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Barrier Contraceptives

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Abstract

All barrier contraceptive methods (male and female condoms, cervical cap, contraceptive sponge, and vaginal spermicides) are third-tier contraceptive methods with first-year typical failure rates of at least 18%. Because these methods are generally applied at or near the time of coitus (when a couple’s judgment and decision making processes may be clouded), there is a large gap between what the failure rates are in couples with correct and consistent use compared to rates seen in the general population [typical use] (see Table 11.1). However, many of these methods can be combined with each other (see Table 11.2) to provide contraceptive protection that rivals many of the second tier methods. Male or female condoms can also be combined with second or third tier methods to reduce STD transmission when mutual monogamy is not the rule. On the other hand, frequent use of nonoxynol-9-based spermicides by at risk women may increase the transmission of HIV. Use of a male and female condom at the same time is not recommended as they may adhere to each other and cause displacement.

Keywords

  • Male condom
  • Female condom
  • Femcap
  • Contraceptive diaphragm
  • Contraceptive sponge

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Correspondence to Anita L. Nelson MD .

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Nelson, A.L., Russo, J. (2016). Barrier Contraceptives. In: Shoupe, D., Mishell, Jr., D. (eds) The Handbook of Contraception. Current Clinical Practice. Humana Press, Cham. https://doi.org/10.1007/978-3-319-20185-6_11

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  • DOI: https://doi.org/10.1007/978-3-319-20185-6_11

  • Publisher Name: Humana Press, Cham

  • Print ISBN: 978-3-319-20184-9

  • Online ISBN: 978-3-319-20185-6

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