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Sex Ed 102: Transcervical Sterilization

What Is Transcervical Sterilization?

Transcervical sterilization involved a procedure in which a device was inserted into the fallopian tubes through the cervix. The most well-known transcervical sterilization method was Essure, which used small coils placed in the fallopian tubes to induce scar tissue formation that blocked the tubes. This method was considered permanent and did not require general anesthesia or incisions, though it required follow-up testing to ensure the tubes were fully blocked.

While transcervical sterilization was once a popular option, it is no longer available due to product discontinuations. Those seeking permanent contraception are generally advised to explore other surgical methods like tubal ligation or salpingectomy.

What Was Essure?

Essure was a form of permanent birth control introduced as a non-surgical alternative to traditional tubal ligation.

Approved by the U.S. Food and Drug Administration (FDA) in 2002, Essure was designed to provide women with a convenient and effective method of contraception. The device consisted of a small, soft, flexible coil made of metal and fiber that was inserted into the fallopian tubes through the cervix, without the need for incisions or general anesthesia. Over the course of several months, the body’s natural response to the coil led to the formation of scar tissue, which blocked the fallopian tubes and prevented sperm from reaching the eggs, thus preventing pregnancy.

Essure was manufactured by Conceptus, Inc., a medical device company that specialized in women's health products. In 2013, Conceptus was acquired by Bayer, a global pharmaceutical and life sciences company for 1.1 billion dollars, which continued to market and distribute Essure.

Despite its effectiveness, the product faced significant controversy due to reports of complications such as chronic pain, device migration, perforation of the uterus or fallopian tubes, and other side effects. As a result of these issues and lawsuits, Bayer ultimately discontinued the product in 2018.

How Did The Essure Implant work?

Once the Essure Implants were in place they worked by making scar tissue form over the implant, blocking the fallopian tube and preventing fertilization of the egg by the sperm.

How Was Transcervical Sterilization performed?

The procedure did not require cutting into the body or the use of radio frequency energy to burn the fallopian tubes. Instead, a health care professional inserted the soft, flexible implants through the body’s natural pathways (vagina, cervix, and uterus) and placed one into the opening of each of the two fallopian tubes. The very tip of the device remained outside the fallopian tube, which provided immediate visual confirmation that it was in place.

What Could A Patient Expect After The Procedure?

During the 3 months following the procedure, the patients body formed scar tissue over the inserts to form a natural barrier that prevented sperm from reaching the egg. During this period, the patient had to continue using another form of birth control like a condom.

After three months, a confirmation test was performed to verify that the patient was protected from the possibility of an unplanned pregnancy. The test used a dye and special type of x-ray to ensure both that the inserts were in place and that the fallopian tubes were completely blocked.

How Effective Was The  Essure Implant/Transcervical Sterilization?

Essure was considered to be over 99% effective in preventing pregnancy once the scar tissue had fully developed and the fallopian tubes were blocked. This level of effectiveness was comparable to other permanent birth control methods, such as tubal ligation.

What were the advantages?

  • No surgery, burning or anesthesia
  • No hormones
  • No slowing down to recover
  • Could be performed in less than 30 minutes
  • Allowed sexual spontaneity and required no daily attention.
  • Was a permanent form of birth control
  • There were no changes in sexual desire, menstrual cycle, or ability to breastfeed
  • May be covered by Heath Insurance

What were the disadvantages?

  • May not be reversible.
  • Was meant to be a permanent form of birth control, something some may regret later
  • Could be expensive, usually around $2,000 with insurance covering a portion
  • Allergic reaction to the materials
  • Perforation, expulsion, or other unsatisfactory location of the micro-insert
  • Symptoms during or immediately after the procedure may include mild to moderate cramping, nausea/vomiting, dizziness/light-headedness, and bleeding/spotting
  • Not all patients achieved successful placement of both inserts

Alternatives For Permanent Birth Control?

There are several alternative permanent methods of birth control, each offering a different approach to sterilization or permanent contraception. These options are suitable for those who are certain they do not want to have children in the future. To learn more check out my page on permanent birth control.


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Sex Ed 102: Tubal Ligation

What is a Tubal Ligation?

tuballigation1For those who have decided that they do not want more (or any) children, tubal ligation, commonly referred to as “getting your tubes tied,” is a surgical sterilization technique that can be done at any time.

