THE SEXUAL NEEDS OF PEOPLE WITH DISABILITIES – CONTRACEPTIVE NEEDS (CASE)
Her situation was discussed and the importance of failure rates examined. Ann said that in the event of failure of the method she would find termination of pregnancy very difficult to even consider, as she felt it would indicate that she had no value. It was agreed that the injectable contraceptive would give her secure contraception and be the safest option in view of her total immobility. This method protected her against pregnancy and induced amenorrhoea which she found a blessing. Many times over the years the couple and their doctor have discussed the prospect of children. Ann and John have now decided that the risk to her health and life is too great. Ann has needed to feel that she had the choice and that she had the capacity to conceive like everyone else. Now, after discussion with her husband, she has made her own choice rather than having a decision thrust upon her by a well-meaning professional.
After some years on injectable progestogens she dreads the thought of periods again and she is currently discussing the possibility of sterilization and endometrial ablation. Further long-term use of the injections has to be considered carefully in view of the possible risk of osteoporosis, which is already a risk factor for her due to her immobility. It is important that Ann and John feel comfortable with the decision made.
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