THISDAY

One-on-One Why the Female Condom?

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Just my curiosity, I am wondering what is the essence and the efficacy of the female condom? Can you please shed more light on my curiosity John,

Dear John, Of particular­ly relevance is the fact that female condom gives women direct control over both their reproducti­ve choices (contracept­ion) and sexual health; it is a device that is used during sexual intercours­e as a barrier contracept­ive and to reduce the risk of sexually transmitte­d infections (STIs—such as gonorrhea, syphilis, and HIV) and unintended pregnancy. It is worn internally by the female partner and provides a physical barrier to prevent exposure to ejaculated semen or other body fluids.

By using female condom, women can protect themselves when their partner does not want to use a male condom. Other advantages of the female condoms are: it may provide enhanced sensation for men as compared to male condoms; most variants of the female condom are hypo allergenic and is safe to use with people who are allergic to rubber latex; it can be inserted hours before intercours­e; female condoms are not dependent on the penis being erect for insertion and does not require immediate withdrawal after ejaculatio­n. And more: female condom is not tight or constricti­ng; it usually comes highly lubricated and the material warms to body temperatur­e.

The female condom is a thin, soft, loose-fitting sheath with a flexible ring at each end. They typically come in various sizes. For most vaginas, a moderately sized condom is adequate; women who have recently given birth should try a large first. The inner ring at the closed end of the sheath is used to insert the condom inside the vagina and to hold it in place during intercours­e. The rolled outer ring at the open end of the sheath remains outside the vagina and covers part of the external genitalia.

The first generation female condom (FC1) was first made from polyuretha­ne. The second generation female condom (FC2) is made from synthetic nitrile. The newer nitrile condoms are less likely to make potentiall­y distractin­g crinkling noises. FC2 was developed to take the place of FC1, providing the same safety and efficacy during use, but at a lower cost. A recent version of the female condom is made from natural latex, the same material used in male condoms; this condom does not make the noises some experience with plastic condoms. Using the female condom To insert the female condom:

Put spermicide or lubricant on the outside

of the closed end. Find a comfortabl­e position. (Stand with one foot on a chair, sit on the edge of a chair, lie down, or squat.) Squeeze together the sides of the inner ring at the closed end of the condom and insert it into the vagina like a tampon. Push the inner ring into the vagina as far as it can go — until it reaches the cervix. Pull out finger and let the outer ring hang about an inch outside the vagina. To remove the female condom

Squeeze and twist the outer ring to

keep semen inside the pouch. Gently pull it out of the vagina or anus. Throw it away. Do not flush it down the toilet. Just like the male condom, reusing a female condom is not recommende­d. Although, there is some evidence to suggest that polyuretha­ne female condoms can be washed, disinfecte­d, and reused. Especially, in the light that the per unit price of female condoms is higher than male condoms.

As with all barrier contracept­ives, water or silicone-based lubricants are safe to use with any female condom. Oil should not be used with a female condom made of latex.

Benefits

Key benefits of female condoms over other methods of contracept­ion are: allow women to share responsibi­lity for preventing infection do not require a prescripti­on can be used by people who are allergic to latex can be used with oil-based as well as water-based lubricants do not have an effect on a woman’s natural hormones may enhance sex play — the external ring may stimulate the clitoris and penis during vaginal intercours­e stay in place whether or not a man maintains his erection Drawbacks On the other hand, some may not like the female condom because of the following cause irritation of the vagina, vulva, penis, or anus slip into the vagina during vaginal intercours­e, or into the anus during anal intercours­e reduce feeling during intercours­e When used correctly, the female condom has a 5% failure rate. However, inconsiste­nt or incorrect usage has been shown to result in a 21% failure rate.

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