How do Contraceptive (Spermicidal) Suppositories work?

They work by immobilizing the sperm by chemical actions and need to be inserted at least 5 minutes prior to intercourse. The effect lasts for an hour and usually gives protection for a single coitus. If she desires to indulge in intercourse again, she will need another suppository. Some of them are biodegradable and need not be removed after use. Instructions regarding use should be very clear and lucid. There are instances of women who have used spermicidal suppositories orally and some who have inserted them in the anus! It is best to use them under the guidance of a gynecologist.

What is an IntraUterine Contraceptive Device (IUCD)?

It is a contraceptive device which has to be inserted into the uterus.

There are medicated and non-medicated varieties available. The advantages include: the one time motivation, no systemic metabolic side effects, no interference with local sensitivity, high success rate and long duration of action. The disadvantages include increased incidence of pelvic inflammatory disease, increased bleeding, dysmenorrhoea and increased risk of ectopic pregnancy.

What are the contraindications for using an IntraUterine Contraceptive Device (IUCD)?

IUCD should not be used if a woman has menorrhagia (excessive bleeding), an abnormal uterine cavity; undiagnosed bleeding from the uterus or the vagina; pelvic infection; history of ectopic pregnancy or tubal surgery. IUCD is generally not advised for women who have not yet borne a child.