Before we go over what tubal ligation is, it's important to understand how pregnancy occurs; every month the fallopian tubes carry an egg from one of your ovaries to the uterus. By blocking or removing the path egg takes through the fallopian tubes, the egg cannot travel to the uterus and be fertilized. If the egg doesn't become fertilized by sperm, a pregnancy cannot occur.

In a tubal ligation, the fallopian tubes are cut, burned, or blocked with rings, bands, or clips (pictured right) with the intention of permanently blocking or removing the path the egg takes therefor stopping any chance of a pregnancy occurring.

How Is A Tubal Ligation Performed?

The procedure is an out-patient surgery done in a clinic, doctor's office, or hospital which can be performed under local or general anesthesia.

There are usually 3 ways in which a Tubal Ligation may be performed

As an outpatient procedure: a needle is inserted through the navel and the abdomen is inflated with gas (carbon dioxide or nitrous oxide). Then a laparoscope (a thin tube equipped with a camera lens and light, pictured left) is inserted into the abdominal cavity to help the performing doctor see the pelvic organs.

Using instruments passed through the abdominal wall, the doctor will seal the fallopian tubes by destroying segments of the tubes or blocking them with plastic rings or clips. If the laparoscope doesn't contain a channel for passing instruments, the doctor may make a second incision above the pubic bone to insert special grasping forceps.

After the procedure has been completed the gas will be withdrawn from the abdomen and the small incision will be sewn up. Patients may be allowed to go home several hours after the procedure or required to spend the night in the hospital depending on the health of the patient and any previously made arrangements.

After child birth: If having a tubal ligation after vaginal childbirth is a more fitting option, the doctor will likely make a small incision under the navel, providing easy access to the still enlarged uterus and fallopian tubes. The health care provider then cuts and ties the fallopian tubes.

During a C-section: with easy access to the area, the health care provider will cut and tie the fallopian tubes after the baby is delivered.

Generally the procedure takes about 30 minutes. In some cases, it is done immediately after a woman gives birth. If the procedure was done in combination with childbirth, the tubal ligation isn't likely to prolong the patients hospital stay.

What Can A Patient Expect After A Tubal Ligation?

Whether or not the tubal ligation was performed in combination with childbirth, patients usually need to rest for at least a day after the procedure.

Common side effects may include:

  • Abdominal pain or cramping
  • Fatigue
  • Dizziness
  • Gassiness or bloating
  • Shoulder pain
  • Sore throat

It has been advised that patients avoid using aspirin for pain relief, since it may promote bleeding. Bathing 48 hours after the procedure is usually okay, but avoid straining or rubbing the incision for one week. Carefully dry the incision after bathing making sure that it is clean and there is no discharge which could be a sign of infection.

Also avoid strenuous lifting and sex for one week. Patients are advised to resume normal activities gradually as they begin to feel better. More often the health care provider will use stitches that will dissolve and won't require removal. It's also important to make an appointment to see your doctor a week after the procedure to make sure the body is healing properly.

How Effective is Tubal Ligation?

A study taken from the The United States Collaborative Review of Sterilization has shown the cumulative 10-year failure rate with each method of tubal ligation as follows:

  • spring clip method is 3.7%,
  • electrocoagulation is 2.5%,
  • interval partial salpingectomy (partial removal of tubes) is 2%,
  • silicone rubber bands is 2%,
  • postpartum salpingectomy (tubes cut after delivery) is 0.8%.

To learn more about each of the above methods of tubal ligation please speak with your health care provider.

Advantages & Disadvantages

What are the advantages?

  • Does not involve hormones.
  • It is a permanent form of birth control.
  • There are no changes in sexual desire, menstrual cycle, or ability to breastfeed.
  • The procedure is usually a same-day procedure done in a surgical outpatient clinic.
  • Immediately effective.
  • Allows sexual spontaneity and requires no daily attention.
  • Cost-effective in the long run.

What are the disadvantages?

  • The procedure involves general or localized anesthesia.
  • May not be reversible.
  • It is meant to be a permanent form of birth control, and some patients may regret the decision later.
  • Can be expensive, ranging between $1,500 and $6,000.
  • Does not offer protection against STD's, so a secondary method of protection may need to be used.

Alternatives For Permanent Birth Control?

There are several alternative permanent methods of birth control, each offering a different approach to sterilization or permanent contraception. These options are suitable for those who are certain they do not want to have children in the future. To learn more check out my page on permanent birth control.


