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  • Title: Clients at STD risk need barrier methods.
    Author: Blaney CL.
    Journal: Netw Res Triangle Park N C; 1994 May; 14(4):11-7. PubMed ID: 12287741.
    Abstract:
    Consistent use of barrier methods of contraception is the recommendation for family planning clients at risk of sexually transmitted diseases (STDs). For such methods to be effective, however, the conditions of user motivation, correct use, partner cooperation, and consistent supply must be met--conditions that are difficult to achieve for condom. A newly developed polyurethene condom may allow more physical sensation during sex, thereby increasing acceptability. The recently released female condom has the advantage of placing women in control of their protection from pregnancy and STDs; however, affordability and continued use over time remain concerns. Under development are new spermicides based on polysaccharides and defensins. Such microbicides would not involve the disruption of vaginal tissues associated with frequent use of the detergent spermicide, nonoxynol-9. Also under investigation is a microbicide based on carrageenan, a component of seaweed, that prevents human immunodeficiency virus (HIV) from infecting cervical cells in the laboratory. Although the next generation of barrier methods has the potential to increase acceptability, effectiveness, and safety, the need for counseling by providers on proper use and partner negotiation remains essential.
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