Contraception in Adolescents and Women with Disabilities

Around 1.8 million people with disabilities live in Switzerland, it affects every sixth adult person, every twentieth severely. Nevertheless, there is only little literature about sexuality and contraception in disabled people, it's rarely a topic in medical education and junior doctors are often untrained to deal with the special needs and risks in disabled patients. This article describes in five different cases the complex situations and different options of contraceptive counselling with regard to medical indications and contraindications, questions of hygiene and non-contraceptive benefit of hormonal therapies, but also ethical and legal issues are discussed. This article is intended to contribute to the improvement of the medical care of women with disabilities.