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Q: What exactly do spermicides do and why are they important?
A: Spermicides the chemicals that disable the sperm to function, so we say it "kills" the little bugers. They come in forms of a cream, jelly, foam or suppository.
There are a few different types of spermicides. Most are similar in cost and effectiveness. Put the spermicide in each time befor intercourse. Always read the instructions carefully. If you have sex again, always insert more spermicide. Do not cleanse( douche) for at least 6 hours after intercourse, or you could wash away the protection.
Most of the applicators are reuseable, just remember to thoroughly cleanse it with soap and water.
Spermicides can also be used during a menstrual period. It can be used at ALL times. I also recommend that you use a condom along with the spermicide of your choice. Contrary to some MYTHS spermices are not in any way connected to cancer or birth defects. They infact help protect against cancer of the cervix. Research has shown that if you use spermicides while pregnant, spermicides do NOT cause birth defects in your baby.
Some of the positive reasons behind the use of spermicides are that they can be put in ahead of time. No prescription is needed, they are available over the counter without a prescription. The penis can remain inside the vagina after ejaculation.
A few negative reasons against the spermicides are that they have to be inserted again if the sexual encounter is longer than one hour. They must be used exactly as instructed for 100% safety. Some females do not like the mess, and say that their partners to not like the taste.
What is the failure rate?
Perfect-use failure rate 5% to 7%
Typical failure rate 18 - 22%
With condoms:
Perfect-use failure rate 1%
Typical failure rate 1% - 2%
Q: What is the depo-shot?
A: Depo-Provera - ("The Shot") - Medroxprogesterone
Depo-Provera is given by an injection(The Shot). It protects against pregnancy for a exactly three months. Each injection contains progestin, a hormone similar to the one women produce during the last two weeks of the menstrual cycle. It is given in the upper arm or in the buttocks.
The percentage of pregnancies in the first year of use is reported as 0.3%. Among women who use Depo-Provera only about 2-3 in 1000 will become pregnant in the first year. To be this effective you must get your shot at the exact recommended time.
Irregular periods: 70% - 80% of female will have irregular bleeding during their first year of use. This means spotting and bleeding in between your periods. After one year of use, some women stop having a period completely. After two years that number goes up to 75%. This is not harmful to you, but in order to tell if you are pregnant, you should take a test. Some report breast tenderness, it may be uncomfortable, but it is not a problem that will cause you any harm.
average weight 3- 5 pounds a year while taking the depo.
Bone loss may occur while on the Depo, that is why it is recommended to take a calcium pill a day. also regular exercise is a must. This side effect will stop once you are off the depo. Headache, dizziness, fatigue, nausea and anxiety are also reported as some mild side effects.
You MUST visit your doctor or clinic every 13 weeks for the injection. You must have your first injection within 5 days of the beginning of your menstrual cycle to ensure that you are not pregnant.
Injectable birth controls are an easy to use, and highly effective methods. Your periods are lighter and fewer menstrual cramps. The shot does NOT contain estrogen (which increases the risk of heart problems and stroke). You do not have to remember to take a pill every day. Immediately effective after injection, there is no waiting period as with the pill.
Again this is not a guard against the nasty STD`s out there. You need to use a condom with it if you may be at risk.
Q: Norplant..What is that?
A: The Norplant System is a reversible, five year, low dose, progestin-only contraceptive. The Norplant System consists of six very small matchstick size capsules (made of silastic tubing) that are placed just under the skin of the upper arm.
This is not recommended for teen age girls, but they should be educated regarding it.
Norplant may be particularly effective for females that cannot take estrogen, females wanting continuous, long-term contraception but do not want permanent sterilization, females who have experienced problems with other contraceptive methods.
Norplant System is one of thesafest forms of contraception. The average pregnancy rate over five years is less than 1%. Norplant has undergone many years of research and testing. Through 1990, 500,000 females have used this method in seventeen countries where the Norplant System is in general use.
After a professional consultation, you may have the Norplant System placed under the skin of the upper arm through a small incision using local anesthesia. This is an office procedure which usually takes 10-15 minutes. It should be done within the first seven days of your menstrual cycle to assure that you are not pregnant. As long as the placement of the Norplant System occurs within this time period, you are protected from pregnancy within 24 hours. The IU Health Center requires a Pap smear within one year prior to insertion as well as a recheck ten days after insertion.
This procedure should be removed after five years (or earlier if you desire), you should return to your doctor to have it removed. The removal is similar to the insertion and usually takes 40-45 minutes, but may occasionally take longer or require two visits. Removal is particularly likely to be difficult if insertion of an implant was deep. After removal, if you wish, you can have a new set of capsules implanted for five more years of birth control.
The best thing about choosing this type of BC method is that you do not have the worry about getting pregnant for five years. It also allows for more spontaneous sex than others.
You may experiencesome bumps in your arm. Scar tissue can form around implants making them hard to remove. A Professional who is trained in the "Norplant System"is needed to remove them. Many women complain of tenderness in the arm in the area of the implants. That will soon go away.
Failure rate less than 1%
The most common side effect is change in the menstrual cycle pattern. Irregularities range from female to female and may include: prolonged menstrual bleeding, spotting between menstrual periods or no bleeding at all. These side effects will lessen after 6-9 months. Any side effects that may occur with birth control pills may also occur with Norplant including: depression, nervousness/anxiety, dizziness, hair loss or, headaches, weight gain, breast tenderness,vomitting,nausea,hair growth, acne and high blood pressure.
