THE STEREOTYPES – ‘MEN NEED TO BE IN CONTROL’ (INTRAUTERINE CONTRACEPTIVE DEVICES (IUCDS) – CONCLUSION)

Most men have heard of expulsion and perforation. A woman came asking for a second IUCD 10 years and a second marriage after being perforated by her first device. The doctor was amazed after this failure, although in some ways it was a sensible request. She was now hypertensive, so the Pill was not suitable, and as she was no longer nulliparous, the risk of another perforation was slight. But the doctor wanted to hear the reasons why she was prepared to try something again when it had caused problems the first time.

The marriage had already gone wrong and she seemed to blame her first husband more than the doctor for the perforation. ‘In a way I was glad it had to be removed [even by laparoscopy]. From then on we used condoms, but not very often.’ He was a policeman with no sense of fun. ‘At least it kept his truncheon covered.’ Now she wanted all barriers removed so as to welcome her new man, and he was worth some risk.

*146/197/1*

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