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Human Sexuality and Contraception

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A 20-year-old G0 and her partner, a 20-year-old man, present for counseling for sexual dysfunction. Prior to their relationship, neither had been sexually active. Both report no medical problems. In medical experience, which type of male or female sexual dysfunction has the lowest cure rate?

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a. Premature ejaculation

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b. Vaginismus

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c. Primary impotence

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d. Secondary impotence

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e. Female orgasmic dysfunction

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The answer is c. In a 5-year follow-up study of couples treated by Masters and Johnson, the cure rates for vaginismus and premature ejaculation approached 100%. Orgasmic dysfunction was corrected in 80% of women, and secondary impotence (impotence despite a history of previous coital success) resolved in 70% of men. Primary impotence (chronic and complete inability to maintain an erection sufficient for intercourse) had the worst prognosis, with cure reported in only approximately 50% of cases. Other therapists report very similar statistics.

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A 28-year-old G3P3 presents to your office for contraceptive counseling. She has no history of medical problems or sexually transmitted diseases. You counsel her on the risks and benefits of all contraceptive methods. Which of the following is the most common form of contraception used by reproductive-age women in the United States?

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a. Pills

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b. Condom

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c. Diaphragm

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d. Intrauterine device (IUD)

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e. Sterilization

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The answer is a. The most recent report from the CDC in 2010 demonstrated that the pills remain the most commonly used form of contraception among reproductive-age women in the United States with 28% of women choosing this method. Female sterilization (27%) and condoms (16%) were the next most commonly used methods of contraception used by women in the United States.

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A 21-year-old woman presents to your office for her well-woman examination. She has recently become sexually active and desires an effective contraceptive method. She has no medical problems, but family history is significant for breast cancer in a maternal aunt at the age of 42 years. She is worried about getting cancer from taking birth control pills. You discuss with her the risks and benefits of contraceptive pills. You tell her that which of the following neoplasms has been associated with the use of oral contraceptives?

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a. Breast cancer

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b. Ovarian cancer

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c. Endometrial cancer

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