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Monday, December 1, 2014

Novel Contraception

Usually the histories of new patients are written by the resident doctors in the outpatient clinic, and then the patients go for a clinical examination to senior doctors. But there was a big queue for history taking and no patients for examination. So I went to write a few histories. There was a 24 year old patient, who had come for a check up because she had missed her menstruation by 5 days. After asking about the complaint, menstrual, obstetric, medical, surgical, and personal history, I asked her about her use of any contraception.
"Yes. My husband uses condoms" she said.
I had known that most of the couples coming to our clinic were not very regular in their use of condoms, when they used condoms at all. So I asked, "when does your husband use condoms? Does he use a condom every time?"
"No, not every time" she said. "He uses only during my menstruation."
"What does he use at the the other times?" I asked when I had recovered from the shock I experienced.
"Nothing" she said.
 Poor woman, I thought. No one has taught her that contraception is not required during menstruation. Poor woman, also because no one had taught her husband to leave her alone during her menstruation.