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Sex ed 102 Beginners Guide: Condoms

As you all know I’m a big supporter of safe sex, the kind that leaves you free of worries about an unwanted pregnancy or possible transmission of an STI.  As such, I hope this beginners guide on condoms will give you further insight to the options available when it comes to safer sex practices and help you find a method of protection that's right for you.

condomsWhat are Condoms?

Condoms are one of the most popular and widely used forms of contraception and protection against sexually transmitted infections (STIs). These thin sheaths, typically made of latex, polyurethane, polyisoprene, or other materials, act as a barrier during sexual activity, preventing bodily fluids from being exchanged between partners. Condoms are designed for external or internal use and can be used during vaginal, anal, and oral sex, offering both contraceptive and protective benefits. They’re a practical choice for anyone looking to engage in safe sex, regardless of gender or sexual orientation. The effectiveness of condoms lies in their ability to provide a physical barrier that blocks sperm from entering the uterus and prevents the transmission of STIs, including HIV. Condoms are easy to use, affordable, and readily available, making them a go-to choice for millions of people worldwide. However, like any method of protection, condoms have their limitations. They can break or slip off if not used correctly, and some people may experience irritation or allergic reactions to certain materials. Proper usage and storage are essential to ensure their reliability, and combining condoms with other forms of contraception, like birth control pills, can offer additional peace of mind. Despite their drawbacks, condoms remain a popular choice because of their accessibility and versatility. Unlike other contraceptive methods, condoms do not require a prescription or long-term commitment, making them an appealing option for casual or first-time sexual encounters. Additionally, condoms empower individuals to take responsibility for their sexual health while allowing for spontaneity and convenience. With so many types available - from ultra-thin to ribbed to desensitizing - condoms cater to a variety of needs, ensuring there’s a product suitable for every preference and situation. For those curious about the different sizes, I created a condom sizing guide that would likely be helpful.

Types of Condoms

Latex Condoms

Latex condoms are the most commonly used type of condom and have been a reliable option for decades. Made from natural rubber latex, they are highly effective at preventing pregnancy and the transmission of sexually transmitted infections (STIs) when used correctly. They're available in a wide variety of options, including ultra-thin versions for increased sensitivity, ribbed or textured options for enhanced stimulation, and pre-lubricated varieties for added convenience. Their elasticity and durability make them a dependable choice for most users. However, latex condoms are not suitable for everyone. People with latex allergies may experience irritation, redness, or discomfort when using them. Additionally, latex is sensitive to oil-based lubricants, which can weaken the material and increase the risk of breakage. Proper storage away from heat, light, and sharp objects is essential to maintain their integrity. Despite these limitations, latex condoms remain a go-to choice for their affordability, effectiveness, and wide availability. Pros:
  • Affordable and widely available.
  • Highly elastic and durable, providing a snug fit.
  • Effective against both STIs and pregnancy.
  • Available in various textures, thicknesses, and lubricated options.
Cons:
  • Not suitable for individuals with latex allergies.
  • Can degrade if exposed to heat or oils (e.g., oil-based lubricants).

Polyurethane Condoms

Polyurethane condoms like Trojan Supra Bareskin Condoms (pictured left), are a great alternative for individuals who are allergic to latex. Made from a type of plastic, these condoms are thinner than their latex counterparts, offering a more natural sensation during intercourse. Polyurethane is also less elastic than latex, which can result in a looser fit for some users. However, many appreciate the material's ability to transfer body heat better than latex, enhancing intimacy. These condoms are compatible with both water-based and oil-based lubricants, providing more versatility than latex options. While they’re an excellent choice for those with sensitivities, polyurethane condoms do come with some drawbacks. Their reduced elasticity means they may be more prone to slipping or breaking compared to latex. Additionally, they tend to be more expensive and less widely available. Proper usage and fit are essential to avoid mishaps, but for those who prioritize a thin, natural-feeling condom, polyurethane is a worthy contender. Pros:
  • Hypoallergenic and suitable for people with latex sensitivities.
  • Thinner material enhances sensitivity.
  • Compatible with oil-based lubricants.
Cons:
  • Less stretchy than latex, making them more prone to slipping or breaking.
  • Typically more expensive than latex options.

