CULTURAL PERCEPTIONS AND MISCONCEPTIONS – CULTURE AS AN ISSUE FOR THE PATIENT (CASE – FOLOWING RELIGION)

For some patients, the importance of following their religious precepts is strong enough to allow them to ask for concessions directly.

Hamida Kamali had an IUCD fitted nine months ago. She had no problems with it but wished for it to be removed during Ramadan. When the period of fasting (and sexual abstinence) was over, the couple felt that they would like to return to the IUCD rather than continue with condoms. At this point the doctor was able to discuss the disadvantages of such frequent coil changes, but at the beginning this had not been possible because of their apparently implacable attitude towards their religion. In subsquent years, the couple felt that the advantage of an undisturbed coil outweighed their religious scruples.

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