Barrier Methods

These methods are used during intercourse to prevent pregnancy. They work by stopping sperm from getting to the egg. Some barrier methods can also be used to help prevent sexually transmitted diseases (STDs). These are the male and female condoms. Male condoms can also be used during oral and anal sex to prevent sexually transmitted diseases.

Diaphragm

What Is the Diaphragm?

The diaphragm is a round piece of soft, thin latex rubber with a firm, flexible ring that fits comfortably in the vagina. Because every woman is different, diaphragms come in many sizes. You can only get a diaphragm from a clinician or doctor who will fit you with the right size.

The diaphragm is put into the vagina so that it covers the opening to the uterus (the cervix). Once it is in place, the diaphragm should not be bother the woman or her partner during intercourse. The woman should be able to walk around with the diaphragm in place for several hours and not feel it.

The diaphragm does not protect against HIV or other STDs. If you are having sex with someone who might give you a sexually transmitted infection, use a condom.

TOP

Effectiveness

Perfect user: A person that uses their method of pregnancy prevention correctly all of the time.

Typical user: A person who does not use their method of pregnancy prevention correctly.

With perfect use, the diaphragm is 94% effective.

That means that if 100 women use the diaphragm exactly the right way every time they have sex, 6 of them may get pregnant in a year.

With typical use, the diaphragm is 84% effective.

For women who don't use the diaphragm the right way every time they have sex, 16 women out of 100 may get pregnant in a year.

TOP

Advantages

  • Diaphragms cause few health problems.
  • Diaphragms work well to prevent pregnancy.
  • Diaphragms can be put in up to 6 hours before sex.
  • You only need to use the diaphragm when you have sex.
  • Most men will not feel the diaphragm when having sex.

TOP

Possible Side Effects

  • Allergy to the latex rubber or to the birth control cream or jelly
  • Vaginal infection: This can happen if the diaphragm is left in too long or if it is not cleaned and dried well.
  • Toxic Shock Syndrome (See Possible Warning Signs below)

Women may have the following side effects if their diaphragm doesn't fit well. If you have any of these side effects, go to your clinician/doctor:

  • Bladder infection
  • Pelvic cramps or discomfort
  • Irritation of the vagina

TOP

Possible Warning Signs

Toxic Shock Syndrome can be a serious health problem that comes from a bacteria that grows in the diaphragm if it is kept in place for more than 24 hours. This is why it is important to remember to remove it within 24 hours.

Rarely does a woman get TSS if she wears the diaphragm for 8 hours, but it is possible. If you ever experience the warning signs of TSS listed below, take out the diaphragm right away and go to your clinician or an emergency room.

Toxic Shock Syndrome Warning Signs

  • Sudden high fever
  • Vomiting or diarrhea
  • Feeling dizzy, faint or weak
  • Sore throat
  • Aching muscles and joints
  • A rash that looks like a sunburn

TOP

Important Warning

Though the diaphram is very safe, the spermicide used along with a diaphram may not be safe for people who have sex with multiple partners.

Spermicide may cause changes in the vagina and anal area that make it easier to get HIV and other sexually transmitted infections. If you have more than one partner, or your partner has more than one partner, it is better not to use spermicide.

TOP

FemCap

What Is FemCap?

The FemCap is a small, hat-shaped device made of silicon rubber. It fits over your cevix (the opening of the uterus) and helps stop sperm from meeting the egg. You should be able to walk around with the cap in place and not feel it. It should not bother you or your partner during intercourse.

The FemCap is used with contraceptive cream or jelly which kills the sperm. It comes in three sizes, so it must be fitted by a clinician or doctor.

The FemCap does not protect against HIV or other STDs. If you are having sex with someone who might give you an STD, use a condom.

TOP

Effectiveness

Perfect user: A person that uses their method of pregnancy prevention correctly all of the time.

Typical user: A person who does not use their method of pregnancy prevention correctly.

With perfect use, the FemCap is 91% effective.

This means that if 100 women use the FemCap exactly the right way every time they have sex, 9 women out of the group may get pregnant in 1 year.

With typical use, the FemCap is 84% effective.

For women who don't use the FemCap the right way every time they have sex, 16 women out of 100 may get pregnant in 1 year.

TOP

Advantages

  • The FemCap cause few health problems.
  • The FemCap works well to prevent pregnancy.
  • The FemCap is comfortable and you should not feel it when you are using it.
  • You only need to use the FemCap when you have sex.
  • Once the cap is in, you can have sex as many times as you want.
  • The FemCap will not bother men during sex.

TOP

Possible Side Effects

  • Allergy to the contraceptive cream or jelly.
  • Vaginal infection. This can happen if the FemCap is left in too long or is not cleaned and dried well enough.
  • Toxic Shock Syndrome (see below, Possible Warning Signs)

TOP

Possible Warning Signs

Toxic Shock Syndrome can be a serious health problem that comes from a bacteria that grows in the FemCap if it is kept in place for more than 24 hours. This is why it is important to remember to remove it within 24 hours.

