Prepairã‚â® Spermicidal Water Based Personal Lubricant (With Nonoxynol-9) Review
you asked
Condoms With Extras? No Thank you
Spermicides, tingling gel and other prophylactic add-ons may do more than harm than good.
I am wondering how the spermicides on condoms touch on my vagina. Is there a condom that is more vagina friendly?
— Dominique McGrady , Comox, Canada
[Have a question nearly women's wellness? Ask Dr. Gunter yourself.]
Short Take
Spermicide can have negative furnishings on the vagina, and — perchance surprisingly — information technology doesn't increment how well a safe can prevent pregnancy. A spermicide-free prophylactic (either latex or polyurethane) with liberal use of an appropriate lubricant is the best choice for vaginal health.
Tell Me More
The spermicide typically used on external male condoms is called nonoxynol-9. This substance is meant to take a dual role as both a lubricant and a sperm-killing contraceptive.
Studies evidence nonoxynol-9 has the potential to damage benign leaner in the vagina and increases the risk of bacterial vaginosis, a bacterial imbalance that causes vaginal discharge, irritation and odor. Yet, information technology is not articulate if the relatively low amount of spermicide on condoms can take all of these negative effects.
Nonoxynol-9 can also can irritate vaginal and anal tissues, causing discomfort and increasing the risk of acquiring H.I.5. if exposed.
Moreover, nonoxynol-9 hasn't been shown to improve the effectiveness of a condom either as a contraceptive or as a ways of protection confronting sexually transmitted diseases, equally it is primarily used as a lubricant. Then, there is essentially no reason to use condoms with spermicide. Condoms with spermicide are ofttimes more expensive than those without and they have a shorter shelf life (5 years without spermicide versus two years with).
The World Health Organization (W.H.O.) doesn't recommend condoms with spermicide. Notwithstanding, if the just option is a prophylactic with spermicide, that is preferable than sexual practice without a safety.
Annotation: If you lot don't find them irritating, vaginal spermicides that comprise nonoxynol-9 are all the same an choice for contraception when used infrequently and when the hazard of H.I.V. or other S.T.I.southward is low, although they are less effective than many other methods of contraception.
Preventing Irritation
Condoms are meant to be used with a lubricant. The friction of the condom rubbing against vaginal or anal tissues can be painful. Lubricant likewise lowers the risk of condom breakage. In that location may not be enough lubricant with a pre-lubricated condom, so continue some on manus and then yous tin can add more of your own every bit needed.
For women with condom-related vaginal irritation, I recommend a condom lubricated with silicone (with actress added on the side as needed) or a non-lubricated condom with the lubricant that works best for you.
The feel of a lubricant is very personal — what is right for 1 person may feel slimy or tacky to someone else. Try several to discover the 1 that feels just right for you. From a vaginal-health standpoint, if a h2o-based lubricant is your preference, look for i with an osmolality (a measure out of concentration) less than 1,200 mOsm/kg (expect for one less than 380 mOsm/kg if y'all are more sensitive to irritation or want a lubricant closer to the osmolality of vaginal secretions) and a pH around 4.five. For anal sexual activity, the pH should be 5.5 to vii.
Unfortunately, in that location is no requirement for h2o-based lubricants to list osmolality and pH, so finding this information can be challenging. The Westward.H.O. lists information for some brands hither and some stores that sell lubricants may have data. More information on ingredients and their touch on vaginal wellness tin also be found in my volume "The Vagina Bible." As formulations can change, these kinds of lists are unfortunately the best we have. Silicone lubricants are also a skillful option, and at that place are no issues regarding pH and osmolality (they don't contain water), just they tin be more expensive. Do not use oil-based lubricants with latex condoms, as the oil can weaken the latex.
Personal Note
What nigh condoms with special lubricants that promise a warm or tingling sensation? These are typically untested medically and the ingredients are oftentimes not listed, so making even a general statement nigh their safety isn't possible. Some of the lubricants on these condoms are non optimal for vaginal wellness. Simply be aware that fifty-fifty natural ingredients that create a called-for or tingling feeling, like menthol or capsaicin, may get out the skin irritated.
If you are curious about these products, they are best used in situations where the run a risk of H.I.V. is depression, for case in a mutually monogamous relationship with a partner who has no risk factors for H.I.5.
Dr. Jen Gunter, Twitter'due south resident gynecologist, is teaming up with our editors to answer your questions about all things women's health. From what's normal for your anatomy, to healthy sex, to immigration up the truth behind strange wellness claims, Dr. Gunter, who too writes a column chosen The Bicycle, promises to handle your questions with respect, forthrightness and honesty.
Source: https://www.nytimes.com/2020/02/07/well/condoms-with-extras-no-thanks.html
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