Chezasalama - Questions and Answers - Contraception
Questions and Answers - Contraception PDF Print Email
Can male sperm pass through a condom?
No, sperm can not pass through a condom. Condoms are produced in order to prevent sperm from reaching the vagina when having sexual intercourse. Because seminal fluids cannot pass through a condom, condoms are a good way of avoiding pregnancy, as well as sexually
transmitted diseases and HIV/AIDS.

Some people say that there are small holes in the condom, which sperm and microorganisms causing sexually transmitted diseases can pass through. But this is a lie. If you want to be sure that a new condom has no holes, take one and fill it with normal water.

You will see that water can not pass through the condom at all. After doing this experiment, throw the condom into a pit latrine or burn it. DonÔøΩt use it for sexual intercourse!


Can a condom be too small
There are different sizes of condoms. On average, the size of the condoms fits almost all adult men. Very rarely, the condoms are too small for a certain man. Some men like to show off by pretending to have a big penis but they are only making excuses for not using a condom.

For adolescents, however, the situation is different. Often
the condoms are too big if you compare them with the size of an adolescentÔøΩs penis. In many African countries smaller than average condoms are not available. Adolescents whose penis is still too small for using condoms should abstain from penetrative sex and use other ways of expressing their sexual feelings, such as hugging and kissing.


Can women who take the pill or use the injection for family planning get pregnant when they stop and want to have a baby?
Pills and injections prevent pregnancy by preventing eggs from ripening. If a woman uses these methods of contraception, she has her periods as usual, but in her sexual organs no eggs are getting ready for fertilisation.

Once the woman stops taking the pill, eggs ripen in her ovaries and she will be able to conceive. For a woman who has used injections, it may take some time before she starts producing eggs again. For some women it takes up to 12 months.

The most important thing to remember is that neither injections, nor pills are permanent methods of contraception, even if it may take some time for a woman to produce eggs again.


Who should put the male condom onto the man's penis?
Whether it is the man, who places the condom on the penis or whether the woman helps to put it on, fully depends on the decision-making of those two people having sex. Both can put in on the penis while having sex and both can also buy the condom.

What is the lubricant in the packet of condoms?
The lubricant in the packet of the condom is a special type of lubricant and it is there to protect the condom until the day it is used. Without this lubricant the durability of the condom would not be guaranteed, because the condom would dry out and lose its elasticity. This lubricant does no harm at all to most people. Very few people, whose skin is very sensitive, have an itchy feeling after using a condom, but this is not a serious problem. Such people are advised to gently wash their sexual parts with mild soap after having sexual intercourse. 
There is a rumour that the lubricant on condoms contains HIV. This is not true, the lubricant is there only to guarantee the durability of the condom.

Why do some people decide to have an abortion?
Although abortion is illegal in many countries, some people decide to have an abortion, because their pregnancy was not planned. For example a young girl who still goes to school, or a woman who already has many children or who is quite old. Other women decide to have an abortion, because their pregnancy is caused by forced sex or rape, or if the father of the child refuses to accept the responsibility for fatherhood. These are a few reasons to decide on abortion, but every woman has her own specific reasons to decide on abortion.
In countries where abortion is illegal, abortion services are not easily accessible and many women decide to try to do it themselves or with the assistance of an untrained person. As we said above this can be very dangerous for the health of the woman.

What is safe sex?
Safe sex is that kind of sex which does not involve any risk of unplanned pregnancies, sexually transmitted diseases, or HIV/AIDS. It includes physical contacts, which do not involve penetration of a penis in the vagina. On the other hand if it includes penetrative sex, then safety precautions are taken.

Ways of satisfying sexual desire without penetration of penis into the vagina are kissing, holding hands and masturbation. All those things are safe with regard to unplanned pregnancies, STDs and HIV infection.

If you involve penetration of the penis in the vagina during sex, it is necessary to take precautions. One possible precaution is to be faithful to your partner, but that also requires that you were both free of sexually transmitted diseases, when you first had sex. Another precaution is to use condom. Condom prevents not only pregnancies but also sexually transmitted diseases.


