Barrier methods are the only contraceptives that have been shown to protect against sexually transmitted diseases. Articles discuss the importance of consistent and correct use, the "dual-method" approach, the need for good communication between partners, and products under development, including microbicides.
In this issue
The Dual Goals of Reproductive Health
- Willard Cates Jr., MD, MPH, FHI's corporate director of medical affairs, discusses the ability of barrier methods to prevent both pregnancy and sexually transmitted disease.
Barrier Methods Require Consistent Use
- Correct and consistent use of barrier methods improves contraceptive effectiveness and is essential for achieving good STD protection.
"Dual-Method" Approach Affects Consistent Use
- Consistent use of barrier methods may decline when a person uses the "dual-method" approach, using a barrier method to protect against disease and another method for contraception.
Methods Work Better When Couples Talk
- Communication between partners about sexual concerns, risks and fears leads to better contraception and safer sex.
Microbicide Research Aims to Prevent STDs
- Polysaccharides, protegrins, buffered gels and a variety of plant and animal extracts are among promising microbicide candidates.
Spermicide Research Examines HIV Prevention
- Spermicides, already available without prescriptions in many countries, are being studied for their ability to prevent HIV.
Developing New Diaphragms, Condoms and Similar Devices
- Efforts to improve condoms, diaphragms and similar devices include a new polyurethane condom, a silicone diaphragm, Lea's Shield and Femcap.
STD Protection After Intercourse
- Emergency protection after STD exposure has limitations and should be used for specific situations, not routinely.
Modern Barrier Methods
- Effectiveness, effect on sexually transmitted diseases (STDs) and health concerns are summarized.
How to Use Modern Barrier Methods
- Instructions are given for correct use of condoms, spermicides, diaphragms and other barrier methods.
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