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vaginal spermicides are a type, contraceptive, birth control, products are inserted into the vagina before any genital contact occurs, sexual intercourse begins, work by damaging and killing sperm, vagina, the sperm are not able to travel from the vagina into the uterus and fallopian tubes, where fertilization usually takes place, vaginal spermicides when used alone are much less effective in preventing pregnancy than birth control pills, the iud, spermicides used with another form, birth control, cervical caps, condoms, diaphragms, studies, when spermicides are used alone, usually occurs in 21, each 100 women during the first year, spermicide use, the number, pregnancies is reduced when spermicides are used with another method, especially the condom, discuss with a doctor what my options are for birth control, risks and benefits, each method, laboratory studies, nonoxynol 9 kills, stops the growth, the aids virus, hiv, herpes simplex i and ii viruses, it was also shown, effective against other types, organisms that cause gonorrhea , chlamydia , syphilis, trichomoniasis, other sexually transmitted diseases , venereal disease , vd, stds, benzalkonium chloride also killed the aids virus in laboratory studies, this has not been proven in human studies, some scientists believe that if spermicides are put into the vagina, the inside and outside, a latex, rubber, condom, may kill these germs before they are able to come in contact with the vagina, rectum, lower bowel, the most effective way to protect myself against stds, aids, is by abstinence, not having sexual intercourse, by having one partner who you can be sure is not already infected, is not going to get an std, methods is not likely, using latex, rubber, condoms with a spermicide is the best way, protecting myself , the use, a spermicide is recommended even when you are using nonbarrier methods, birth control, birth control pills, the pill, intrauterine devices, iuds, do not offer any protection from stds, the safety, using spermicides, rectum, lower bowel, anus, rectal area is not known, no side effects, reported that are different from those reported for use, vagina, vaginal spermicides are available, without a prescription, dosage forms vaginal, benzalkonium chloride, suppositories, nonoxynol 9, cream, film, foam, gel, jelly, suppositories, octoxynol 9, cream, jelly, before using this medicine in deciding to use vaginal spermicides, using them, weighed against the good they will do, this is a decision you and possibly a physician will make, information may help you in making my decision: allergies, allergic reaction to benzalkonium chloride, nonoxynol 9, octoxynol 9, best, with a physician before using vaginal spermicides, many studies, the use, vaginal spermicides does not increase the risk, birth defects , miscarriage, when breast-feeding , not known if vaginal spermicides pass into breast milk in humans, their use has not been reported to cause problems in nursing babies, children these products, used by teenagers, haven't been shown to cause different side effects, problems than they do in adults, some younger users may need extra counseling and information on the importance, using spermicides exactly as they are supposed, used so they will work properly, without a prescription, carefully read and follow any precautions on the label, for spermicides, should be considered, salicylates used on the skin, some types, ointments for muscle aches, sulfonamides, sulfa medicine, for use, vagina, chemicals, substances, aluminum, citrate, cotton dressings, hydrogen peroxide, iodides, lanolin, nitrates, permanganates, some forms, silver, soaps, detergents, tartrates, benzalkonium chloride may not work if it comes in direct contact with these as well as many other chemicals, vaginal douches and rectal, vaginal cleansing products, for spermicides to work properly to prevent pregnancy, must stay in contact with the sperm, vagina for at least 6, 8 hours, depending upon which brand, spermicide you use, after sexual intercourse, vaginal douching is not necessary after use, douching too soon, even with just water, may stop the spermicide from working, washing, rinsing the vaginal, rectal area may also make the spermicide ineffective in helping to prevent sexually transmitted diseases other medical problems, certain medical problems, vaginal spermicides, spermicides should not be used, allergies, irritations, infections, the genitals, using vaginal spermicides, moderate to severe irritation in these conditions, benzalkonium suppositories, less effective in women with vaginal infections, conditions, medical problems where, important that pregnancy does not occur, vaginal spermicides when used alone are much less effective than birth control pills, the iud, spermicides used with another form, birth control, cervical caps, condoms, diaphragms, discuss with a physician what my options are for birth control, risks and benefits, each method, recent