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pubmed:otherAbstract |
PIP: Masculine contraception is still limited to the use of condoms or to coitus interruptus. Traditional female contraceptive methods are the calendar method, with a very high failure rate, and the temperature method, which can be very effective if properly done. Spermicidal agents to be used locally have been greatly improved, and some have a failure rate of only 0-3%. Cervical caps and vaginal diaphragms are also quite effective, but cannot be used in cases of anatomical anomalies. The IUD has a failure rate of 1%, and its use does not require sustained motivation. It is definitely contraindicated to anybody with genital infection and, possibly, to nulliparous women. A complete gynecological visit prior to insertion is a must, and insertion must be done only by a specialist. IUD wearers should be controlled every 6 months; IUD side effects are mostly pain and excessive bleeding.
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