Again this is a birth control not a protection aggainst STD`s or HIV. Always use a condom.
Q: What is Lunelle?
A:Lunelle is a birth control shot taken monthly that is 99% effective when given as prescribed. The monthly shot eliminates the worry of remembering a pill every day and is equally effective.
Lunelle is given by injection into the muscle of the upper arm, thigh, or buttocks, so you have to go to your gynecologist, doctor, or clinic each month. Lunelle contains hormones that are similar to the natural hormones estrogen and progesterone produced by your body. After injection the hormone levels peak and gradually decrease until the next injection. Lunelle protects you immediately once you get the first injection as long as it is within the first five days of your period. It's important to remember that the next injection should be 28 to 30 days from the last one and no later than 33 days no matter when you get your period.
Lunelle prevents you from getting pregnant by using hormones it contains, to signal a gland in your brain not to release FSH (follicle stimulating hormone). Therefore, no egg matures that month to be fertilized. It's also believed that Lunelle causes your cervical mucus to thicken thus preventing any sperm from meeting up with an egg. It also prevents the lining of your uterus from "plumping" up, which it usually does each month, while readying itself to nourish the egg if it indeed is fertilized.
You should never take the Lunelle shot If you've had a blood clots (not including menstrual blood clots) or you have a history of chest pains, cancer or unexplained vaginal bleeding. Females with a history of liver disease, strokes or heart attacks are a definite no to the Lunelle shot. Smokers are also not acceptable for this type of birth control.
Within the first months, most females will notice a change in their periods, either no bleeding, irregular bleeding, or spotting. Weight loss in some females will happen, but the average change was an increase of 4 lbs. in the first year. Some females may gain up to 10 pounds in the first year. Any hormonal birth control containing estrogen can increase the risk of side effects which are increased with smoking especially if you are over 35 or smoke more than 15 cigarettes per day.
Again this is not a protection against STD`S or HIV, you must use a condom also.
If you decide that Lunelle might be right for you, make an appointment with your doctor to get a physical, a pap smear and to rule out the possibility of a current pregnancy.
Q: What is a contraceptive sponge?
A: The Today Sponge mixes a spermicide with a barrier contraceptive. It offers an immediate and continuous presence of the spermicide nonoxynol-9 throughout a 24-hour period, allowing for as many sessions of intercourse as desired within that period without the need for additional spermicide.
It is easy to learn to use. With a little practice, insertion and removal become simple procedures. Following these easy steps will ensure proper placement and usage...
With clean hands, remove Today Sponge from its inner package. Holding the Sponge in one hand with the dimple (concave) side facing upward, and the loop dangling down, wet the sponge thoroughly with clean tap water. Gently squeeze the Sponge to produce amounts of suds. This activates the spermicide and facilitates insertion. Do not be worried if you see too much suds. There is more than enough spermicide in Today Sponge to provide effective prevention of pregnancy. Fold the sudsy Sponge in half - still with the dimple side facing upward - and insert deeply in the vagina, along the back wall to cover the cervix. The dimple should face the cervix, and the loop should face away from the cervix.
You should wait at lease six hours after intercourse before removing the Sponge. Put a finger into the vagina and reach upward to find the string loop. Bear down and push the Sponge toward to vaginal opening. Hook the finger around the string loop or grasp Sponge between thumb and forefinger. Slowly and gently withdraw Sponge from the vagina. If the vaginal muscles seem to be holding Sponge tightly, wait a few minutes, then try again. While relaxing, breathe out slowly while bearing down and remove Sponge.
The safety rate for Today Sponge is 89% to 91% .
Again this is not a protection against STD`S or HIV, you must use a condom. This metoxic shock syndrome.thod should not be use during a period due to a risk of
Q: Can you tell me about an IUD?
A. IUD stands for Intrauterine Device. It is a T-shaped piece of plastic that is often covered with copper wire.(copper T) Some IUDs also contain hormones or come in different shapes. The IUD sits inside the uterus. The IUD prevents pregnancy by not allowing a fertilized egg to attach itself to the wall of the uterus. If a fertilized egg cannot attach and grow, it is unable to develop into a fetus.
Two appointments are required for an IUD insertion, from your doctor. The first appointment will include information, an exam, and laboratory screenings. The second appointment consists of inserting the IUD and providing follow up instructions. The IUD is usually inserted during your menstrual period. The IUD requires little maintenance. There is a small nylon thread attached to it. You must check to feel that it is still there after every period. This way you know the IUD is still in the uterus. You do this by inserting a clean finger high into the vagina where you will feel the thread.
Most IUDs are removed easily by a doctor. Removal is best done during a menstrual period but it can be removed at other times if necessary. The IUD has a life span of 1-10 years depending on which type of device is used.
The best candidates for the IUD are females that have had children but do not wish to have more,
have no history of pelvic infections, have no history of sexually transmitted diseases, or have only one sexual partner.
The IUD is effective immediately upon insertion. Allows spontaneous sex. No mess.
Unfortunately you will experience heavier, longer, crampier periods. Some spotting between periods also.
Possible increased risk of vaginal infections and pelvic inflammatory disease (PID).Caution: can fall out of the body without you knowing it.

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