FEMALE CONDOM

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FEMALE CONDOM

WHAT IS IT?
The female condom, female condom (CF) or vaginal condom is a barrier contraceptive method of vaginal use alternative to the male condom.

Like the male condom, it creates a barrier to prevent the sperm from reaching the egg.

The female condom provides protection against pregnancy and also against infections that spread during sexual contact, such as HIV.




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The CF was created to address the vulnerability of women, since it allows them to exercise their sexual rights, decide and have control over their safety. Previously, with the male condom, the decision to have protected sex rested with the man, who sometimes did not take into account the woman and her rights. With the CF the woman can make her own decision with greater freedom.

CHARACTERISTICS
Only two types of female condom have the approval of the FDA in the United States: the so-called CF1 which is made of polyurethane (thin and strong plastic) that is currently not manufactured anymore, and its replacement, the CF2 that is made of a synthetic latex (nitrile) and is pre-lubricated with a silicone-based lubricant.



It consists of a pre-lubricated, thin and transparent sleeve that does not contain spermicides, with two flexible rings at each end: one inside and closed that allows easy placement inside the vagina and the other with a larger diameter, open and more flexible, which remains outside the vagina and covers the lips and clitoris; it prevents the condom from getting too far into the vagina and losing position.



The female condom is placed in the woman's vagina before penetration, so that during intercourse the penis remains covered and the semen can be stored there. The efficacy offered is similar to that of male condoms.

Unlike the male condom, it is not adjusted to tension and due to the humidity and temperature of the vagina, it adheres comfortably and its presence is almost negligible.

HOW DO FEMALE CONDOMS WORK?
Female condoms prevent pregnancy, since they cover the inside of the vagina. They collect the pre-ejaculatory fluid and semen when a man ejaculates. This prevents the sperm from entering the vagina. Pregnancies can not occur if the sperm do not fertilize the ovules.

Since they cover the inside of the vagina or anus, and prevent semen and pre-ejaculatory fluid from entering, condoms reduce the risk of sexually transmitted infections.

WHAT SO EFFECTIVE IS TO PREVENT A PREGNANCY?
According to the World Health Organization (WHO) with the use "almost perfect", the effectiveness of the female condom is 95%, which means that five out of every hundred women become pregnant in one year.

With the "common use" (ie the lack of experience or omission of the correct steps) is 79% after one year of use, which means that 21 women out of a hundred become pregnant during the first year.

These condoms can fail for the same reasons as male condoms, including:

• There is a break in the condom (this can happen before or during intercourse).
• The condom is not put before the penis comes into contact with the vagina.
• Lack of use of the condom every time you have a sexual relationship.
• There are condom manufacturing defects (uncommon).
• The contents of the condom spill as it is removed.
• WHAT PEOPLE WOULD USE THIS TYPE OF CONTRACEPTION?
• If you are one of the young women who do not mind having to resort to a contraceptive method that you have to put on just before sexual intercourse.
• If your partner does not want to use the male condom.
• If you are worried about avoiding the spread of a sexually transmitted disease.
• WHAT ARE THE ADVANTAGES OF THE FEMALE CONDOM?
• Both versions of the female condom are more resistant than male latex condoms, have a less frequent breakage potential, greater comfort, as well as a longer shelf life, even when storage conditions are unfavorable.

It allows you to share with your partner the responsibility of preventing infections.
Eliminate your worry if your partner is not going to use a condom. You can take precautions to protect yourself from pregnancy and sexually transmitted diseases without depending on your partner.

• You can buy it in pharmacies without a prescription and it is only one size.
• It is disposable.
• It can be used during menstruation.
• It can be transported easily.
• The partner can place it as part of the sexual games. It can improve sexual games.
• It can be used by people with a latex allergy.
• It can be used with water-based lubricants.
• It does not affect the woman's natural hormones.
• It does not require an erection to be placed and does not leave its place whether the man maintains his erection or not
• The vaginal flora is not affected by its use.
• By covering the cervix, it reduces the risk of sexually transmitted infections such as AIDS (HIV), the Human Papilloma Virus (HPV) because the tissue of the cervix is ​​particularly susceptible to them.
• Prevents the spread of Hepatitis B. In fact, female condoms can offer greater protection against infections that can be transmitted through skin contact, such as herpes or genital warts, because the vagina, cervix and vulva they remain covered by the bag during sexual games.

WHAT ARE THE DISADVANTAGES?
Some women are irritated by the vagina.
The outer ring can irritate the vulva or the inner ring irritate the penis
Condom friction can decrease clitoral stimulation and lubrication by making sexual intercourse less enjoyable or even uncomfortable (the latter problem can be resolved by using the lubricant).

• The condom can be noisy (the use of lubricant can alleviate this problem).
• The newer version is much quieter.
• It is not pleasant from the aesthetic point of view.
• It has difficulties to insert / extract it.
• It is not a 100% safe method of contraception.
• It is expensive.

We admit, at first glance, the size and shape of a female condom can be a bit strange. But, do not be discouraged, considering all the benefits it offers, with a little practice, it could be easy and convenient to use it.

