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A 26-year-old woman comes to the physician to be fitted for a new diaphragm. She had an elective abortion for an unplanned and unwanted pregnancy 2 months ago. She and her husband have been using a diaphragm and contraceptive jelly as their only means of contraception. They have a pattern of drinking heavily on weekends and having unprotected intercourse. Which of the following is the most appropriate next step?

A) Evaluate her for a sexually transmitted disease
B) Fit her with a diaphragm as requested
C) Help her to deal with her feelings about the abortion
D) Refer her to Alcoholics Anonymous
E) Talk to her about a non-barrier method of contraception

my choice was B ( wrong) according to NBME
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