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SHELDON FERRON
objectives
Define barrier contraception
Compare and contrast with hormonal contraceptives List types of barrier contraception
DEFINITION
A contraceptive method which creates a physical barrier between the spermatozoa and the ovum/ova thereby preventing fertilization.
Cheaper
Immediately effective and reversible Can be used during breastfeeding
types
Condom/Femidom
Diaphragm Cervical Cap
Vaginal Sponge
Spermicide
Condom/femidom
condom
A thin, flexible cover that is placed over the penis to prevent semen from entering the vagina during sexual intercourse
effectiveness
Perfect effectiveness rate = 97%
Disadvantages Uncomfortable/decreased sensation Condom may break/slip causing leakage of seminal fluid
Oil based lubricants cause increased incidence of breakage/slippage Erection necessary before putting on condom
Female condom/femidom
It is a sheath made of nitrile and is pre-lubricated with a silicone-based lubricant.
effectiveness
Perfect effectiveness rate = 95%
Made of nitrile which rarely causes allergic reactions Less likely to break than male condom
Diaphragm/cervical cap
A soft dome-shaped cup made of latex, rubber or silicone with a flexible rim placed over the cervix before intercourse.
No longer very popular methods because of the introduction of newer methods of contraception
Pregnancy is prevented by blocking sperm from entering the uterus and killing sperm with the spermicide.
Both require fitting by a trained clinician, and the fit should be checked after childbirth and weight loss or gain of more than 10 pounds.
Diaphragm does not rest directly over cervix while the cap does
Caps less popular than diaphragms. Mainly for women who find it difficult to keep a diaphragm in place because of the shape of their vagina
effectiveness
Perfect Effectiveness Rate = 94%
Advantages Provides some amount of protection against some sexually transmitted infections
Generally cannot be felt by female or her partner Can be inserted up to six hours before intercourse
Latex/silicone/spermicide may trigger allergic reactions Must be left in place for six to eight hours after intercourse Some women find insertion difficult Increased incidence of urinary tract infections
Vaginal sponge
The circular sponge disk attached to a loop that is used for removal. It contains a spermicide, and is moistened with tap water before insertion deep in the vagina
Effectiveness
Perfect Effectiveness Rate = 90%
Spermicide
The most common agent is Nonoxynol-9. Other agents include benzalkonium chloride and sodium cholate
Effectiveness
Perfect effectiveness rate = 94%
Disadvantages May leak/ messy May cause irritation of genitals Does not protect against sexually transmitted infections
References
Edmunds, K. et al. Gynaecology by Ten Teachers. 18th ed. London: Hodder Education. 66-67
Bassaw, B. Fletcher, H. Gynaecology review. 175176 Stoppler, M. (2011). Barrier Methods of Birth Control. Available: http://www.medicinenet.com/barrier_methods_of_bir th_control/article.htm. Last accessed 4th Feb 2014.
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