Rarely does a woman get TSS if she wears the FemCap for less than 8 hours, but it is possible. If you ever experience the warning signs of TSS listed below, take out the FemCap right away and go to your clinician or an emergency room.

Toxic Shock Syndrome Warning Signs

  • Sudden high fever
  • Vomiting or diarrhea
  • Feeling dizzy, faint or weak
  • Sore throat
  • Aching muscles and joints
  • A rash that looks like a sunburn

TOP

Important Warning

Though the FemCap is very safe, the spermicide used along with a FemCap may not be safe for people who have sex with multiple partners.

Spermicide may cause changes in the vagina and anal area that make it easier to get HIV and other sexually transmitted infections. If you have more than one partner, or your partner has more than one partner, it is better not to use spermicide.

TOP

To Learn More

To learn more about the FemCap, go to:

TOP

Female Condom

What Is the Female Condom?

The female condom is made of a thin, but very strong, plastic called polyurethane. It prevents sperm from meeting with the egg.

Female condoms can help prevent pregnancy and STDs, including HIV. Female condoms can be used to help protect against STDs when you have vaginal, anal and oral sex.

Effectiveness

Perfect user: A person that uses their method of pregnancy prevention correctly all of the time.

Typical user: A person who does not use their method of pregnancy prevention correctly.

With perfect use, the female condom is 95% effective.

That means that if 100 couples use the female condom exactly the right way every time they have sex, 5 of the women may get pregnant in a year.

With typical use, the female condom is 79% effective.

For couples who don't use the female condom the right way every time, 21 women out of 100 may get pregnant in a year.

TOP

Advantages

  • Female condoms help prevent HIV and other STDs.
  • Female condoms do not cause any serious health problems.
  • Female condoms almost never break or tear during sex.
  • The female condom is easy to carry around.
  • You only need to use the female condom when you have sex.
  • Female condoms can be put in up to 8 hours before having sex.
  • Female condoms can be purchased at local clinics and drug stores.

TOP

Possible Side Effects

There are no side effects to using the female condom.

TOP

Possible Warning Signs

The condom for women causes no serious health problems.

TOP

Important Warning

Some things to remember about the female condom:

  • Make sure the condom stays in the right place during sex.
    • During sex, the condom may move from side to side. Or it may move up and down on the penis. To prevent this, put lubricant inside the condom or on the penis before sex.
  • If either of these things happens, take the condom out and put in a new one:
    • You feel the outer ring of the condom start to go into the vagina.
    • You feel the penis start to go in the vagina outside of the condom.
  • Never use the female condom and the male condom at the same time.
    • They will rub together. This can make them break or move out of place.

TOP

To Learn More

To learn how to use the female condom, go to:

TOP

Male Condoms

What Are Male Condoms?

The male condom is a thin covering that fits over an erect penis. Condoms can be made out of three kinds of material:

  • Latex, a thin kind of rubber
  • Polyurethane, a thin, soft plastic
  • Animal membranes, such as lambskin

Condoms made from latex and polyurethane can help prevent pregnancy and STDs, including HIV. Sperm and STD germs cannot pass through these types of condoms. Condoms are used to help protect yourself from STDs when you have vaginal, anal and oral sex.

Condoms made from lambskin help prevent pregnancy, but they do not protect against STDs. This is because STD germs are much smaller than sperm. STD germs can get through lambskin condoms because they have pores like our own skin.

Condoms come in different textures, colors and sizes.

  • Some condoms are lubricated. Lubricants make the condom more slippery. They can also make them more comfortable to use during sex.
  • Some condoms have spermicide in them. Spermicides are chemicals that kill sperm.
  • Some condoms have both a lubricant and a spermicide on them.
  • Some condoms have a special tip at the end for the semen.

Effectiveness

Perfect user: A person that uses their method of pregnancy prevention correctly all of the time.

Typical user: A person who does not use their method of pregnancy prevention correctly.

With perfect use, the condom is 98% effective.

This means that if 100 couples use the condom exactly the right way every time they have sex, 2 of the women may get pregnant in a year.

With typical use, the condom is 85% effective.

For couples who don’t use the condom the right way every time they have sex, 15 women out of 100 may get pregnant in a year.

TOP

Advantages

  • Condoms help prevent some STDs, including HIV.
  • Condoms don’t cause serious health problems.
  • Condoms can be found in many places, like drugstores, local clinics and vending machines.
  • Condoms are easy to carry around.
  • Condoms may help a man keep an erection longer.
  • You only need to use condoms when you have sex.

TOP

Possible Side Effects

Some men and women are allergic to the latex in a condom. Others may be allergic to the lubricant or spermicide. If you are allergic, your skin may itch, burn or turn red. Or you may get a rash near the vagina, penis or anus.

You can try other brands to find a condom or lubricant that doesn’t bother you. If the spermicide in the condom is the problem, you can try a condom without spermicide. If you are allergic to latex, you can try the polyurethane condom.

TOP

Possible Warning Signs

The male condom causes no serious health problems.

TOP

Important Warning

Though the condom is very safe, the spermicide found in some condoms or used along with a condom may not be safe for people who have sex with multiple partners.