Polyisoprene Condoms

Polyisoprene condoms like LifeStyles (SKYN) (pictured right) are another latex-free option that provides a comfortable and stretchy fit. Made from a synthetic material similar to latex but without the allergens, these condoms offer a natural feel while being safe for those with latex allergies. They’re soft and durable, making them a popular choice for people who want the benefits of latex without the risk of allergic reactions. Polyisoprene condoms are effective at preventing pregnancy and STIs, and they work well with water-based lubricants. That said, polyisoprene condoms are not without limitations. They are typically more expensive than latex condoms and are not compatible with oil-based lubricants, as oils can degrade the material. They may also not be as widely available as latex options. Despite these minor drawbacks, polyisoprene condoms are a fantastic choice for anyone looking for a hypoallergenic, high-quality condom that mimics the feel and performance of latex. Pros:
  • Hypoallergenic and latex-free.
  • Soft, stretchy, and durable, mimicking the feel of latex.
  • Effective for STI and pregnancy prevention.
Cons:
  • More expensive than latex condoms.
  • Not compatible with oil-based lubricants.

Lambskin Condoms

Lambskin condoms, like Trojan Naturalamb (pictured left), made from the intestinal lining of sheep, are a natural and biodegradable option for those seeking a more traditional or eco-friendly alternative. They’re incredibly thin and transmit body heat effectively, providing a sensation that many describe as more intimate and natural compared to synthetic materials. These condoms are an excellent choice for couples focused solely on pregnancy prevention, as their porous material effectively blocks sperm. However, lambskin condoms do not protect against STIs, as the pores in the material can allow viruses and bacteria to pass through. Additionally, they are often more expensive than other options and may not align with the values of vegetarians, vegans, or those avoiding animal products. Despite these limitations, lambskin condoms remain a premium choice for individuals prioritizing comfort and a natural feel during intercourse. Pros:
  • Extremely thin and comfortable.
  • Excellent for pregnancy prevention.
  • Biodegradable and eco-friendly.
Cons:
  • Do not protect against STIs, as the material is porous.
  • Often more expensive than other options.
  • Not suitable for vegetarians, vegans, or those avoiding animal products.

Non-Latex Synthetic Condoms

Non-latex synthetic condoms, such as those made from materials like AT-10 resin, offer an innovative alternative for people with severe latex allergies or sensitivities to other materials. These condoms are ultra-thin, allowing for heightened sensitivity and a closer, more natural experience. They are also strong and hypoallergenic, making them suitable for a wide range of users. Non-latex synthetic condoms like Unique Latex Free Condoms (pictured right) are typically compatible with a variety of lubricants, providing added versatility. While these condoms offer significant benefits, they can be harder to find and are generally more expensive than standard latex or polyisoprene options. Some users may find the fit or texture less comfortable compared to other types. Despite these potential drawbacks, non-latex synthetic condoms are a great choice for those seeking a premium, allergy-friendly condom option. Pros:
  • Latex-free and hypoallergenic.
  • Often ultra-thin and designed for enhanced sensation.
  • Suitable for people with multiple sensitivities.
Cons:
  • Limited availability compared to other types.
  • Can be more expensive.

Internal (Female) Condoms

Internal condoms, or female condoms, are a lesser-known but highly effective alternative to traditional external condoms. These nitrile-based condoms are worn inside the vagina or anus and provide protection against STIs and pregnancy. They offer the receptive partner greater control over contraception and protection, making them an empowering choice for many. Internal condoms are pre-lubricated, and their design allows for a more natural sensation during intercourse. On the downside, internal condoms can be more expensive and less widely available than external condoms. They may take some practice to use correctly, and their larger size can be intimidating to beginners. Despite these challenges, internal condoms are a versatile and inclusive option that provides excellent protection and allows for a different type of intimate experience. Pros:
  • Latex-free and suitable for those with allergies.
  • Provides more control for the receptive partner.
  • Effective against both STIs and pregnancy.
Cons:
  • Less widely available and more expensive than external condoms.
  • May take practice to use correctly.
 

Graphene Condoms

Graphene condoms represent a cutting-edge advancement in condom technology, offering an ultra-thin yet durable option for those seeking the closest sensation to skin-on-skin contact. Graphene, a material derived from carbon atoms arranged in a single layer, is known for its incredible strength, flexibility, and thermal conductivity. This allows for condoms that are thinner than traditional latex while still maintaining excellent durability and safety. Brands like ONE Flex Graphene Condoms (pictured right), have embraced this technology, creating graphene condoms that deliver enhanced sensitivity without compromising on protection. Graphene condoms are designed to provide a more natural feel, making them an excellent choice for individuals who dislike the thickness or lack of warmth in traditional condoms. Thanks to graphene’s ability to conduct heat effectively, these condoms warm up quickly to body temperature, enhancing intimacy. Additionally, their strength means they can be made thinner without increasing the risk of breakage, offering peace of mind along with heightened pleasure. Pros:
  • Ultra-thin and durable, providing a natural feel.
  • Conduct heat well, adding to a more intimate experience.
  • Hypoallergenic, making them a suitable choice for those with latex sensitivities.
Cons:
  • Currently more expensive than other condom types due to the advanced material.
  • Availability is limited compared to more traditional options like latex or polyurethane.

