This entry was posted on Tuesday, April 7th, 2009 at 4:16 am and is filed under Men's Health-Erectile Dysfunction. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.
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CONTRACEPTIVE CARE OF THE OLDER PATIENT – ORAL CONTRACEPTION
Straightforward advice about the safety of combined oral contraception in the low-risk woman until the age of 45 or more can be sufficient, and the safety of the progestogen-only Pill up to the menopause is well known. Reassurance that the IUCD can often be retained longer than five to six years may put the patient’s mind at rest. Someone who has used the cap with no difficulty and is now in her 40s is unlikely to conceive with this method.
For those women whose partners have successfully used a sheath for many years, a failure is very unlikely, and a request for a change of method may be an indication of some other problem. For a man who is suffering some degree of impotence, the need to stop to put on a condom can be the last straw. If a woman is requesting contraception for the first time, or after using other methods for a long spell, or perhaps with a new partner, the sheath may be a little risky, especially if she is very definite about her need to avoid a pregnancy.
If the patient is allowed to express the feelings that have brought her to the consultation, reassurance and explanation may be sufficient. However, if her anxieties are not related directly to the method, the underlying difficulties should be explored further.
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