Know your female condoms Guide for health professionals to inform clients INTRODUCTION As a health professional, working at a health facility or pharmacy, you inform clients on methods that can improve their health. Female condoms are such a method as they prevent unintended pregnancies and sexually transmitted infections (STIs), including HIV. This guide helps you to improve your service by providing clients with correct and complete information on the female condoms that are available at your facility. FEMALE CONDOMS – prevent pregnancies – prevent sexually transmitted infections, including HIV – are non-hormonal – have no side effects – make no noise – come in different types to meet your preferences – are approved by your government Ask your health care provider or pharmacist about female condoms. “It feels like flesh-to-flesh” “It’s easy to use with a little practice” “We do not quarrel over sex anymore” THIS GUIDE CONTAINS: – 7 steps to provide quality information on female condoms – Questions and answers (Q&A) on female condoms – Tips for countering myths 7 steps to provide quality information on female condoms Questions and answers (Q&A) on female condoms 1 WHAT IS A FEMALE CONDOM? A female condom is a safe protection method against both unintended pregnancies and sexually transmitted infections (STIs), including HIV. It is the only dual protection method that can be initiated by women. It is a thin, soft, loosefitting sheath, worn inside the vagina. Know the facts on female condoms (see Q&A below). 2 If there are different female condom types available at your health facility or pharmacy, be sure to explain them all equally well. 3 Offer female condoms as a choice, not as the only option or a must. Provide clients also with information on other contraceptives, to enable them to make an informed decision on what method they think is best for them. 4 Do not judge clients on their age, gender, occupation or any other personal characteristic. Provide information on female condoms to everyone with a need for protection. Not you, but they decide on their method of protection. 5 Invite clients to ask questions or discuss any difficulty regarding the use of female condoms. 6 Follow up with clients at the next visit on their experience with the use of female condoms. Provide answers or guidance as required. 7 Tip: try a female condom yourself to really know what you are talking about. WHAT ARE THE BENEFITS OF USING FEMALE CONDOMS? – Dual protection: it protects against both unintended pregnancies and sexual transmitted infections (STIs), including HIV. – Unlike male condoms, female condoms cover parts of the external female genitalia, providing additional protection against STIs. – It enables women to take the decision to be protected during sexual intercourse. – Female condoms do not contain hormones (contrary to other contraceptives), and hence do not interfere with the user’s fertility. – It can already be inserted before the heat of the moment, taking up body temperature. Insertion and use do not depend on the man’s erection. – It does not need to be removed immediately after ejaculation. – The materials of female condoms, especially the inner ring or sponge, can increase sexual pleasure, for both women and men. – It can be used as a tool for foreplay, by involving your partner in inserting the female condom. – Sexual intercourse with a female condom can feel like ‘flesh-to-flesh’. HOW TO INSERT AND USE A FEMALE CONDOM? Please see the instructions in or on the package of the female condom. General instructions: 1 Wash your hands. 2 Check the expiry date on the package. 3 Open the package carefully with your fingers (no nails, teeth or scissors). 4 Choose a comfortable position for insertion. 5 Squeeze the bottom ring or sponge and insert it into the vagina. 6 Push the female condom as far as possible. If needed, push with your finger inside the female condom. 7 Keep the outer ring outside. 8 Guide the penis inside the female condom. 9 Afterwards, twist the outer ring to close its opening. 10 Pull it out gently. 11 Throw it away in a trash bin. IS IT EASY TO INSERT A FEMALE CONDOM? Just like with a male condom, it needs some practice to insert a female condom. Try inserting a female condom a few times before actually using it. If you feel any discomfort, try inserting it again until you do not feel it anymore. What counts for everything, also counts for female condoms: ones you know how it is done, it is very easy. IS IT SAFE TO USE A FEMALE CONDOM? Yes. Female condoms available at this health facility or pharmacy have been extensively tested on its functionality and safety. The World Health Organization approved the use of these products and your government approved their procurement and availability. DOES A FEMALE CONDOM MAKE NOISE DURING SEXUAL INTERCOURSE? No. Nowadays, female condoms are made of materials that do not make any noticeable sound. CAN A FEMALE CONDOM DISAPPEAR INSIDE THE BODY? No. The female condom covers the cervix, which is a closed space where a female condom cannot enter. CAN A FEMALE CONDOM BE REUSED? No. Just like with the male condom, you can only use a female condom once. After use, throw it away in a trash can. CAN A FEMALE CONDOM BE USED DURING MENSTRUATION? Yes. CAN A FEMALE CONDOM BE USED DURING PREGNANCY? Yes. The female condom does not move beyond the cervix. It will protect both the woman and the unborn child from any infection. CAN A FEMALE CONDOM AND A MALE CONDOM BE USED TOGETHER? No. Friction caused by the two condoms can lead to tearing either one or both the condoms. DOES THE USE OF A FEMALE CONDOM HAVE SIDE-EFFECTS? No. Unless you have a latex allergy, in which case it is recommended to use a female condom made of nitrile or polyurethane. For example, the FC2 is safe for use by people with a latex allergy. ARE THERE DIFFERENT KINDS OF FEMALE CONDOMS? Yes. There are different female condom types available at the global market. Read the leaflet to see which female condoms are available at your health facility or pharmacy. Each female condom has different characteristics. We recommend you to try several available female condom types to find out which one suits you and your partner best. If you are not happy with one female condom, you might like another one. HOW CAN I CONVINCE MY PARTNER TO USE A FEMALE CONDOM? – Know the advantages of female condoms compared to other contraceptives and anticipate answers to any questions your partner may ask. – Base your negotiation on a common aspiration, for example the prevention of unintended pregnancies. – Find a good conversation starter, such as a brochure, a poster or an educational talk that you attended. – Show your partner a female condom and outline its advantages. – Listen to the view of your partner and counter any fear or misinformation about female condoms. – Give priority to dialogue rather than confrontation. Be gentle and avoid upsetting issues. – Stop the discussion in case of blockade and resume again when you are both better prepared. – In case the discussion is blocked, it may help to involve a third party to facilitate the dialogue. This product was made possible with the financial support of the Reproductive Health Supplies Coalition and the UN Commission on Life Saving Commodities. Myths and how to parry them In some communities, myths and misconceptions about female condoms may exist. Myths are highly imaginative stories that provide false and mostly negative information. These stories may cause a barrier for individuals to consider the use of female condoms. When you are consulting a client who believes or might believe in such a myth, make sure to counter it. Myths arise due to a lack of information. Therefore, the best way to counter a myth, is to provide the client with the facts on female condoms, their materials and use (see Q&A). Also explain that female condoms can be trusted as they have been tested extensively and are approved by the government.
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