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Spermicide - Uses and Side Effects

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Spermicide is a chemical agent that kills sperm and is used in many different types of birth control, such as condoms, diaphragms, and cervical caps.

Medically reviewed by

Dr. Raveendran S R

Published At May 11, 2023
Reviewed AtDecember 5, 2023

Introduction

There are many types of birth control methods available for women. Perhaps the most well-known type of contraception is the condom. Condoms are an easy way to prevent pregnancy because they stop the exchange of semen and eggs. However, that is not the only way to prevent pregnancy. Spermicide is another popular option among those who want to avoid becoming parents at that time. There are many different types of spermicide available, each with its own benefits and drawbacks. Read on more to know about the information about spermicides.

What Is Spermicide?

Spermicide is an artificial chemical that reduces the chances of pregnancy after sex. It is usually used as a secondary measure alongside another method of contraception, such as condoms or pills. Self-applied spermicides are often called "chemical contraceptives" because they use chemicals to prevent pregnancy. They work by either damaging or killing sperm, so they cannot reach and fertilize the woman's eggs. Despite being commonly referred to as a contraceptive, spermicides are not as reliable in preventing pregnancy as methods such as pills or condoms. However, for anyone who has concerns about using another type of contraception for any reason, such as an allergy to latex due to a preexisting medical condition, spermicides are a useful option to consider. Spermicides are available as creams, jellies, foams, and films.

How Does Spermicide Work?

Spermicide can be either a surfactant or Nonoxynol. Surfactant spermicides are foaming agents that kill sperm by destabilizing their membranes. Nonoxynol spermicides contain a chemical agent that damages the DNA (deoxyribonucleic acid) of sperm. As sperm travel through the vaginal canal to the cervix, they lose some of their DNA. However, this process happens slowly in most women. This is why most women can use spermicide without experiencing any side effects. However, some women may experience irritation from the spermicide. One should use a spermicidal cream, film, or foam with a barrier contraceptive such as a condom or diaphragm. This will kill any sperm that enters the vaginal canal and increase the effectiveness of the barrier contraceptive.

How to Use Spermicide?

Various spermicides are available, including:

1. Foam - Using an included applicator (similar to a tampon applicator), foams are inserted into the vagina.

2. Cream or Gel - Use the included applicator to apply creams or gels to the vagina.

3. Suppository - Suppositories are pellets of solid material that melt when inserted into the vagina.

4. Film - Thin sheets called films are inserted with your fingers right next to the cervix.

The only way to find the best method is to visit a doctor or clinic. One should keep a few things in mind before using contraception methods.

  • If an individual chooses a barrier method, make sure to use it every time you have sex. This will reduce the risk of getting pregnant drastically.

  • If an individual has hormonal contraception, they must remember to take the pill simultaneously daily.

  • If an individual chooses a nonhormonal method, they must practice safe sex with the proper use of condoms or a diaphragm.

What Are the Side Effects of Spermicides?

Some people may experience skin irritation, itching, or a rash. Usually, the side effects are mild and will disappear on their own. However, if they become persistent, the concerned person should contact their healthcare provider. Certain spermicides have been linked to an increased risk of developing a blood clot. This can increase the risk of a stroke or heart attack. If an individual is over 35 years old, diabetic, or has high blood pressure, they should avoid spermicides. One should also avoid spermicides if they have been diagnosed with a blood clotting disorder, liver disease, certain cancers, or if they are using certain medications.

What Are Spermicide’s Pros and Cons?

Pros:

  • Spermicides are cheap and easy to obtain. It is easily available in most drug stores without making an appointment at a medical clinic.

  • People with allergies to other types of contraception can use spermicides.

  • Spermicides are effective when used with other forms of contraception, such as condoms or pills.

  • Spermicides are easy to use and can be bought in many stores.

  • They cost less to use than other birth control methods.

  • They do not affect the natural hormones.

  • Spermicides do not affect milk supply if the woman is breastfeeding.

Cons:

  • It is less effective when used alone. When used with other contraceptives, the effectiveness increases.

  • It offers no protection against STDs (sexually transmitted diseases). If an individual is at risk of STDs, they should use condoms in addition to spermicide.

  • It is less effective for women over 35 years old.

What Are the Disadvantages of Using Spermicide as Birth Control?

Spermicide may not be the best choice for a person having a low sperm count or with a condition like retrograde ejaculation. Retrograde ejaculation is when semen enters the bladder instead of exiting out of the urethra through the penis. This can happen if an individual has a very tight foreskin or if they have a condition like diabetes, cystic fibrosis, or spinal cord injury.

How to Choose the Best Type of Spermicide?

When choosing a spermicide, one should determine which type of contraception to use. Condom users should choose silicone-based spermicides. Nonoxynol-9 spermicide is used with diaphragms and cervical caps. Barrier contraceptives like condoms and diaphragms can be used either with silicone-based or a nonoxynol-9 spermicide. Another thing to consider when choosing a spermicide is the medical history. An individual with a low sperm count or a medical condition like diabetes should choose a spermicide that is less effective. If an individual has a condition like retrograde ejaculation, spermicide may not be effective at all.

When to See a Doctor?

A person who is allergic to spermicide seeks medical attention immediately. If an individual has been prescribed spermicide, and experiences itching, burning, a rash, swelling, or redness of the skin around the vagina, they must see a doctor. These symptoms could be a sign of a more serious allergic reaction called contact dermatitis.

Conclusion

The only way to find out the best method is to visit a doctor or clinic. Spermicides have been used for decades, making them one of the world's most common birth control methods. They are cheap, easy to buy, and can be used by people with allergies to other types of contraception. However, they are less effective when used alone.

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Dr. Raveendran S R
Dr. Raveendran S R

Sexology

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