A patient at a walk-in clinic requests oral contraceptives (OCs) because she heard they can prevent sexually transmitted diseases (STDs). On which understanding should the nurse base the response to the patient?
a. Only OCs with estrogen and progestin can prevent STDs.
b. Not enough research has been done to prove that OCs can prevent STDs.
c. There is no connection between OC use and risk of STDs.
d. OCs provide excellent protection against most STDs.
ANS: B
There is much debate about whether hormonal contraceptive agents may offer some protection against some STDs, based on lower statistical rates of STDs among oral contraceptive users. However, cellular changes of the cervix seen with hormonal contraceptive use actually tend to be associated with higher rates of some STDs. 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 STDs while taking an OC.
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Multiply 0.089 by 1,000
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