A client asks for and receives instructions regarding birth control methods. She elects to use a diaphragm with a spermicide. What disadvantage of using a diaphragm should be explained to the client?

1
It fails half the time when used alone.
2
It is physically uncomfortable when in place.
3
Thrombus formation and pulmonary emboli may occur.
4
Some women find insertion and removal to be objectionable.

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