Flavoured Condoms

Flavoured condoms are designed to make oral sex more enjoyable by masking the taste of latex with a variety of fun and fruity flavors. Popular brands like Durex Tropical and ONE Flavor Waves offer a range of options, from classic strawberry and banana to more adventurous combinations like mint chocolate or passion fruit. These condoms are typically made from latex and are often pre-lubricated with a flavoured coating that’s safe for oral use. Flavoured condoms aren’t just about adding a tasty twist to oral play, they also provide protection against STIs during oral sex, making them a practical and enjoyable choice for safe intimacy. Some flavoured condoms come in sugar-free or hypoallergenic formulas, ensuring they’re gentle on sensitive areas and suitable for a variety of users. Pros:
  • Enhance the oral sex experience with appealing flavors.
  • Offer STI protection during oral activities.
  • Widely available in different flavors and styles.
Cons:
  • Not ideal for vaginal or anal use unless the flavoured coating is sugar-free, as sugar-based lubricants can disrupt pH balance and increase the risk of infections.
  • Limited material options, with most flavoured condoms made from latex.

Extra-Large Condoms

Extra-large condoms, such as the popular Magnum brand, are designed to provide a comfortable fit for individuals who find standard-sized condoms too tight or restrictive. These condoms cater to those who require a bit more length or girth, ensuring a snug yet comfortable fit that doesn’t compromise on safety. They're condoms are made from the same materials as standard options, including latex, polyurethane, and polyisoprene, and are just as effective at preventing pregnancy and STIs when used correctly. For those with larger anatomy, ill-fitting condoms can lead to discomfort, reduced sensation, or even breakage. Extra-large condoms eliminate these issues by offering more room where it’s needed most. Brands like Trojan Magnum or Durex XXL often feature extra width and length without being too bulky, allowing for a more pleasurable and secure experience. Pros:
  • Provide a comfortable fit for individuals with larger anatomy.
  • Reduce the risk of condom breakage caused by tightness.
  • Widely available and offered by trusted brands.
Cons:
  • Not suitable for those with average or smaller anatomy, as they may slip off.
  • Slightly more expensive than standard-sized condoms.

Ribbed and Textured Condoms

Ribbed and textured condoms are designed to enhance sensation for both partners, adding an extra layer of stimulation to your intimate experience. These condoms feature raised patterns, such as ribs, studs, or spirals, strategically placed to increase friction and pleasure. They’re an excellent option for couples looking to spice things up and explore new sensations during sex. Ribbed condoms, like Trojan Ultra Ribbed or Durex Pleasuremax, have raised lines along the shaft to heighten stimulation. Studded condoms, on the other hand, feature small bumps or dots designed to provide even more intense sensations. Some textured condoms combine both ribs and studs, offering a variety of pleasurable experiences. These options are typically made from latex but are also available in non-latex materials for those with allergies. Pros:
  • Enhance pleasure for both partners through added stimulation.
  • Widely available in various styles to suit different preferences.
  • Compatible with most lubricants for an even better experience.
Cons:
  • The added textures may feel too intense or uncomfortable for some individuals.
  • Not ideal for those with very sensitive skin or intimate areas.

Desensitizing Condoms

Desensitizing condoms are specially designed to help prolong sexual activity by reducing sensitivity. These condoms are typically lubricated with a mild numbing agent, such as benzocaine or lidocaine, on the inside of the condom. This agent gently desensitizes the penis, which can help delay ejaculation and extend the duration of intimacy. Popular options in this category include Durex Performax Intense (pictured right) and Trojan Extended Pleasure. These condoms are an excellent choice for individuals looking to address premature ejaculation or simply to enjoy longer sessions. While the numbing effect is subtle, it can make a noticeable difference in control and endurance, helping create a more satisfying experience for both partners. Most desensitizing condoms also include additional features, such as ribbing or lubrication, to enhance pleasure for the receiving partner. Pros:
  • Help prolong sexual activity by delaying ejaculation.
  • Often come with added features like ribs or extra lubrication for mutual pleasure.
  • Easy to use and widely available.
Cons:
  • May cause over-numbing or discomfort if the desensitizing agent spreads to the receiving partner.
  • Not suitable for individuals with allergies to benzocaine, lidocaine, or other numbing agents.
  • Require proper storage and handling to ensure the numbing agent remains effective.
 

