|Ramses Contraceptive Foam Vaginal
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Some commonly used brand names are:
In the U.S.—
Vaginal spermicides are a type of contraceptive (birth control). These products are inserted into the vagina before any genital contact occurs or sexual intercourse begins. They work by damaging and killing sperm in the vagina. Therefore, 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 or the IUD or spermicides used with another form of birth control, such as cervical caps, condoms, or diaphragms. Studies have shown that when spermicides are used alone, pregnancy usually occurs in 21 of each 100 women during the first year of spermicide use . The number of pregnancies is reduced when spermicides are used with another method, especially the condom. Discuss with a doctor what your options are for birth control and the risks and benefits of each method.
Laboratory studies have shown that nonoxynol 9 kills or stops the growth of the AIDS virus (HIV) and herpes simplex I and II viruses. It was also shown to be effective against other types of organisms that cause gonorrhea, chlamydia, syphilis, trichomoniasis, and other sexually transmitted diseases (venereal disease, VD, STDs). Benzalkonium chloride also killed the AIDS virus in laboratory studies. Although this has not been proven in human studies, some scientists believe that if spermicides are put into the vagina or on the inside and outside of a latex (rubber) condom, they may kill these germs before they are able to come in contact with the vagina or rectum (lower bowel).
The most effective way to protect yourself against STDs (such as AIDS) is by abstinence (not having sexual intercourse) or by having one partner who you can be sure is not already infected or is not going to get an STD. However, if either of these methods is not likely or possible, using latex (rubber) condoms with a spermicide is the best way of protecting yourself.
The use of a spermicide is recommended even when you are using nonbarrier methods of birth control such as birth control pills (the Pill) or intrauterine devices (IUDs), since these do not offer any protection from STDs.
The safety of using spermicides in the rectum (lower bowel), anus, or rectal area is not known. However, no side effects or problems have been reported that are different from those reported for use in the vagina.
Vaginal spermicides are available without a prescription, in the following dosage forms:
Before Using This Medicine
In deciding to use vaginal spermicides, the risks of using them must be weighed against the good they will do. This is a decision you and possibly your doctor will make. The following information may help you in making your decision:
Allergies—If you have ever had any unusual or allergic reaction to benzalkonium chloride, nonoxynol 9, or octoxynol 9, it is best to check with your doctor before using vaginal spermicides.
Pregnancy—Many studies have shown that the use of vaginal spermicides does not increase the risk of birth defects or miscarriage.
Breast-feeding—It is not known if vaginal spermicides pass into breast milk in humans. However, their use has not been reported to cause problems in nursing babies.
Children—These products have been used by teenagers and have not been shown to cause different side effects or problems than they do in adults. However, some younger users may need extra counseling and information on the importance of using spermicides exactly as they are supposed to be used so they will work properly.
Other medicines—If you are using this medicine without a prescription, carefully read and follow any precautions on the label. For spermicides, the following should be considered:
Other medical problems—The presence of certain medical problems may affect the use of vaginal spermicides. Since in some cases spermicides should not be used, check with your doctor if you have any of the following:
If you develop any medical problem or begin using any new medicine (prescription or nonprescription) while you are using this medicine, you may want to check with your doctor.
Proper Use of This Medicine
Make sure you carefully read and follow the directions that come with each spermicide product. Each product may have different directions for using the product. The directions tell you how much to use, how long you must wait before having intercourse, and how long you must leave it in the vagina after intercourse.
Vaginal douching is not needed or 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. Also, washing or rinsing the vaginal or rectal area may wash the spermicide away before it has had time to work properly.
Cervical caps and diaphragms are not recommended for use during your menstrual period because of an increased chance of developing toxic shock syndrome. Your doctor may advise you to use condoms with a spermicide instead during your menstrual periods when protection is needed.
For proper use of spermicide when used alone :
For proper use of spermicide with cervical caps, condoms, or diaphragms :
For patients using spermicides with a cervical cap :
For patients using spermicides with condoms :
For patients using spermicides with a diaphragm :
Dosing—Follow your doctor"s orders or the directions on the label . The following information includes the usual way that spermicides are used.
Storage—To store this medicine:
Precautions While Using This Medicine
During use of spermicides, either partner may feel burning, stinging, warmth, itching, or other irritation of the skin, sex organs, anus, or rectum. Using a weaker strength of vaginal spermicide or one with different ingredients may be necessary. If you are using benzalkonium chloride suppositories, it may help to wet them before they are inserted into the vagina. If any of these effects continue after you have changed products, you may have an allergy to these products or an infection, and should contact a doctor as soon as possible.
Side Effects of This Medicine
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with a doctor immediately if any of the following side effects occur:
Signs of toxic shock syndrome—for cervical caps or diaphragms
Chills; confusion; dizziness; fever; lightheadedness; muscle aches; sunburn-like skin rash that is followed by peeling of the skin; unusual redness of the inside of the nose, mouth, throat, vagina, or insides of the eyelids
Also, check with a doctor as soon as possible if any of the following side effects occur:
For females and males
Skin rash, redness, irritation, or itching that does not subside or go away within a short period of time
For females only
Cloudy or bloody urine; increased frequency of urination; pain in the bladder or lower abdomen; pain on urination; thick, white, or curd-like vaginal discharge—with use of cervical caps or diaphragms only; vaginal irritation, redness, rash, dryness, or whitish discharge
Other side effects may occur that usually do not need medical attention. However, check with a doctor if any of the following side effects continue or are bothersome:
Vaginal discharge (temporary)—for creams, foams, and suppositories; vaginal dryness or odor
Other side effects not listed above may also occur in some people. If you notice any other effects, check with your doctor.
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