title: Guidelines to birth control counselling of the physically handicapped.
abstract: Birth control counselling of well motivated physically handicapped men and women is discussed in a series of suggested steps: (1) preappointment arrangements are made to ensure physical access to the office, and the partner or a helper may be invited to the visit; (2) the patient is encouraged to name the desired birth control method; (3) the patient's fertility is established from the history and the results of physical examination and laboratory tests; (4) methods of birth control are matched to the patient's physical and mental capabilities; (5) potential side effects of the proposed methods are considered in the light of the handicap; (6) a method is finally recommended that may be a trade-off, with ease of use balanced against efficacy, and living with side effects balanced against the risks of pregnancy; and (7) rechecks are necessary to ensure that the patient is using the method with skill and satisfaction.
mesh_terms: D000300:Adoption; D000328:Adult; D003267:Contraception; D003276:Contraceptives, Oral; D003376:Counseling / Q000379:methods; D006233:Persons with Disabilities; D005193:Family Planning Services / Q000379:methods; D005260:Female; D005306:Fertilization; D006801:Humans; D007045:Hysterectomy, Vaginal; D007223:Infant; D007315:Insemination, Artificial; D008297:Male; D011247:Pregnancy
chemical_list: D003276:Contraceptives, Oral