Page 328 - كتاب تمريض نسا الاكتروني
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                   The practice requires the man to be able to recognize when he is about to

                     ejaculate.


                   Withdrawal is often used by couples as a back method to condoms or hormonal

                     method.



               Advantages


                  1.  It can be used for people with objection to other forms of contraception

                  2.  It has no side effect

                  3.  It can be practiced without prescription or medical consultation



               Disadvantages

                  1.  Man, my release small amount of sperm before actual ejaculation.


                  2.  Man needs self-control and precise sense of timing to be able to withdrawal


                      his penis from woman's vagina before ejaculation.


                  3.  It only about 75% -80% effective in preventing pregnancy.


                  4.  Pelvic congestion syndrome related to withdrawal method.



                Nursing Instructions


                  1.  The man must be able to predict ejaculation and to control the urge to remain

                      in the vagina.


                  2.  Before intercourse, the man should urinate to removal any sperm that may be

                      present from previous ejaculation.


                  3.  Before insertion, he should wipe the penis clean of any ejaculatory fluid.







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