Spermicides

  • Spermicides are available in foam, jelly, suppositories and vaginal films.
  • Spermicide works by creating a chemical and physical barrier inside the vagina by doing 2 things:
  • Contains nonoxyl-9 which kills sperm or make them immobile
  • Forming a temporary plug around the cervix
  • Foams and gels can be used immediately. Vaginal films and suppositories require a 15 minute waitto get their effect.
  •  Effectiveness against pregnancy  - failure rate 28 unintended pregnancies per 100 women in first year of typical useEach application is effective up to 1 hour and needs to be reapplied for each act of sex
  • do not protect against HIV infection and two other common sexually transmitted infections – cervical gonorrhoea and chlamydia and may even increase the risk of HIV infection in women using these products frequently
  • Needs to remain in the cervix for the next 6 hours

Advantages

  • They are affordable but not available at most drug stores
  • They provide lubrication during sex

Disadvantages

  • They can be messy
  • May cause skin irritation which can increase the risk of STI’s
  • High failure rate in preventing pregnancy ( 28 per 100 women per year)
  • Do not protect from STIs and some studies show an increase risk of HIV if used frequently