childbirth, abortion, toxic shock syndrome, cervical caps, diaphragms should not be used in these cases because there is an increased chance, developing toxic shock syndrome, sores on the genitals, sex organs, irritation, the vagina, not known whether spermicides can cause breaks, skin that could increase the chances, getting a sexually transmitted disease , especially aids, discuss this with a doctor, any questions if you develop any medical problem, begin using any new medicine, prescription, nonprescription, may ask, make sure you carefully read and follow the directions that come with each spermicide product, each product, different directions for using the product, the directions tell you how much to use, how long you, must wait before having intercourse, how long you, must leave it, vagina after intercourse, vaginal douching is not needed, advised after using these medicines, when using a spermicide, douching within 6 to 8 hours after the last sexual intercourse, even with just water, may stop the spermicide from working properly, washing, rinsing the vaginal, rectal area may wash the spermicide away before it has had time to work properly, cervical caps and diaphragms are not recommended for use, menstrual period, an increased chance, developing toxic shock syndrome, a physician may advise, use condoms with a spermicide instead, menstrual periods when protection is needed, for, spermicide when used alone, follow directions carefully to make sure the spermicide is properly placed, vagina, the spermicide should be inserted deep into the vagina, directly on the cervix, opening to the uterus, use the correct amount, according to the product directions, use another dose for each, act, intercourse, after you have applied, inserted the spermicide, wait the correct amount, time before having intercourse so that the spermicide can begin to work, do not have intercourse within half an hour, read the product directions to see if you need to apply more spermicide, for, spermicide with cervical caps, condoms, diaphragms, make sure the directions for the spermicide you choose state, safe for use with latex cervical caps, condoms, diaphragms, the directions do not say the spermicide is safe to use with latex products, the spermicide, cervical caps, condoms, diaphragms to weaken and leak, cause condoms to break during intercourse, there is a leak, break during intercourse, can be a good idea for the female partner to immediately place more spermicide, vagina, need an extra lubricant, make sure, a water-based product safe for use with cervical caps, condoms, diaphragms, spermicides, especially gels and jellies, provide some lubrication during sexual intercourse, oil-based products, hand, face, body cream; petroleum jelly; cooking oils, shortenings, baby oil should not, be used because they weaken the latex rubber, even some products that easily rinse away with water are oil-based and should not be used, oil-based products increases the chances, the condom breaking during sexual intercourse, products can also cause the rubber in cervical caps, diaphragms to break down faster and wear out sooner, for patients using spermicides with a cervical cap, most effective at preventing pregnancy, the cervical cap, must always be used with a spermicide, both, used every time you have sexual intercourse, before inserting the cervical cap, inspect it for holes, tears, cracks, there are holes, defects, the cervical cap will not work effectively, even with a spermicide, replaced, before you put the cervical cap over the cervix, opening to the uterus, a spermicide cream, foam, gel, jelly should be put into the cup, the cervical cap, follow the manufacturer's directions on how long before sexual intercourse you may apply the spermicide, fill the cervical cap one-third full with spermicide, to insert the cervical cap, squeeze the rim between my thumb and forefinger so, narrow enough to fit into the vagina, while in a comfortable position, push the cervical cap as deeply into the vagina as it will go, release the rim and press it into place around the cervix with my finger, the rim should be round again and be directly on the cervix, the cervical cap is held onto the cervix by suction, some doctors may recommend, put more spermicide into the vagina each time you repeat sexual intercourse using a cervical cap, should also check to make sure the cervical cap is, proper position on the cervix before and after each time you have intercourse, may wear the cervical cap for up to 48 hours, 2 days, do not remove the cervical cap if it has been less than 8 hours since the last time you had sexual intercourse, for the cervical cap, most effective at preventing pregnancy, must remain, vagina for at least 8 hours after sexual intercourse, to remove the cervical cap, use 1, 2 fingers to push the rim away from the cervix, this will break the suction seal with the cervix, then gently pull the cervical cap out, the vagina, trouble removing the cervical cap, for patients using spermicides with