| Abstract: | After a discussion of the physiologic, psychologic, and social needs of married, single and adolescent nulliparas, the applicability for these women of IUDs, pills, injectables, once monthly pills, condoms, and diaphragms is considered. Physiologically, the uterus is small and tonic, and the hypophyseal system is immature. Psychologically, the chief dichotomy is between mature and young women. Nulliparas may be uninformed sexually and susceptible to contraceptive failure because the nullipara is "incomplete." Socially, nulliparas often are involved with irresponsible partners who will not accept coitus-associated methods of contraception and do not contribute to the woman's mature sexual development. The IUDs and pills are contraindicated in young nulliparas, but should be considered because of their particular need for effective contraception. Condoms could be suggested for those in need of protection from venereal disease or diaphragms for the well-informed, but estrogen morning-after pills should be available. |
