friday, i went into health services (i'm at university) for UTI treatment, and the nurse practitioner who treated me asked me all about my sexual history, as i'm sure is normal for things of this nature, as well as what i was using for birth control. upon telling her i was using condoms, she told me that i should, in fact, be using spermicide, although not the kind that comes with the condom, but extra spermicidal lube. then in more or less the same breath she told me that this would increase my chance for another UTI.
this seems a little counterintuitive on two points -- 1, the obvious one that it could easily lead to another UTI, which would just suck, (as well as increased risk of STDs and all that nasty stuff) and 2, that the spermicide is presumably there if the condom breaks, in which case i wouldn't wait around and let the spermicide take care of it but rather get my butt to the nearest MAP.
so, i think after all of this drivel my question is really should i follow my instinct (not to bother with this spermicide business), or listen to what she said? i'm simply trying to reconcile what this site says with the doctor's advice.
I'd say the advice was well-intended, but a bit out of date. Before we knew that spermicide could increase risk of HIV transmission, and when we thought it was a bit more effective than it is, using it really did seem like a good idea. Still, I'd take an unwanted pregnancy over contracting HIV any day . . . I'd say go with your instincts.
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Posts: 5122 | From: I *came* from the land of ice and snow | Registered: Aug 2000
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that's probably it, though it does worry me that college health care professionals are giving out somewhat outdated advice. thanks!
Posts: 475 | From: Back in Providence, RI | Registered: Jun 2002
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i just wanted to say that my older sister used to complain about her university health services too. She told me that they were all a bunch of old women who each told her different thigns all the time.
I'm not saying that there's something wrong with univeristy nurses! Just that I think despite training and stuff, nurses are just human women after all!
I think you should go without, too. I agree with the HIV/pregnancy thing!
Spermicide is very similar to soap. Yup. It can cause irritation and like others have said, that can increase the risk of STD's. Scarleteen doesn't recommend using spermicides for this reason, however, we do recommend using 2 types of contraception together (condom and the pill) so that if the condom tears, you are still protected against pregnancy. Having said that, you would still be at risk from STDs so you would need to go to the clinic anyway.
I can understand why the nurse told you to use spermicide, because it is still recommended in sex ed classes at my school - but I think a better option would be to use a different type of backup birth control incase something goes wrong and remember to use plenty of lube to minimise the risk of a condom breaking. Hope this helps *Badger*
------------------ You ain't nothing but a hedgehog, foraging all the time You ain't nothing but a hedgehog, and you ain't no porcupine -- John Cooper Clarke
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