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PocketGuide for Family Planning Service Providers

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Spermicides

Selection | General Information | Aerosol (Foam) | Vaginal Tablet, Suppository or Film | Cream

 

Selection

  
  • Aerosols (foams) are effective immediately after insertion.
  • Aerosols are recommended if spermicide is to be used as the only contraceptive method.
  • Foaming vaginal tablets and suppositories are convenient to carry and store but require waiting 10–15 minutes after insertion before intercourse.
  • Melting vaginal suppositories also require waiting 10–15 minutes after insertion before intercourse.
  • Spermicidal jellies usually are used only with diaphragms.
 

General Information

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  • It is important to use spermicide before each act of intercourse. (Reapply for subsequent acts of intercourse.)
  • There is a 10–15 minute waiting interval after insertion of vaginal tablets, suppositories or film. There is no waiting interval for aerosols (foams).
  • It is important to follow the recommendations of the manufacturer for use and storage of each product. (Example: shake aerosol foams before filling the applicator.)
  • Apply more spermicide if intercourse does not take place within 1–2 hours.
  • It is important to place the spermicide high in the vagina so the cervix is well covered.
 

Aerosol (Foam)

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  • Shake the container 20–30 times before using it.
  • Place container in upright position and put applicator over valve. Press applicator to side so it fills with foam.
  • While lying down, insert applicator into the vagina until the tip is at or near the cervix. Push the plunger and release the foam. There is no need to wait for the foam to work.
  • The foam applicator should be washed with soap and warm water, rinsed and dried. It can be taken apart for easier cleaning. Do not share applicator with others.
  • Keep an extra supply of foam on hand, especially if you cannot see whether the container is empty.
 

Vaginal Tablet, Suppository or Film

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  • Remove vaginal tablet, suppository or film from package.
  • While lying down, insert vaginal tablet, suppository or film high in the vagina. (If applicator provided, insert it into vagina until the tip is at or near the cervix.)
  • Wait 10–15 minutes before having intercourse.
  • The applicator should be washed with soap and warm water, rinsed and dried. It can be taken apart for easier cleaning. Do not share applicator with others.
  • Keep an extra supply of vaginal tablets, suppositories or film on hand.

Note: Some foaming vaginal tablets may cause a warm sensation in the vagina. This is normal.

 

Cream

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  • To insert contraceptive cream, squeeze into applicator until full. Insert the applicator into the vagina until the tip is at or near the cervix. Push the plunger and release the cream. There is no need to wait for the cream to work.
  • The applicator should be washed with soap and warm water, rinsed and dried. It can be taken apart for easier cleaning. Do not share the applicator with others.
  • Keep an extra supply of cream on hand, especially if you cannot see whether the container is empty.

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