Micro-Thin Condoms

Micro-thin condoms are specially designed to provide maximum sensation while maintaining the protection you expect from a standard condom. These ultra-thin condoms, like the Trojan BareSkin Raw or Kimono Microthin, are made using advanced materials that allow for a more natural feel, enhancing intimacy by reducing the barrier between partners. Despite being thinner than standard condoms, they are rigorously tested to meet safety and reliability standards for preventing pregnancy and STIs. These condoms are an excellent choice for those who dislike the sensation of thicker condoms or feel that traditional options reduce sensitivity. They are typically made from high-quality latex, polyurethane, or polyisoprene and come in various sizes to suit different anatomies. Some brands even offer lubricated versions to further enhance comfort and pleasure. Pros:
  • Provide heightened sensitivity for a more natural experience.
  • Just as safe and reliable as standard condoms when used correctly.
  • Available in various materials and sizes.
Cons:
  • Slightly more prone to breakage if not handled carefully due to their thinness.
  • Usually more expensive than standard condoms.
 

Tips for Choosing the Right Condom

Consider Allergies: Allergies to latex are more common than many realize, and using a condom made from this material can lead to irritation, redness, or discomfort for those who are sensitive or allergic. If you or your partner experience these reactions, it's important to switch to non-latex options like polyurethane or polyisoprene. Exploring these alternatives ensures a safe and enjoyable experience for both partners. Match the Fit: Proper sizing is crucial when choosing a condom. Ill-fitting condoms can lead to discomfort, reduced pleasure, or even breakage or slippage during use, compromising their effectiveness. Condoms come in a variety of sizes, from snug-fitting options to larger sizes, designed to accommodate different needs. To find the right dir, measure the girth and length of the penis and refer to the condom sizing guide provided by manufacturers. A condom that’s too tight may feel restrictive, while one that’s too loose could slip off during intercourse. Investing time in finding the right size ensures a secure, comfortable experience and maximizes protection. Check Lubricant Compatibility: Lubrication plays a significant role in enhancing comfort and reducing friction during intercourse, but it's essential to choose the right type of personal lubricant for your condom. Latex and polyisoprene condoms are compatible with water-based or silicone-based lubricants, which are gentle and effective. However, oil-based lubricants should be avoided with these materials, as they can weaken the condom and increase the risk of tearing. Polyurethane and lambskin condoms, on the other hand, are compatible with oil-based lubes. Always double-check the condom packaging for specific recommendations to ensure optimal safety and performance. Inspect the Packaging: Before using a condom, take a moment to inspect the packaging. Ensure that the condom is not expired, as expired condoms can lose their elasticity and strength, making them more prone to breakage. Check that the package is sealed and undamaged; a tear or puncture could compromise the condom’s integrity. Store condoms in a cool, dry place to prevent heat or friction from degrading the material, and avoid carrying them in a wallet or pocket for extended periods. A quick inspection helps maintain trust in the product’s reliability. Experiment with Varieties: The wide variety of condoms available means you can tailor your choice to your preferences and needs. Explore options such as ribbed or textured condoms for added sensation, ultra-thin condoms for a more natural feel, or flavoured condoms for oral play. Condoms also come in different materials, thicknesses, and lubrications to suit a range of activities and sensitivities. Trying out different types allows you and your partner to find what works best, enhancing both comfort and pleasure. Don’t hesitate to experiment—your preferences may evolve over time, and there’s no one-size-fits-all solution. Graphene Condoms: If you’re curious about graphene condoms, be prepared for a slightly higher price point, but many users find the enhanced sensation and comfort worth the investment. Ensure that you check the compatibility of graphene condoms with your preferred lubricants, as not all types may pair well. Desensitizing Condoms: To avoid transferring the numbing agent to your partner, ensure the condom fits snugly and stays in place during use. If either partner experiences discomfort or irritation, remove the condom and switch to a non-desensitizing alternative. As with any product, read the label carefully to ensure compatibility with your needs and sensitivities. Flavoured Condoms: When purchasing flavoured condoms, look for sugar-free options to avoid irritation or infections if transitioning from oral to penetrative sex. Always check the packaging to ensure the condom is approved for protection against STIs and pregnancy, as some novelty products may prioritize flavour over functionality. Textured Condoms: When trying textured condoms for the first time, communicate openly with your partner about how they feel and adjust as needed. Adding a water-based or silicone lubricant can enhance the experience further by reducing friction and increasing comfort. Experiment with different patterns to find the one that works best for you both.

