A female client has had repeated bouts of acute uncomplicated cystitis. The health care practitioner has recommended that she change the form of birth control she is using and see if she has fewer infections

Question

What change would be most beneficial for this client?
1. The client should stop using spermicidal foam and begin using birth control pills.
2. The client should stop using a cervical cap and begin using a diaphragm.
3. The client should stop using the "sponge" and begin using a diaphragm.
4. The client should stop using a female condom and begin using a cervical cap.

Answer 1

Correct Answer: 1
Rationale 1: Switching from spermicidal foam to oral contraceptives might lessen this client's chances of having more AUCs.
Rationale 2: The cervical cap is similar to the diaphragm, and therefore would not lessen this client's chances of having AUCs.
Rationale 3: The use of spermicides or a diaphragm for contraception is a risk factor for AUC, so changing from a sponge filled with spermicides to a diaphragm would not be beneficial for this client.
Rationale 4: The female condom requires the use of spermicide, and the cervical cap is a smaller version of the diaphragm. Therefore, both forms of contraception would be risk factors for AUC.
Global Rationale: Use of spermicides or diaphragms for contraception increases risk of UTI. Changing from birth control methods such as cervical caps which are much like diaphragms and condoms and sponges that require spermicide may reduce incidence of UTI.