Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Executive Deputy EditorIndividualAuthor
In Reply: We agree with Dr Carley that education
about contraception and prevention of sexually transmitted diseases is important.
The original Clinical Crossroads article1
explained that Ms B, the patient, and her boyfriend were educated about birth
control options. Neither had ever had another partner, and they chose to use
periodic abstinence as their method of contraception. Her first pregnancy
occurred in year 6 of using the rhythm method during this monogamous relationship.
After that pregnancy and abortion, she received further counseling about different
contraceptive options and chose to take oral contraceptives. Subsequently,
her relationship ended, but in seeing the same partner later, she again became
pregnant as a result of a lapse in taking her pills. Because Ms B has only
had 1 sexual partner in her life, the likelihood of contracting a sexually
transmitted disease is low.
Parker RA, Hartman EE. A 26-Year-Old Woman With a Second Abortion—Reply. JAMA. 2000;284(10):1244. doi:10.1001/jama.284.10.1239