When it comes to birth control, many of us have one or another problem. Some people forget to take their pills every day. Others are a little afraid of hormonal methods. So, you may have thought, "How great it would be if there was an easy method that could be used only when needed, without hormones." Today we are going to talk about a relatively new birth control method that is suitable for such people. This is a special gel that is inserted into the vagina.
Simply put, what is this gel?
This is a gel containing lactic acid, citric acid, and potassium bitartrate in medical terms. However, in everyday use, it is known by brand names like Phexxi. Its main function is to prevent pregnancy during sexual intercourse.
Think about how this works. Our vagina is naturally acidic (what we call pH). What this gel does is maintain that acidic level. It is difficult for sperm to move and swim in this acidic environment. To be precise, it impairs the movement of sperm. So, it greatly reduces the ability of sperm to travel through the uterus and meet an egg. This is not a hormonal birth control method , so it does not affect the body's hormone levels like taking a daily pill.
Things to tell your doctor before using this
As with any new medication, it's important to talk to your doctor to make sure this one is right for you. It's especially important to let your doctor know if you have any of the following conditions:
- If you get frequent urinary tract infections: If you are someone who gets frequent urinary tract infections (UTIs), tell them about it.
- Vaginal or pelvic infection: If you currently have a vaginal infection or pelvic area infection.
- Sexually transmitted diseases: If you have or have had a sexually transmitted disease (STD) such as herpes, gonorrhea, or chlamydia.
- HIV or AIDS status: If you are HIV positive or have AIDS.
- Allergies: If you are allergic to any of the ingredients in this gel or to other medicines, foods, or preservatives.
- Pregnancy and breastfeeding: If you are already pregnant, trying to get pregnant, or breastfeeding, you should tell your doctor.
Based on this information, your doctor can decide how suitable and safe this birth control method is for you.
How exactly do you use this?
To prevent pregnancy, it is very important to use this gel correctly and accurately .
1. Before and after use: First, wash your hands thoroughly with soap and water. Wash your hands again after use.
2. For vaginal use only: This should only be used inside the vagina. Do not use in the rectum for any reason.
3. Timing is important: This should be inserted before you start having sex . It can be used anytime up to an hour before sex. However, if you use it after sex, it will not be effective.
4. Follow the instructions: This gel comes in a single-use, pre-filled applicator. The instructions on how to use it are clearly written on the package. Read them carefully and follow them exactly.
5. If you have sex again: If you have sex more than once within an hour, you should definitely use a new applicator .
Important Note: If you think you have overdosed on this medicine, immediately call the National Poisons Information Centre at the Colombo National Hospital . Or go to the Emergency Treatment Unit (ETU) of the nearest hospital. Also, this is something that has been prescribed for you only. Never share it with others.
Other things to keep in mind when using
It is very important to note that this gel only prevents pregnancy. It does not protect you from any other sexually transmitted diseases (STDs), including HIV (AIDS). You must use another form of protection, such as a condom.
- With other birth control methods: This gel can be used with most hormonal birth control methods, diaphragms, and various types of condoms (latex, polyurethane, polyisoprene). However, it is advised to avoid using it with contraceptive vaginal rings .
- Problems with other medications: This gel does not usually cause problems with other medications. It can be used with medications for vaginal infections such as miconazole, metronidazole, and tioconazole. However, it is best to tell your doctor about any medications or vitamins you are taking.
- When to use: You can use it any day of your menstrual cycle. You can also use it from the day your doctor says it's safe to have sex after childbirth or an abortion.
What are the possible side effects?
Like any medication, this one can cause minor side effects in some people. Let's take a look at what they are and what to do if they occur.
| Side effect/symptom | Description |
|---|---|
| Notify your doctor immediately. | |
| Allergic reactions | Skin rash, itching or hives, swelling of the face, lips or tongue. |
| Symptoms of infection | Fever, chills, pelvic pain, dark urine, pain or difficulty urinating. |
| Vaginal changes | Unusual vaginal discharge, bad odor, excessive itching, or inflammation. |
| Tell your doctor if it persists or is bothersome. | |
| Minor inconveniences | Mild vaginal burning or discomfort. This usually goes away after a while. |
How do I store this?
- Keep away from children.
- Store at room temperature (between 15 and 30 degrees Celsius).
- Keep it in the foil packet until use.
- Throw away any remaining amount after the expiration date.
Take-Home Message
- This is a birth control gel that does not contain hormones and is used vaginally before sex.
- To prevent pregnancy, it is essential to use it correctly before each sexual intercourse.
- This does not provide any protection against sexually transmitted diseases, including HIV (AIDS). Always use a condom.
- Before using this, talk to your doctor about your health history, especially frequent urinary tract infections or vaginal infections.
- If you experience excessive inflammation, signs of infection, or an allergic reaction after use, see your doctor immediately.
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