Over-the-counter contraceptive spermicide comes in several forms
Spermicides are sold over the counter and come in many different forms.
This article discusses six types of spermicides and how to use them to prevent pregnancy.
Spermicidal Foam
Contraceptive foam comes in an aerosol can with an applicator.
Verywell / Jessica Olah
The product looks similar to mousse hairstyling products.
To use, shake the can for at least 30 seconds.
Press the tip of the applicator on the nozzle and press down.
This fills the applicator with foam.
Lie down and insert the applicator a few inches into the vagina.
Push the plunger to release the foam.
The foam is active immediately.
This means you should insert it no more than 60 minutes before sex.
Wash the applicator with soap and water.
Store it in a clean, dry place so it can be used again.
Recap
Contraceptive foam should be inserted no more than 60 minutes before sex.
Contraceptive Film
Vaginal contraceptive film (VCF) is a 2-by-2-inch sheet of thin film.
It looks similar to wax paper.
Before insertion, assure hands are dry.
To insert it, fold it in half, then in half again.
Place it on the tip of your index finger.
Push it into the vagina on or near the cervix.
The spermicidal film will absorb vaginal secretions and melt into a thick gel.
In this way, it acts as a barrier to stop sperm.
VCF must be inserted at least 15 minutes before sex.
This gives it time to dissolve completely, so it will be effective.
A new piece ofVCFshould be used each time you have sex.
A single system is good for up to one hour.
Inserts or suppositories are about 1/2 inch long and less than 1/4 inch wide.
The suppository needs to be inserted in the vagina as close to the cervix as possible.
Wait 10 to 15 minutes to allow it to dissolve into a foamy substance.
A new insert should be used each time you have sex.
Foaming contraceptive tablets work the same way as inserts.
Some people report a warm sensation in the vagina as these spermicidal tablets melt into foam.
Contraceptive inserts and tablets turn into a foamy substance after insertion.
Wait for the insert to dissolve for 10 to 15 minutes before having sex.
Spermicidal Jelly
Contraceptive jelly is another form of concentrated spermicide.
Jellies come in tubes.
They are usually used with a diaphragm or cervical cap.
To use, squeeze the spermicidal jelly into the applicator.
Insert it into your vagina.
Insert a second dose if sex lasts longer than an hour or if you have sex again.
When used with a diaphragm, protection can last up to six hours.
Unlike spermicidal foams, films, and inserts, jelly can also provide lubrication.
Spermicidal Creams and Gels
Creams and gels are used the same way as spermicidal jelly.
Like jelly, they also provide lubrication.
Contraceptive creams and gels come in different textures.
They tend to be less likely to drip or leak than other forms of spermicide.
To use, twist the applicator onto the end of the tube.
Fill with the cream or gel.
Twist off the applicator and insert it into the vagina close to the cervix.
Press the plunger to release.
Gels and creams work best when used right before sex.
Most should not be inserted more than 15 minutes before sex.
Advantage 24 is an exception.
This gel steadily releases nonoxynol-9 (the active ingredient in spermicides).
One dose provides 24-hour protection.
Contraceptive creams may be less messy than other forms of spermicide.
With most creams, you should have sex within 30 minutes of inserting.
Contraceptive Sponge
Thecontraceptive spongeis a soft, round gear about 2 inches in diameter.
It is made of solid polyurethane foam and contains spermicide.
The contraceptive sponge has a nylon loop attached to the bottom for removal.
Moisten the sponge with water and insert it into the vagina before sex.
The sponge works to prevent pregnancy by blocking the cervix and killing sperm.
Different types of spermicide have different instructions for usage.
Some last longer than others or need to be inserted at different times before sex.
Be sure to read the instructions before using.
Nemours Children’s Health.Spermicide.
