What are barrier means?
Barrier agents are agents that prevent sperm from reaching the cervix. The best known is the condom that is placed around the stiff penis. Condoms are usually made of rubber and come in various sizes, shapes, colors and with or without a spermicide. A latex-free condom can be used in case of hypersensitivity to rubber.
In addition, there is the female condom, the pessary occlusivum and the Femcap®. These agents are introduced into the vagina. The female condom consists of plastic with two flexible rubber rings. Only one size is available.
The pessary occlusivum (diaphragm) is a smooth closed rubber ring that is placed deep in the sheath. There are several sizes available. A pessary must be fitted by a doctor who has experience with it.
The Femcap® is made of silicone and is placed on the cervix. There are 3 sizes: small, medium and large. The smallest (small) is intended for women who have never been pregnant; the middle (medium) for women who have been pregnant but have not had a normal delivery such as after a miscarriage or caesarean section . The largest (large) is for women who have had 1 or more vaginal deliveries.
How do barrier resources work?
By preventing the passage of the sperm cells, they cannot reach the ovaries via the cervix, the uterus and the fallopian tubes, so that fertilization cannot take place. Because the condom sometimes slips or tears and the agents that are introduced into the vagina do not always close the vagina completely, the concomitant use of spermicides is necessary to prevent any damage. defuse any remaining active sperm. Spermicides are available in the form of cream, pasta, gel or foam.
How do you use contraceptive barrier products?
The condom is applied to the stiff penis before contact with the vagina or anus. Use a suitable condom and make sure that the condom is properly stored, has not been in the sun for too long, the expiry date has not passed and the condom is not damaged when removed from the package, for example by sharp nails.
Place the rolled up condom on the glans, the edge of the condom must be on the outside. Squeeze the tip of the condom for about 1 cm with thumb and forefinger to prevent air from entering the tip, otherwise the condom may burst. Roll the condom all the way over the penis and make sure that the edge of the condom is on the outside. If this is not the case, unrolling the condom will not work and it is better to take a different condom. After cumming, hold the condom by the edge and pull the penis out of the vagina. Don’t wait too long: the weaker the penis, the easier the condom can slide off. Make sure that no sperm gets on the hands, because that way the partner can get pregnant or, if the condom is used to protect against sexually transmitted diseases, become infected. Prevent this and wash your hands before you have sex. After use, make a button in the condom and throw it away in the garbage, do not do it in the toilet because of the risk of blockage.
The female condom must be placed in the vagina before contact with the penis. The female condom contains two rings. To increase reliability, a spermicide is first introduced into the vagina. The smallest ring is then inserted deep into the sheath for the cervix. The largest ring comes on the outside of the sheath and closes it in this way.
The pessary occlusivum (diaphragm) should be placed in the vagina before contact with the penis. On the side where the diaphragm is placed against the cervix, a spermicide must first be applied. After the diaphragm has been introduced, a spermicidal agent is also introduced. If necessary, a dose of the spermicidal agent can be added after two hours. It is best to allow the diaphragm to be inserted into the scabbard for an hour or six after sexual intercourse to allow the spermicidal drugs to work. The diaphragm must then be removed. Unlike a condom, a diaphragm can be used multiple times.
The Femcap® must be placed on the cervix before contact with the penis. First a spermicidal agent is applied to the side of the cervix. The widest edge of the Femcap® should lie against the vaginal wall at the rear. As an additional certainty, some of the spermicidal agent is then also introduced. This can be repeated after two hours if necessary. The Femcap®, as it were, sucks itself onto the cervix and, unlike the pessary occlusivum, may stay longer (up to 48 hours). It can be introduced up to 4 hours prior to sexual intercourse. For instructions, also visit the Femcap® site.
How reliable is contraception barrier?
Reliability is highly dependent on the care taken in applying the method. In theory, a reliability of around 98% can be achieved. In practice, however, 5 to 20% of those who use one of these methods become pregnant every year.
What are the side effects of contraceptive barrier agents?
Sometimes a rubber allergy can occur when using a condom or pessary. A latex-free condom, female condom or Femcap® are then possible alternatives. A condom can tear or slip. If this happens during the fertile period, the use of a morning after pill is sometimes necessary. See also the failed contraceptive brochure .
If there is a latex allergy, it is important to have this determined by a doctor. In a hospital, for example, latex gloves are used, causing complications during a possible operation. Have your suspicions of latex allergy always determined by a doctor.
When to the doctor?
Fitting a pessary occlusivum (diaphragm) requires a one-time visit to the doctor or doctor who can fit a diaphragm. If a pessary is used again after giving birth, the pessary will have to be re-measured. A larger size is then usually required.
Condoms can be purchased at a drugstore, pharmacy or online.
Female condoms (Femidon®, Cupid) can be purchased at most pharmacies and drug stores, you can also order them online. This also applies to the Femcap®. A visit to the doctor is not necessary if it is decided to use a condom, female condom or Femcap®.
Contraception barrier means, is it suitable for you?
General advice and precautions
- Use a suitable condom.
- Never use two condoms on top of each other: the chance that the condoms will tear is too great.
- For anal sex, use extra firm condoms and lots of lubricant.
- Store condoms at room temperature and note the expiration date.
- Barrier medicines protect against sexually transmitted diseases in addition to pregnancy. However, this does not apply to the Femcap® . However, as protection against pregnancy alone, there are methods that are considerably more reliable. If no other medicines are used, make sure there is a morning after pill in case the condom slips or breaks.
Source : dokterdokter