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Spermicidal creams and jellies, should be used in conjunction with another method of birth control such as the condom or diaphragm. With a condom, a spermicidal cream or jelly increases contraceptive protection and is useful as a lubricant, as well. With a diaphragm, the spermicidal cream or jelly is essential in creating a protective seal around the cervix. In addition, the spermicide will help trap and immobilize any sperm that make it past that seal.

Film

A small, film-like square spermicide, vaginal film is placed on the fingertip and inserted against the cervix at least fifteen minutes prior to intercourse. It is effective for one hour after insertion.

Foam

Foam is the most effective spermicide. Once the applicator is full and while lying down, the woman should insert the applicator into the vagina much as she would a tampon. With the applicator tip approximately half an inch from the cervix, the plunger should be pressed to apply the foam.

The applicator should be removed without pulling the plunger out. A new application must be made before each act of intercourse. Although douching is not necessary or recommended, if you wish to douche after intercourse, wait at least 8 hours to allow time for the spermicide to work.

Suppositories

Suppositories are small, solid-form spermicidal pellets that are inserted into the vagina at least twenty minutes prior to intercourse. They are supposed to melt and cover the cervix with spermicide.

However, it is difficult to time the use of suppositories because intercourse must take place not too long after insertion as otherwise the spermicide will have melted too much as will be ineffective.

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