Laura Sech, MD, Family Planning Fellow, Department of Obstetrics and Gynecology, University of Southern California Keck School of Medicine;Daniel R. Mishell, Jr., MD, MSc, Endowed Professor of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California;Emily Silverstein, MD, Research Project Manager, Department of Obstetrics and Gynecology, University of Southern California Keck School of Medicine
Barrier contraceptives physically block the sperm’s access to a woman’s uterus. They include condoms, diaphragms, cervical caps, contraceptive sponges, and spermicides.
Blocking Access: Barrier Contraceptives
Barrier contraceptives prevent sperm from entering a woman’s uterus. They include the condom, diaphragm, cervical cap, and contraceptive sponge. Some condoms contain spermicides. Spermicides should be used with condoms and other barrier contraceptives that do not already contain them.
Condoms are thin protective sheaths that cover the penis. Condoms made of latex are the only contraceptives that provide protection against all common sexually transmitted diseases (STDs), including those due to bacteria (such as gonorrhea and syphilis) and those due to viruses (such as HPV—human papillomavirus—and HIV—human immunodeficiency virus). Condoms made of polyurethane provide some protection, but they are thinner and more likely to tear. Condoms made of lambskin do not protect against viral infections such as HIV infection.
Did You Know...
Latex condoms are the only contraceptive method that helps protect against all common sexually transmitted diseases, including HIV infection.
Condoms must be used correctly to be effective (see How to Use a Condom). Condoms should be applied before penetration.
Male condoms should be positioned so that the tip extends almost 1/2 inch (about 1 centimeter) beyond the penis to provide a space to collect semen. Some condoms have a reservoir at the tip for this purpose. Immediately after ejaculation, the penis should be withdrawn while the condom’s rim is held firmly against the base of the penis to prevent the condom from slipping off and spilling semen.
The female condom is a pouch with an inner and an outer ring. The inner ring is inserted as far as it can go into the vagina (or anus), and the outer ring remains outside. Then, the penis is carefully guided through the outer ring into the pouch. If the penis slips out of the pouch or the outer ring is pushed inside, the condom can be removed and reinserted without risking pregnancy as long as semen has not been released (ejaculated). Before the condom is removed, the outer ring should be squeezed together and twisted to prevent semen from being spilled. Then the condom should be removed carefully. If semen is spilled, sperm could enter the vagina, resulting in pregnancy.
A new condom should be used each time a person has sexual intercourse, and the condom should be discarded if its integrity is in doubt.
During the first year male condoms are used, the chance of pregnancy is about 2% with perfect use (when instructions are followed exactly) and about 18% with typical use (the way most people use them). The chance of pregnancy with female condoms during the first year is 5% with perfect use and 21% with typical use. A spermicide, which may be included in the condom’s lubricant or inserted separately into the vagina, may increase the effectiveness of condoms. Spermicide should be reapplied each time a condom is used.
The diaphragm, a dome-shaped rubber cup with a flexible rim, is inserted into the vagina and positioned over the cervix. A diaphragm prevents sperm from entering the uterus.
Diaphragms come in various sizes and must be fitted by a health care practitioner, who also teaches the woman how to insert it. If a woman has gained or lost more than 10 pounds, has had a diaphragm for more than a year, or has had a baby or an abortion, she must be refitted for a diaphragm because the vagina’s size and shape may have changed.
A diaphragm should cover the entire cervix without causing discomfort. Neither the woman nor her partner should notice its presence. A spermicidal cream or gel (which kills sperm) should always be used with a diaphragm. The cream or gel is placed on the inside of the cup (nearest to the cervix) in case the diaphragm is displaced during intercourse. The diaphragm is inserted before intercourse and should remain in place for at least 6 and probably 8 hours but no more than 24 hours. If intercourse is repeated while the diaphragm is in place, additional spermicidal cream or gel should be inserted into the vagina to continue protection. Diaphragms can be washed and reused. A woman should inspect the diaphragm regularly for tears.
During the first year of diaphragm use, the percentage of women who become pregnant is about 6% with perfect use and about 12% with typical use.
The cervical cap, a hat-shaped silicone cup, is inserted into the vagina and positioned over the cervix. A cervical cap prevents sperm from entering the cervix.
Cervical caps come in three sizes. Health care practitioners determine what size a woman needs based on whether she has been pregnant before and whether the baby was delivered vaginally or by cesarean.
A spermicidal cream or gel should always be used with a cervical cap. The cap is inserted before sexual intercourse and left in place at least 6 hours after intercourse, up to 48 hours at a time. A strap is attached to the cervical cap for easy removal. Only one cervical cap is available in the United States. It can be washed and reused for 1 year.
During the first year, the pregnancy rate with typical use is about 12% in women who have not had a baby. However, women who have had children are more likely to become pregnant when using a cervical cap than women who have not had children. Childbirth changes the cervix, making a secure fit with a cap less likely.
A contraceptive sponge is a round, pillow-shaped polyurethane sponge about 1 1/2 in (4 cm) in diameter. The sponge is wet with water, folded, and inserted deep into the vagina, where it blocks sperm from entering the uterus. The sponge also contains a spermicide. It is available over the counter and does not need to be fitted by a health care practitioner.
The sponge can be inserted into the vagina by the woman up to 24 hours before sexual intercourse and provides protection through that period of time, regardless of how frequently intercourse is repeated. The sponge must be left in place for at least 6 hours after the last act of intercourse. It should not be left in place for more than 30 hours. Usually, neither partner is aware of its presence once it is inserted. It is less effective than the diaphragm. Pregnancy rates with typical use are 12% for women who have not had children and 24% for women who have.
Problems related to use are uncommon. They include allergic reactions, vaginal dryness or irritation, and difficulty removing the sponge.
Spermicides are preparations that kill sperm on contact. They are available as vaginal foams, creams, gels, and suppositories and are placed in the vagina before a couple has sexual intercourse. These contraceptives also provide a physical barrier to sperm. No single type of preparation is more effective than another. Spermicides are best used with a barrier contraceptive, such as a condom or diaphragm.
Spermicides should not be used more than once a day. Doing so may irritate the vagina and damage the tissues lining it. As a result, the microorganisms that cause sexually transmitted diseases (including HIV) can more easily enter the body and cause disease.