ʻAʻole hiki i ka moekolohe ke hoʻonāukiuki i ka hānau hānau ma kēlā me kēia. Inā ʻoe he 6 mau mahina hāpai, ʻaʻole hoʻohuli ka wahine i ka hana. Eia hou, inā hoʻokokoke ka huaʻōlelo, he ʻoiaʻiʻo ʻo ka prostaglandin i loko o ka semen hiki ke hana i nā pāʻina a hāpai i ka hana, ua kapa ʻia kēia ʻo "Italia trigger". Aia ka contraindication i ka moekolohe inā loaʻa ka makaʻu o ka hana maʻa.