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Medical Health Encyclopedia
Over-the-counter birth control
Definition
Over-the-counter birth control methods are used during sex to avoid pregnancy and sometimes to prevent sexually transmitted infections (STIs). Over-the-counter means that they can be purchased by anyone, without a doctor's prescription.
For more information about birth control options, see:
Alternative Names
Birth control - over the counter; Contraceptives - over the counter
Information
Over-the-counter birth control methods are not as effective against pregnancy as some prescription methods. However, they are more effective against STIs than any other method except not having intercourse (abstinence). They enable people to protect themselves against pregnancies and STIs without having to:

- Deal with long-term side effects
- Spend a lot of money
- Wait for a doctor's appointment
CONDOMS
- A male condom is a thin sheath placed on the penis. In the case of the female condom, the condom is placed inside the vagina before intercourse. Semen is collected inside the condom, which must be carefully held in place and then removed after intercourse.
- About 14 pregnancies occur out of 100 couples using male condoms over 1 year. About 21 pregnancies occur out of 100 couples using female condoms. Condoms are more effective when spermicide is also used.
- Condoms are available in most drug and grocery stores. Some family planning clinics may offer free condoms.
- Latex condoms help prevent HIV and other STIs.
SPERMICIDES
- Spermicides are chemical gels, foams, creams, or suppositories that kill sperm. They are inserted into the vagina before intercourse.
- They can be purchased in most drug and grocery stores.
- This method used by itself is not very effective. About 26 pregnancies occur out of 100 women using this method alone over 1 year. Therefore, spermicides are often combined with other methods (such as condoms or diaphragm) for extra protection.
- Spermicides are generally combined with other methods (such as condoms or diaphragm) as extra protection.
- Warning: The spermicide nonoxynol-9 can help prevent pregnancy, but also may increase the risk of HIV transmission.
- Risks include irritation and allergic reactions.
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