Final Thoughts

Choosing the right condom is an important step in ensuring safe and pleasurable sexual experiences. Whether you prefer the classic reliability of latex, the hypoallergenic comfort of polyisoprene, or the natural intimacy of lambskin, there’s an option to suit your needs and preferences. Taking the time to explore and experiment with different types can help you find the perfect fit for your body and lifestyle. Remember, proper use is key to maximizing the effectiveness of any condom. Always check the packaging for damage, ensure the condom is not expired, and follow the instructions for application. By understanding your options and practicing safe habits, you can enjoy worry-free intimacy and focus on the connection with your partner.   Sit back, relax, let me come to you. Sign up through the form below and have my posts sent straight to your inbox. Don't worry, I promise not to spam you!
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Sex Ed 102: Reversible Birth Control Methods

Choosing the right birth control method is an important step in taking control of your reproductive health. Whether you’re looking for a short-term solution or a long-term option that allows you to conceive in the future, reversible birth control methods provide the flexibility you need.

These methods allow individuals to prevent pregnancy while maintaining the ability to conceive once they are discontinued. With so many options available, it’s essential to understand how each method works, its effectiveness, in order to figure out which one best fits your lifestyle and personal needs.

This page serves as a guide to the different types of reversible birth control. Each method varies in terms of effectiveness, ease of use, and potential side effects. Here, you’ll find images and links to dedicated pages where you can explore each option in more detail. By learning about the various choices, you can make an informed decision that aligns with your health, comfort, and reproductive goals.

What Are Reversible Birth Control Methods?

Beginners Sex Guide: CondomsReversible birth control methods are contraception options that allow individuals to temporarily prevent pregnancy while maintaining their fertility for the future. Unlike permanent solutions like sterilization, these methods can be discontinued at any time, with fertility often returning after stopping their use. They range from daily pills to long-term options like intrauterine devices (IUDs), giving individuals the ability to choose a method that fits their lifestyle and reproductive plans.

How Do Reversible Birth Control Methods Work?

Reversible contraception works by interfering with the reproductive process in different ways. Some methods, like hormonal birth control, prevent ovulation, ensuring that no egg is released for fertilization. Others create physical barriers that stop sperm from reaching the egg or alter the cervical mucus to make it harder for sperm to travel. Long-acting options like IUDs or implants provide continuous protection, while short-term methods like pills or patches require consistent use to maintain effectiveness.

What Are the Various Reversible Birth Control Methods?

There are several categories of reversible birth control, each offering unique benefits:

  • Hormonal Methods: These include birth control pills, the patch, vaginal rings, injections, and implants, all of which use synthetic hormones to prevent pregnancy.
  • Long Acting Methods: Long acting methods like IUD's, Depo-Provera, and Implants offer longer protection, lasting from 3 months to 10 years.
  • Barrier Methods: Condoms, diaphragms, and cervical caps physically block sperm from reaching the egg and are used only during intercourse.
  • Behavioural & Fertility Awareness Methods: By tracking ovulation through temperature changes, cervical mucus, or cycle patterns, individuals can avoid pregnancy naturally.
  • Emergency Contraception: Pills like Plan B can prevent pregnancy after unprotected sex.
If you'd like to learn about other methods of birth control please go back to the Birth Control Methods page and select the corresponding category.
 
 
 

Benefits & Disadvantages of Reversible Birth Control

Benefits:

  • Flexiblity: These methods allow you to prevent pregnancy temporarily and stop use when you're ready to conceive.
  • Variety of Options: With multiple methods available, individuals can choose one that best fits their health and lifestyle.
  • Not Permanent: Unlike sterilization, fertility can return quickly after stopping most reversible contraceptives.

 

Disadvantages:

  • Requires Consistency: Some methods, like pills or fertility tracking, require strict adherence to be effective..
  • Potential Side Effects: Hormonal options may cause mood changes, weight fluctuations, or irregular bleeding.
  • Effectiveness Varies: Some methods, particularly fertility awareness and barrier methods, have higher failure rates compared to IUDs or implants.

 

By exploring these options, you can make an informed choice about which reversible birth control method works best for you. Click on the links provided to dive deeper into each specific method and find the best fit for your reproductive health needs.