WHO SHOULD NOT USE THE FEMALE CONDOM?
CF is not appropriate for all women. You should consider another type of contraception when:

• You are allergic to polyurethane or synthetic latex.
• You have a high risk of pregnancy - you are less than 30 years old, you have sex three times a week, you have already had failures with barrier methods or you are not going to be consistent in their use.
• If you do not feel comfortable inserting something inside the vagina.
• If you have abnormalities in the vagina that interfere with the adjustment, placement or retention of the CF.

AT WHAT TIME DO I HAVE TO PLACE THE CONDOM?
It must be placed before starting the caresses prior to sexual intercourse.

 WHY?
Because once initiated the caresses, there are secretions in the genitals of both that, in the case of man, the sperm can be in the pre-ejaculation and if this happens in your external genitalia, you can get pregnant
At the time that both are secreting normal lubrication, they can get an STD (sexually transmitted disease) that suffers from either of them.

HOW IS THE FEMALE CONDOM PLACED?
The expiration date and the correct condition of the condom should be checked.

The placement is similar to that of other female vaginal contraceptives: vaginal ring, diaphragm, contraceptive sponge, cervical cap.

It is not necessary to wait for the erection of the penis as it happens with the male condom.

EYE. It is necessary to remove the tampons before introducing the condom.


Steps to follow:

 Open the package with care

Wash your hands with soap and water, please your nails should be short or you run the risk of hurting yourself, breaking the plastic or causing an infection.
First you need to locate where the neck of your uterus is. Insert a finger to the bottom of your vagina, you will feel the edge of the pubic bone and you will know that you are touching the cervix because its consistency is very similar to the tip of your nose.
The position to place it depends on which is more practical for you, it can be standing with one leg resting on a chair, or sitting on the edge of the chair, you can be lying on your back or squatting.


With one hand, separate the lips from the vulva. Remember that there are two rings: a large one that should be left outside the vagina and a small one that remains inside it. With the other hand hold the small ring with the thumb, index and middle fingers, bend it and squeeze it and insert it gently into the vagina.


Once in the vagina place the small finger inside the condom to advance it passing the level of the bone of the pubis and reach the bottom, just as a vaginal ovule is placed, being careful with the possible cutting objects (nails, rings ...).


Make sure the condom is not twisted.


The outer ring and a small segment of the CF remain outside to prevent contact of the male genitalia, especially root of the penis and testicles, with the vulva and skin of the genital area of ​​the woman, sites susceptible to human papillomavirus infection, among other causes of STDs.


Before sex, and during sex, if necessary, apply a couple of drops of water-based lubricant to the penis.
It is important to guide the penis into the female condom to make sure it does not "slip" into the vagina but out of the condom. Use enough lubricant to keep the condom in place during intercourse.


TO REMOVE IT
After the sexual intercourse and before joining, you should squeeze and twist the outer ring to make sure that the semen remains inside and then remove the condom by pulling gently.
Discard it in the trash and not in the toilet because it covers the drain.


Use a new one in each sexual contact.
The female condom is disposable, it is used only once, remember that you should NOT share it with other people.

TIPS

• Be careful not to break the condom with sharp nails or jewelry.
• Never use a male condom at the same time as a vaginal or female condom. For effectiveness and additional protection against pregnancy, you can resort to a spermicidal gel.
• You should not use spermicides like nonoxynol-9; it has been proven that the irritation that it produces increases the risk of HIV transmission.
• If you experience any irritation or discomfort when using the condom, consult your doctor immediately.
• It is important to check the expiration date of the package because latex degrades over time and condoms can be broken if you use them when their expiration date has passed.
• Do not use petroleum-based substances such as Vaseline for lubricating purposes, as these break the latex.
• If during intercourse the condom is torn or broken, the outer ring is inserted into the vagina or the condom is collected inside it, remove it and introduce another immediately.
• Make sure condoms are available and located in a convenient place. This will help you avoid the temptation to have sex without the use of a condom.

WHAT SHOULD BE DONE IF THERE IS A CONDOM BREAK?
It is important that the couple is aware of situations that can help prevent a pregnancy or timely respond to a possible infection.

• To reduce the risk of pregnancy, go to the doctor before 72 hours to assess the possibility of using the emergency pill. It is important NOT to self-medicate
• If you are not sure that your partner is free of any sexually transmitted infection or was a casual encounter, you should be aware of the symptoms (itching, pain or burning when urinating, constant urination) or signs (appearance of pimples or ulcers) that may or may not cause pain, urethral or vaginal discharge scarce, moderate or white, yellowish-greenish with bad smell) that could occur in the following days and go both as soon as possible to receive adequate medical attention. Continue the treatment indicated by the doctor and carry it out properly even when the signs and symptoms are no longer noticeable.
• To rule out if HIV has been acquired it is necessary to wait three months to perform the Elisa test.
• Washing the penis and vagina or urinating after sexual intercourse can help prevent the generation of bacteria that could cause discomfort, or a urinary tract infection, but does NOT decrease the risk of acquiring a sexually transmitted infection.
• The use of spermicides prior to intercourse will help prevent a pregnancy, but it does NOT protect against sexually transmitted infections.

RISKS WITH THE USE OF THE FEMALE CONDOM
There are no serious risks associated with the use of the female condom.

USE OF THE FEMALE CONDOM FOR THE ANAL SEX
Although it has not been officially approved or even recommended, some people use the female condom for anal sex. More research is needed to determine if it can be effective in preventing the transmission of sexually transmitted infections or HIV.