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Question
Posted by: Responsible | 2004/10/16

contraception

We want to use other methods of contraception other than condoms,but my gf has a family history of breast cancer(& other cancers)...what can we possibly use?thanks...

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Our expert says:
Expert ImageSexologist

If you are concerned about pregnancy, pulling out (a.k.a., withdrawal) is not the most reliable or forgiving form of contraception. Re-inserting your penis after you've ejaculated (outside the vagina) is not very safe either. Within the first few hours after ejaculation, there is usually some sperm left in the urethra. The amount left behind is nowhere near the amount of sperm in the typical ejaculate, but it still presents a risk.

Spermicides, used alone, have the highest failure rates of all methods of birth control -- even higher than withdrawal. If pregnancy prevention is very important to you, spermicide alone is not the best contraceptive for you. However, you could use a sp ermicide in addition to withdrawal. The spermicide would offer a "back-up" in the event that you do not pull out in time. Spermicides come in many forms -- foams, creams, jellies, suppositories, and vaginal contraceptive films. Some spermicides are made specifically for use with diaphragms, cervical caps, and IUDs, while other spermicides have been adapted for use alone. Most drug stores and pharmacies sell a variety of spermicides -- you and your girlfriend may want to experiment with a few to find on e that works best. Of course, as with any contraceptive, make sure you read the directions carefully, especially since spermicides have a time frame within which they are effective.

As a primary means of contraception, withdrawal has several disadvantages. First, there's the pre-ejaculate fluid (pre-cum) on which withdrawal will have no effect since it's released well before you ejaculate. This fluid can contain sperm, and, thus, presents some risk of pregnancy. Next, and perhaps more important, is the issue of consistency and self-control. Can you be perfectly consistent at withdrawing each time you have sex? If not, you may have the option of emergency contraception

However, on the positive side, withdrawal has some advantages. First of all, it's free and always available. Second, there are no side effects with this form of contraception. Estimated failure rate for typical use (meaning you're not totally consistent) is around 20 percent. When practiced perfectly, some researchers estimate the failure rate to be around 5 percent. This means 5 to 20 women out of every 100, who use withdrawal as their contraceptive method, get pregnant.

If you haven't already, perhaps you and your girlfriend could talk about your concerns and try to reach a mutual decision on what form(s) of contraception you both want to use. Besides the issue of STDs, you need to assess how much risk you're willing to take. Talk about what each of you would want to do in the event a pregnancy occurred. Withdrawal is definitely more risky than, say, the Pill. But, if both of you are comfortable with the risk involved, then you may decide that withdrawal is a good method for you. To make a decision like this, it is helpful to have as much information as possible. Speak with a health care provider about your contraceptive options and choices.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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Our users say:
Posted by: Tazzy | 2004/10/16

Hi Responsible

My advice would be to go to your nearest clinic and speak with the sister in charge or chat with your doc.

Condoms are the only contraception that can prevent sexually transmitted diseases espcially aids and thankfully they have no side effects from chemicals etc... the only problem is disposing of them.

Have really good think about changing your contraceotion and chat to the sister at a clinic or a doc they will be able to give you the best advice.

Good luck

Reply to Tazzy

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