Reversible Birth Control Methods

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Sex E 102 Q&A: Are Spermicides Safe?

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Sex Ed 102: Are Spermicides Safe?

Question:

My partner has been saying that we don't need to use condoms if we use spermicide since it kills the sperm, is this true? if so what kind of spermicide do you suggest?

Answer:

First, let my just say that it is ALWAYS safer to use more then one type of protection, and when it comes to sex, I ALWAYS suggest you use condoms to help prevent against not only pregnancy, but STD/STI's as well. As for spermicidal lubes, though they do kill sperm, I'm sad to say there isn't a brand that I would recommend.  Most spermicidal lubes contain a substance called "nonoxynol-9". For those of you who don't know what "nonoxynol-9" or N9 is;  N9 is a surfactant that's used as an ingredient in various cleaning and cosmetic products, it's also a form of birth control for its spermicidal properties. I'm sure most of you read that and went wtf is a 'nonoxynol surfactant'?
Nonoxynols are non-ionic surfactant mixtures varying in the number of repeating ethoxy groups. They're used as detergents, emulsifiers, wetting agents, de-foaming agents etc. -  taken from Wikipedia
Surfactants are wetting agents that lower the surface tension of a liquid, allowing easier spreading, and lower the interfacial tension between two liquids. Also, surfactants are usually amphiphilic meaning they have "tails" and "heads"; think of what sperm or a tadpole looks like. If that isn't clear enough, the best way for me to describe it is to say that surfactants work by disturbing the cell membrane. **However due to the toxicity of these mixtures they are no longer allowed for anything that can be poured down the drain (think of chemical cleaners) or in laundry detergent. So I can't pour it down the drain, but I can put it in my vag? are you kidding me?! To put surfectants into perspective, think of the everyday products that they can be found in like;
  • Detergents
  • Fabric softener
  • Emulsifiers and Emulsions
  • Paints
  • Adhesives
  • Inks
  • Anti-fogging
  • Soil remediation
  • Wetting
  • Ski wax, snowboard wax
  • Deinking (particularly during the enzymatic deinking of used paper during the recycling and repulping process)
  • Foaming agents
  • Defoaming agents
  • Laxatives
  • Agrochemical formulations
  • Herbicides
  • Insecticides
  • Quantum dot coating
  • Biocides (sanitizers)
  • Hair conditioners (after shampoo)
  • Spermicide (nonoxynol-9)
  • Used as an additive in 2.5 gallon fire extinguishers
  • Pipeline, Liquid drag reducing agent
  • Alkali Surfactant Polymers (used to mobilize oil in oil wells)
Anti fogging? inks? snowboard wax? PAINTS? FABRIC SOFTENER? ...are you kidding me?! why would anyone want to put an ingredient that's found in paint or snowboard wax near their vagina!? As for N9 itself, it was originally thought that it could be used for the prevention of STD's/STI's however about 10 years ago it was discovered that spermicides actually INCREASE the chances of contracting infections like HIV by creating lesions on the layers of skin cells in the vagina or rectum walls, which can potentially facilitate infection. **remember what I said above, they "work by disturbing the cell membrane" Not only that but there are other downfalls or potential dangers to using N9:
  • Nonoxynol-9 offers no protection against sexually transmitted infections such as gonorrhea or chlamydia.
  • Nonoxynol-9 can damage the cells lining the rectum providing entry for HIV and other STD/STI's
  • If used regularily Nonoxynol-9 can increase a womans chances of contracting Bacterial Vaginosis
  • If used regularly there are increased chances of developing a yeast infection
  • There have been reports of vaginal bleeding after intercourse due to misuse of spermicides containing Nonoxynol-9
  • Increased chances of vaginal dryness or itching after use of spermicides.
The product is so bad for you that the FDA (Food and Drug Administration) issued a final rule in 2007 that requires manufacturers of spermicidal products containing nonoxynol 9 to post the following warnings to its products; "N9 can irritate the vagina and rectum, which may increase the risk of getting HIV/AIDS from an infected partner" The CDC (Center for Disease Control) conducted their own study to research the effects of N9 and found that it was ineffective in the prevention of STD's and in fact increased the risk of transmission by 50% *report can be found here: CDC N9 Aids research As you can see, with all of the above information there is no way that I could recommend such a product to any person at any time. hope that helped Kara_Sutra   Sit back, relax, let me come to you. Sign up through the form below and have my posts sent straight to your inbox. Don't worry, I promise not to spam you!
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