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DESCRIPTION
The goal of contraception (or birth control) is to prevent an unplanned pregnancy. The majority of methods of contraception enable sexually active couples to temporarily avoid pregnancy. Permanent birth control is accomplished through sterilization. Be sure you know and understand the different types of birth control available to you, the risks and benefits of each, and any side effects, so that you can make an informed choice.
The female condom (or vaginal pouch) is a disposable non-prescription birth control device. The female condom is not made from latex or rubber. The recommended type is a sheath made of thin polyurethane material with 2 soft flexible rings, one at each end. One ring of the female condom is covered with polyurethane and fits into the depth of the vagina and over the cervix. The larger, open ring stays outside the vagina after the insertion covering part of the perineum and labia during intercourse. When it is in place, the pouch covers the vaginal wall and creates a covered passageway (hollow lining) for the penis. The female condom is intended for a one-time use only.
While female condoms are a wonderful way to ensure your body is protected not only from contraception, but also from sexually transmitted infections (STIs), including HIV, and many women do not enjoy the bulkiness or "unsexiness" of the female condom. Also, some women find the outer ring uncomfortable or irritating during intercourse. However, the manufacturer reports that 50-75% of the male and female participants in studies done in numerous countries and cultures found the female condom to be "acceptable for use." Also, most couples reported that the female condom did not interfere with sexual pleasure or sensitivity.
Among typical couples who use female condoms, about 20% will experience an accidental pregnancy in the first year. However, if female condoms are used consistently and correctly, only about 5% of users will become pregnant.
According to the manufacturer, when used consistently and correctly, the female condom is estimated to reduce the risk of HIV infection for each act of sexual intercourse by 97.1%. Furthermore, in-vitro studies have shown the female condom to be an effective barrier to microorganisms, including HIV and a bacteriophage smaller than hepatitis B, the smallest virus known to cause a sexually transmitted infection. In other words, the female condom provides the same relatively safe barrier to sexually transmitted infections as male condoms. Only abstinence is more effective at preventing infection.
ADVANTAGES
Is generally effective for contraceptive (74%-79%). Proper and consistent usage increases the effectiveness.
Any lubricant, oil or gel can be used with the female condom.
Easily transported.
May be used only when needed. Can be inserted up to eight hours in advance of intercourse.
Polyurethane transmits heat well, which might add a fun dimension to your love play. Many couples say they like the way it feels.
One size fits all women.
Can be inserted long before intercourse (whereas a male condom needs to be used right at the time of intercourse).
Does not require a visit to a health care provider's office for fitting. You can purchase the female condom without seeing a health care provider. It can be bought at your locale pharmacy or drug store or purchased online.
Allows women to be in control of birth control method and their bodies as well as a sense of freedom. Your partner can insert it and make it part of lovemaking.
Does not involve the hormones, used in some other forms of birth control, that can have side effects.
It comes lubricated and does not require precise placement over the cervix.
The polyurethane is stronger than latex used in male condoms and less likely to tear.
Offers some protection against sexually transmitted diseases (STDs). Protects a greater area of the female body than male condoms. Safe and effective at preventing both pregnancy and infection.
Covered by Medicaid in many states.
Does not generally increase the risk of urinary tract infection, yeast infection, cervical irritation or vaginal infection.
Can be modified for use as a protective barrier for oral sex.
DISADVANTAGES
Not 100% effective for birth control or prevention of sexually transmitted disease (STD).
Inserting the condom is a little cumbersome. Some people complain it is difficult to use.
More costly than male condoms. About three times more expensive than male condoms.
Large, unattractive or odd-looking.
Must be used with lubricant.
May make distracting rustling noises prior to or during intercourse.
Not sold in as many stores as male condoms.
Female condoms are sold in packs of three or six; each condom costs $2 to $3. The package comes with a lubricant and a leaflet that explains how to use female condoms. Female condoms are sold at most drugstores and some supermarkets, but not as many as male condoms. Call ahead to ensure the store carries them. You can also order female condoms directly from The Female Health Company. To learn more about the female condom, speak with your health care provider.
Female Condom Products:
GENERAL MEASURES
General Instructions: After applying lubricant to both sides of the female condom, insert the end with the enclosed ring into the vagina and rest the ring against the cervix. Slowly unfurl the rest of the female condom down through the vagina, and pull the open end out of the vaginal opening. Because the female condom will block any natural female moisture, you will need to use additional lubricant during intercourse. The female condom can be inserted up to eight hours before intercourse, but should be removed immediately afterward and discarded.
INSTRUCTIONS FOR USE
Don't use after the expiration date.
Don't use a male condom at the same time as a female condom; the female condom may not stay in place or be as effective. 1. To insert:
- Squeeze the inner ring and insert the pouch into the vagina just past the pubic bone using the index finger (it is inserted similarly to a tampon).
- The inner ring should cover the cervix. The outer ring plus about 1 inch of the condom stays outside the vagina.
- Using your finger, check to be sure the sheath is not twisted and that it will be easy for the penis to enter into the vagina.
- A lubricant may be added if desired.
2. To remove: 
- Squeeze and twist the outer ring to keep sperm inside the condom.
- Pull gently to remove.
- Wrap condom in tissue and throw in waste basket; it should not be flushed down the toilet.
- Use a new female condom for each act of intercourse.
Note: Follow the special written instructions that come with the product if they differ from those discussed in this instruction page. See:
MayerLabs.com: Consumer Instructions for the FC Female Condom
Follow Up: Just like a male condom, the female condom can only be used one time. Once the man has ejaculated, you will need to insert a new female condom before your next sex act. To avoid messy spillage, remember to remove the female condom prior to standing up. After using the female condom, dispose of it in the trash can. Do not flush it down the toilet since polyurethane will clog most plumbing. If you experience irritation or discomfort after using the female condom, consult your health care provider immediately.
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MEDICATION
No restrictions.
NOTIFY YOUR MIDWIFE OR HEALTH CARE PROVIDER IF...
You are interested or have questions about using a female condom for contraception.
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