Training of Roma Health Mediators in Reproductive Health

Trainer document
VAGINAL METHODS (presentation)
Vaginal methods are used by the woman. They are placed in the vagina before sexual
intercourse.
Spermicides are the only vaginal methods of contraception available in Romania.
Mechanism of Action
Spermicides (tablets, gels, foams and creams) destroy sperm so that they cannot reach the
egg/ovum to fertilize it.
Effectiveness
The effectiveness of spermicides depends upon its correct and consistent use, as well as
on the type of spermicide.
Reversibility
Immediate.
Side Effects
• Irritations in women as well as in men (especially if used more than once a day)
• Local allergic reactions (rare)
Instructions for user
• Woman may start using spermicides whenever she wants.
• Spermicide is introduced deep into the vagina, close to the cervix, with the aid of the
fingers or an applicator (in the case of cream, foam and gel).
• It can be introduced within a maximum of 1 hour before intercourse. If tablets are
used, it is necessary to wait 10 minutes after the insertion before having intercourse in
order for the tablets to be dissolved in the vagina.
• If sexual intercourse takes place more than once, a new dose of spermicide is needed
before each act of intercourse
• Vaginal douches are not allowed until at least 6 hours after the last act of sexual
intercourse.
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RFHI/JSI Romania Training of RHMs in Reproductive Health Session 4: FP Methods