CONTRACEPTIVE IN PERSONAL RELATIONSHIPS
However, contraceptive decisions involve all the facets of a person’s life, not only as individuals in their personal relationships, but also within the wider context of their culture, religion and society. In current western society where sex is presented as a spontaneous, hot-blooded activity, thinking consciously about using contraception may be seen as cold, dampening the fires of passion. Sexually explicit scenes on the television, for example, rarely if ever mention the possibility of pregnancy or the use of contraception. The fact that many contraceptive consultations are straightforward can deceive the unwary doctor into thinking that they will all be simple. Where the consultation is not straightforward, it may be all too easy for the busy doctor to get caught up in the patient’s internal conflicts. If this happens he may become irritated and impatient, reacting to the patient’s behaviour, which on the surface appears unreasonable and inexplicable, rather than trying to understand what is behind it. The temptation will then be to suggest a change of contraceptive pill or a change of method, in the hope (usually forlorn) that the problem will be solved. In these situations the woman will either not return, or may return later with an unintended and possibly unwanted pregnancy.
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April 7, 2009 - 6:53 AM