Spermicide may cause changes in the vagina and anal area that make it easier to get HIV and other sexually transmitted infections. If you have more than one partner, or your partner has more than one partner, it is better to use a condom that does not already have a spermicide in it and avoid using any other type of spermicide.

TOP

To Learn More

It is very important to learn how to use condoms correctly, so that they don't break or fall out. For instruction about how to use them, to go:

TOP

Spermicides

What Are Spermicides?

Spermicides come in many forms:

  • Foam
  • Suppositories
  • Cream
  • Vaginal film
  • Jelly (or gel)

Spermicides are put into the vagina before having sex because they kill sperm. The most common chemical used in spermicides is nonoxynol-9.

Spermicides are often used with condoms and they can be used alone. Spermicides are always used with the diaphragm, cervical cap, and female condom.

Spermicides do not help protect against HIV and other STDs. Use a condom every time you have sex to help protect yourself from these diseases.

TOP

Effectiveness

Perfect user: A person that uses their method of birth control correctly all of the time.

Typical user: A person who does not use their method of birth control correctly.

With perfect use, spermicides are 85% effective.

That means that if 100 women use spermicides exactly the right way every time they have sex, 15 of those women may get pregnant in a year.

With typical use, spermicides are 71% effective.

For women who don't use spermicides the right way every time they have sex, 29 out of 100 may get pregnant in a year.

TOP

Advantages

  • Spermicides cause few health problems.
  • Spermicides can be found at most drugstores and local clinics.
  • Spermicides can be put in up to 1 hour before having sex.
  • You only need to use spermicides when you have sex.
  • Spermicides provide lubrication during sex.
  • Spermicides can be used with many other methods.

TOP

Possible Side Effects

Some people have an allergy to spermicide. The allergy can cause skin rashes, burning, or redness in or around the vagina or penis. Trying a different brand or type of spermicide may help.

Some women may have more bladder infections when they use spermicides. If this happens, think about using a different method.

TOP

Possible Warning Signs

Spermicides do not cause any serious health problems for most people.

They can, however, increase your chance of getting HIV and other STDs if you have sex every day or are having sex with anyone who could give you an STD or HIV.

TOP

Important Warning

Spermicide may cause changes in the vagina and anal area that make it easier to get HIV and other sexually transmitted infections. If you have more than one partner, or your partner has more than one partner, it is better not to use spermicide.

TOP

To Learn More

To learn how to use spermicides, go to:

TOP

Today Sponge

What Is the Today Sponge?

The sponge is a small, round, soft piece of foam made out of polyurethane (a type of plastic). It contains the contraceptive foam nonoxynol-9, which kills sperm. A small amount of water is added to the sponge to make the contraceptive foam work.

The sponge covers your cervix (opening of the uterus) and helps stop sperm from meeting with an egg. The sponge also works by killing sperm. You should be able to walk around with the sponge in place and not feel it. It should not bother you or your partner during intercourse.

The sponge can be purchased at clinics, pharmacies, and supermarkets. It does not protect against HIV or other STDs. If you are having sex with someone who might give you an STD, use a condom.

TOP

Effectiveness

Perfect user: A person that uses their method of pregnancy prevention correctly all of the time.

Typical user: A person who does not use their method of pregnancy prevention correctly.

With perfect use, the sponge is 91% effective.

This means that if 100 women use the sponge exactly the right way every time they have sex, 9 women out of the group may get pregnant in 1 year.

With typical use, the sponge is 84% effective.

For women who don't use the sponge the right way every time they have sex, 16 women out of 100 may get pregnant in 1 year.

TOP

Advantages

  • The sponge causes few health problems.
  • The sponge works well to prevent pregnancy.
  • The sponge is comfortable and you should not feel it when you are using it.
  • You only need to use the sponge when you have sex.
  • Once the sponge is in, you can have sex as many times as you want for up to 24 hours.
  • The sponge should not bother the man during sex, though occasionally a man can be allergic to the spermicide in the sponge.

TOP

Possible Side Effects

  • Allergy to the contraceptive foam.
  • Toxic Shock Syndrome (see below, Possible Warning Signs)

TOP

Possible Warning Signs

Toxic Shock Syndrome can be a serious health problem that comes from a bacteria that grows in the sponge if it is kept in place for more than 24 hours. This is why it is important to remember to remove it within 24 hours.

Rarely does a woman get TSS if she wears the sponge for less than 24 hours, but it is possible. If you ever experience the warning signs of TSS listed below, take out the sponge right away and go to your clinician or an emergency room.

Toxic Shock Syndrome Warning Signs

  • Sudden high fever
  • Vomiting or diarrhea
  • Feeling dizzy, faint or weak
  • Sore throat
  • Aching muscles and joints
  • A rash that looks like a sunburn

TOP

Important Warning

Though the sponge is very safe, the spermicide used along with a sponge may not be safe for people who have sex with multiple partners.

Spermicide may cause changes in the vagina and anal area that make it easier to get HIV and other sexually transmitted infections. If you have more than one partner, or your partner has more than one partner, it is better not to use spermicide.

TOP

To Learn More

To learn more about the sponge, go to:

TOP