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September 13, 2000

A 26-Year-Old Woman With a Second Abortion—Reply

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Executive Deputy EditorIndividualAuthor

JAMA. 2000;284(10):1244. doi:10.1001/jama.284.10.1239

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.