couples interested in contraception. However a
few carry increased risks or may present some physical difficulty using based on the particular disability involved. The
intrauterine device or IUD presents increased risk of urinary track infections
and there is decreased ability to self-monitor for perforated uterus or
infection for women with loss of sensation. Diaphragms and cervical caps may
present a problem with insertion. Atrophy in the muscles surrounding the
vagina may create a problem with fit and decrease the efficacy of the
diaphragm. Spermicidal creams or jellies should be used with both methods to
assure efficacy. A partner can assist in inserting the diaphragm or cap if you
are both comfortable with the situation. Oral contraceptives (hormonal
methods such as the pill) were once believed to present increased risk of
deep vein thrombosis (blood clots) for women with SCI. However, this is
questionable with newer low-dosage oral contraceptives. Some women with
SCI who do not have a history of blood clots use low-dose oral contraceptives
without any problems but you should review your options with your health care provider. Depo-Provera and Norplant are also options for women
with mobility impairments; however, concerns about decreased estradiol
levels, decreased bone mass, and erratic bleeding are rising. The male
condom in conjunction with a contraceptive jelly is still one of the easiest and
safest methods of contraception and it helps prevent sexually transmitted
infections. Men with limited hand function may have difficulty putting on a
condom. Once again, a partner can help if they have adequate hand function
and are comfortable. Lastly, there are the more permanent options of tubal
ligation or vasectomy for your partner. You should consult a health care
professional familiar with your disability to help you choose the best method. Consult
your phone book for your local Planned Parenthood for more details on the
general risks of each method. This article appears in the following topics:
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