condoms, condoms do not have, used with spermicides, the spermicide may provide a back-up birth control method in case the condom breaks, leaks, spread some spermicide on the outside, the condom, after, unrolled over the penis, even more important that the female partner also use a spermicide inside the vagina, each time you repeat intercourse, a new condom, used, condoms should never be reused, spermicide should also be applied to the outside, the new condom, the female partner, must also put more spermicide, vagina each time she has intercourse, for patients using spermicides with a diaphragm, most effective at preventing pregnancy, diaphragms, must always be used with a spermicide, some women may choose to insert a diaphragm every night, to avoid the chance, unprotected sexual intercourse and unplanned pregnancy happening, inspect the diaphragm for holes by holding it up to a light, there are holes, defects, the diaphragm will not work effectively, even with a spermicide, replaced, before you put the diaphragm over the cervix, opening to the uterus, a spermicide cream, foam, gel, jelly should be put into the cup, the diaphragm, follow the manufacturer's directions on how much spermicide to use and how long before sexual intercourse you may apply the spermicide, spread some spermicide all around the rim, the diaphragm that will be touching the cervix, some doctors also advise spreading more spermicide on the outside, the cup, the diaphragm, to insert the diaphragm, squeeze the rim between my thumb and forefinger so, narrow enough to fit into the vagina, while in a comfortable position, push the diaphragm as deeply into the vagina as it will go, some women use a special applicator that makes it easier to insert the diaphragm, release the rim, the diaphragm rim should be round again and be directly on the cervix, each time you repeat sexual intercourse, should put more spermicide into the vagina, do not remove the diaphragm if it has been less than 6, 8 hours, depending upon which brand, spermicide you use, the last sexual intercourse, for the diaphragm, most effective at preventing pregnancy, must remain, vagina for at least 6, 8 hours, depending upon which brand, spermicide you use, after sexual intercourse, be careful not to move the diaphragm out, place, applying more spermicide, do not wear the diaphragm for more than 24 hours, doing so increases the risk, getting toxic shock syndrome, a urinary tract, bladder, infection, to remove the diaphragm, hook one finger over the rim nearest the front, pull the diaphragm downward and out, the vagina, trouble removing the diaphragm, dosing follow a physician's orders, the directions on the label, information includes the usual way that spermicides are used, for benzalkonium chloride, for preventing pregnancy, for vaginal suppositories, dosage form, adults and teenagers, for use alone: one suppository inserted into the vagina at least ten minutes, not longer than four hours before each time you have sexual intercourse, for use with a diaphragm: after the diaphragm with spermicide has been placed into the vagina, insert one suppository at least ten minutes, not longer than four hours, before each time you have sexual intercourse, insert another suppository before sexual intercourse if six hours have passed since you inserted the diaphragm, for nonoxynol 9, for preventing pregnancy, for vaginal cream, dosage form, adults and teenagers, for use alone: one applicatorful, a 5% cream inserted into the vagina just before each time you have sexual intercourse, for use with a diaphragm: one applicatorful, a 2, 5% cream inserted into the cup, the diaphragm, spread more spermicide along the rim, the diaphragm, insert the diaphragm into the vagina just before, not longer than six hours before, sexual intercourse, insert one applicatorful just before each time you have intercourse, six hours have passed since you inserted the diaphragm, for vaginal film, dosage form, adults and teenagers, one film inserted into the vagina from five to fifteen minutes, not longer than one and one-half hours, before each time you have sexual intercourse, for vaginal foam, dosage form, adults and teenagers, for use alone: one applicatorful inserted into the vagina just before, not longer than one hour before, each time you have sexual intercourse, for use with a diaphragm: one applicatorful inserted into either the vagina, into the cup, the diaphragm, depending on the product, spread more spermicide along the rim, the diaphragm, insert the diaphragm into the vagina just before, not longer than one hour before, sexual intercourse, insert another applicatorful into the vagina just before, not longer than one hour before, each time you have sexual intercourse, for vaginal gel, dosage form, adults and teenagers, for use alone: one applicatorful, a 3.5, 4, 5% gel inserted into the vagina before each time you have sexual intercourse, the 3.5% gel, used up to twenty-four hours before each act, intercourse, the 4% gel, used up to one hour