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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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