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Tips and Follow-up for Users of Spermicides and the Diaphragm
Tips for Users
- Spermicides should be stored in a cool, dry place, if possible, out of the sun. Suppositories may melt in hot weather. If kept dry, foaming tablets are not as likely to melt in hot weather.
- The diaphragm should be stored in a cool, dry place, if possible.
- She needs a new diaphragm fitted if she has had a baby or a second-trimester miscarriage or abortion.
"Come Back Any Time": Reasons to Return
Assure every client that she is welcome to come back any time—for example, if she has problems, questions, or wants another method; she has any major change in health status; or she thinks she might be pregnant.
General health advice: Anyone who suddenly feels that something is seriously wrong with her health should immediately seek medical care from a nurse or doctor. Her contraceptive method is most likely not the cause of the condition, but she should tell the nurse or doctor what method she is using.
- Ask how the client is doing with the method and whether she is satisfied. Ask if she has any questions or anything to discuss.
- Ask especially if she has any problems using the method correctly and every time she has sex. Give her any information or help she needs (see Managing Any Problems, below).
- Give her more supplies and encourage her to come back for more before she runs out. Remind her where else she can obtain more spermicides when needed.
- Ask a long-term client if she has had any new health problems since her last visit. Address problems as appropriate. See also new health problems that may require switching methods.
- Ask a long-term client about major life changes that may affect her needs—particularly plans for having children and STI/HIV risk. Follow up as needed.