before each act, intercourse, the 5% gel, must used just before intercourse, for use with a diaphragm: one, two teaspoonfuls, depending on the product, the contents, one packet, gel is placed into the cup, the diaphragm, spread more spermicide along the rim, the diaphragm, insert the diaphragm into the vagina just before, up to six hours before, sexual intercourse, insert another applicatorful, the contents, one packet into the vagina before each time you have sexual intercourse, six hours have passed since you inserted the diaphragm, for vaginal jelly, dosage form, adults and teenagers, for use alone: one applicatorful, 2.2, 3% jelly inserted into the vagina just before each time you have sexual intercourse, the contraceptive effect, the 2.2, 3% jelly will last one hour, for use with a diaphragm: one applicatorful, two teaspoonfuls, jelly, depending on the product, placed into the cup, the diaphragm, spread more spermicide along the rim, the diaphragm, insert the diaphragm into the vagina just before, not longer than six hours before, sexual intercourse, insert another applicatorful before each time you have sexual intercourse, six hours have passed since you inserted the diaphragm, for vaginal suppositories, dosage form, adults and teenagers, for use alone: one suppository inserted into the vagina from ten to fifteen minutes, depending on the product, before, not longer than one hour before, each time you have sexual intercourse, adults and teenagers, for use with a diaphragm: after the diaphragm with spermicide has been placed into the vagina, insert one suppository into the vagina from ten to fifteen minutes, depending on the product, before, not longer than one hour before, sexual intercourse, insert another suppository before each time you have sexual intercourse, six hours have passed since you have inserted the diaphragm, for octoxynol 9, for preventing pregnancy, for vaginal cream, dosage form, adults and teenagers, for use with a diaphragm: two teaspoonfuls placed into the cup, the diaphragm, spread more spermicide along the rim, the diaphragm, insert the diaphragm into the vagina just before, not longer than six hours before, sexual intercourse, insert one applicatorful, the vaginal cream just before each time you have sexual intercourse, six hours have passed since you inserted the diaphragm, for vaginal jelly, dosage form, adults and teenagers, for use with a diaphragm: one applicatorful placed into the cup, the diaphragm, spread more spermicide along the rim, the diaphragm, insert the diaphragm into the vagina just before, not longer than six hours before, sexual intercourse, insert another applicatorful just before each time you have sexual intercourse, six hours have passed since you inserted the diaphragm, keep out of a child's reach, store away from heat and direct light, in other damp places, heat, moisture, the medicine to break down, do not refrigerate, do not keep outdated products, products no longer needed, discarded products are out of a child's reach, precautions, know the side effects, during use, spermicides, partner may feel burning, stinging, warmth, itching, other irritation, the skin, sex organs, anus, rectum, using a weaker strength, vaginal spermicide, one with different ingredients, are using benzalkonium chloride suppositories, can help to wet them before they are inserted into the vagina, effects continue after you have changed products, an allergy to these products, an infection, should contact a doctor, side effects, along with its needed effects, some unwanted effects, side effects may occur, may need medical attention, check with a doctor immediately, side effects occur, toxic shock syndrome, for cervical caps, diaphragms, chills, confusion, dizziness , fever, lightheadedness, muscle aches, sunburn-like skin rash that is followed by peeling, the skin, unusual redness, the inside, the nose, mouth, throat, vagina, insides, the eyelids, check with a doctor, side effects occur, for females and males, skin rash , redness, irritation, itching that does not subside, go away within a short period, for females only, cloudy, bloody urine, increased frequency, urination, pain, bladder, lower abdomen, pain on urination, thick, white, curd-like vaginal discharge, with use, cervical caps, diaphragms only, vaginal irritation, redness, rash, dryness, whitish discharge, check with a doctor if, side effects continue, bothersome, vaginal discharge, temporary, for creams, foams, suppositories, vaginal dryness, odor, other side effects, occur in some people, brand names some commonly used brand names are, advantage 24, conceptrol contraceptive inserts, conceptrol gel, delfen, emko, emko pre-fil, encare, gynol ii extra strength contraceptive jelly, gynol ii original formula contraceptive jelly, koromex cream, koromex crystal clear gel, koromex foam, koromex jelly, k-y plus, ortho-creme, ortho-gynol, ramses crystal clear gel, semicid, shur-seal, vcf, delfen, emko, encare, ortho-gynol, pharmatex, ramses contraceptive foam,