A patient at a walk-in clinic requests oral contraceptives (OCs) because she heard they can prevent sexually transmitted infections (STI). What information should the nurse use to base a response to this patient?

a. OCs provide excellent protection against most STIs.
b. There is no connection between OC use and risk of STIs.
c. Only OCs with estrogen and progestin can prevent STIs.
d. Not enough research has been done to prove that OCs can prevent STIs.


ANS: D
There is much debate about whether hormonal contraceptive agents may offer some protection against some STIs, based on lower statistical rates of STIs among oral contraceptive users. B. C. Cellular changes of the cervix seen with hormonal contraceptive use actually tend to be associated with higher rates of some STIs. A. Unless some specific mechanism of prevention is demonstrated by research, it seems irresponsible to suggest that OCs alone offer protection against anything other than pregnancy. Therefore, women should still be advised about the risks of contracting STIs while taking an OC.

Nursing

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