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To the Editor.—
I was interested in the recent article by Jick et al entitled "Vaginal Spermicides and Gonorrhea" (1982;248:1619). While the authors have controlled for age and marital status, I still have one concern (among the several that were voiced in the editorial in the same issue by Cates et al [1982;248:1636]) that may be the most important of all—the absence of data comparing frequency of sexual intercourse and number of sexual partners among the groups of contraceptive users. It cannot be excluded from the study that these two factors influence the choice of a contraceptive by a woman. It is likely that oral contraceptives and voluntary sterilization permit "casual sex" more readily than spermicides. It is well known that the spontaneity of the sexual act is reduced by the insertion of a diaphragm and spermicide. Therefore, the use of the latter method may be more restricted to those
Camisa C. Vaginal Spermicides and Gonorrhea. JAMA. 1983;249(9):1149. doi:10.1001/jama.1983.03330330031015