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Contraception.

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Cervix Mucus↗

Contraception for the insulin-dependent diabetic woman: the view from one clinic.

Experience in a large diabetic clinic has confirmed the suspicion that insulin-dependent diabetic women are at considerably increased risk of thromboembolic disease if they take combined estrogen/progestogen oral contraceptive preparations. The most obvious alternative, an intrauterine device, is associated with an unexpectedly high failure rate, probably because of an unusual metabolic interaction with the diabetic endometrium. In a small group of diabetic women the progestogen-only pill was found to be a successful form of contraception not associated with any side effects except for menstrual irregularities. For most diabetic women the choice of contraceptive should therefore be between a progestogen-only pill and a mechanical method. Female sterilization and injectable progesterone each have their place in particular circumstances. Careful counseling of each patient is essential to ensure the best choice of contraceptive and correct application of the chosen method.

Adult↗

A comparison of satisfaction with types of diaphragms among women in a college population.

Since the 1940s diaphragms have been a popular contraceptive device used by women in the United States. This study compared three popular diaphragms and women's subjective comparisons of comfort, ease of insertion, and overall satisfaction. None of the three types, the wideseal, coil spring, or arcing spring, was found to be statistically more comfortable or easier to insert. For overall satisfaction, women were more pleased with the coil spring than the wideseal (p = .0416 at two to four weeks, p = .0759 at four to six months, and p = .0049 at one year). Women who used the arcing spring and wideseal were more pleased with the wideseal at two to four weeks (p = .0571). No significant difference was found at one year. The study results demonstrate that certain diaphragm styles may improve women's use of and satisfaction with the diaphragm.

Consumer Behavior↗