A client is surprised to learn she is pregnant in spite of using a contraceptive sponge for the last 5 years. Which condition might have altered the contraceptive ability of this form of birth control?
1. Migraine headaches
2. Vaginal yeast infection
3. Strep throat
4. Urinary tract infection
Correct Answer: 2
Rationale 1: Medications used in the treatment of migraine headaches would not inactivate the spermicidal action of the contraceptive sponge.
Rationale 2: The use of intravaginal azole antifungals can inactivate the spermicides used in the contraceptive sponge.
Rationale 3: Medications used in the treatment of a throat infection would not inactivate the spermicidal action of the contraceptive sponge.
Rationale 4: Medications used in the treatment of a urinary tract infection would not inactivate the spermicides used in the contraceptive sponge.
Global Rationale: The use of intravaginal azole antifungals can inactivate the spermicides used in the contraceptive sponge. Medications used in the treatment of migraine headaches would not inactivate the spermicidal action of the contraceptive sponge. Medications used in the treatment of a throat infection would not inactivate the spermicidal action of the contraceptive sponge. Medications used in the treatment of a urinary tract infection would not inactivate the spermicides used in the contraceptive sponge.
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