How many types of contraceptives are there?
There are many types of contraceptives and they can be grouped into different categories:

Barrier methods: These prevent the sperm from fertilizing the egg. Condoms are rubber tubes which are closed at one end .Different types of condoms are produced for men and women. Male condoms are placed on the stiff penis before it penetrates into the vagina.The female condoms are placed inside the vagina before sexual intercourse.

Contraceptives pills: The woman has to take one tablet every day, even on days she doesnÔøΩt have sex.

There are also long-acting contraceptives. No special measures to prevent pregnancy have to be taken when having sex and a woman does not need to remember every day to have prior preparations before having sex. These are:

ÔøΩ Injections: These are given to a woman every three months.
ÔøΩ Implants: These are plastic tubes which are placed in the upper arm of a woman through a minor operation and they contain a substance, which prevents the egg from ripening. 
ÔøΩ Intra-uterine devices (IUD): These are made from a special type of plastic and are inserted in the uterus of a woman by a trained health worker.

Injections, implants and intra-uterine devices have to be applied by a trained health worker in a sufficiently equipped facility. Since long-acting contraceptives interfere with the normal menstrual cycle of women, also their side effects are greater than those of the pills.

ÔøΩ Irreversible ways of contraception for men and women: These require a minor operation. For men, the seminal canals are cut and sealed, in order to prevent sperm from mixing with seminal fluid. If a man has sex after this operation, he can still ejaculate, but there are no sperms in the seminal fluid. For women, the fallopian tubes are cut and sealed, in order to prevent the egg from reaching the uterus. After this operation the woman will have her period as usual, but the egg wonÔøΩt be able to unite with sperm anymore.

In addition, there are methods which do not require the use of medicine or barriers. However these methods do not give very good protection from getting pregnant. Sometimes women observe specific signs or count down days for identifying days she is likely to get pregnant and subsequently she avoids to having sex during this period.

Men using withdrawal method and women hopping that breast-feeding prevents pregnancy are some of the traditional ways of contraception.

REMEMBER: These are commonly used methods but, they are not very safe with regard to preventing pregnancy, STDÔøΩs and HIV infections.


What is the best age to start using contraceptives?
The best time to start using contraceptives is when you start having sex. This is the good time to start using condoms, because they protect you from unwanted pregnancies as well as sexually transmitted diseases. This is also the right time to go to the clinic, in order to get advice on different methods of contraception. The doctor or nurse can help the couple to decide which method they should choose.

Often people think that family planning services are for the married women, pregnant women and mothers only. But that is not necessarily true .In many countries, Tanzania being one of them, any person in the reproductive age, whether it is a girl or a boy is legally entitled to use family planning services.


Is it true that you can avoid getting pregnant by counting days?
An egg is released 14 days before the onset of the next period, either from the left or the right ovary. From there the egg moves through the fallopian tubes towards the uterus. If an egg unites with an egg while moving through the fallopian tubes, it can be fertilized. If a woman avoids sex on all days when there is an egg ready to be fertilized, she can also avoid to getting pregnant.

However, most girls do not exactly know when to expect their next period and therefore it is difficult to know when there is an egg ready to be fertilized. A girlÔøΩs menstrual cycle can easily be affected by stress, sorrow, traveling, or other changes in the girlÔøΩs life. Even if a girl had regular periods for sometime, they suddenly become irregular. Young girls can not rely on counting days to avoid pregnancies, as they can never really know whether there is an egg ready to be fertilized or not. There are no safe days from pregnancy for adolescent girls.


Is it true that women using contraceptive pills get stomach ulcers?
Some women get stomach ulcers, but these ulcers have no relation to the use of contraceptives pills. The causes of stomach ulcers are often stress, having a very fatty and spicy diet, as well as having a history of stomach ulcers in your family. The contraceptive pill does not cause ulcers.

Is it really necessary to take the pills even on days you do not have sex?
There are certain brands of pills, which come in packets of 21 pills, and there are pills which come in packets of 28 pills. If you are prescribed a brand with 21 pills, you will stop taking the pills for 7 days each month. If you are prescribed with a brand with 28 pills, one pill has to be taken every day, even during the days a woman has her period. In order for contraceptive pills to provide full protection from pregnancy, ask the person who prescribes you those pills, exactly how you have to take them. If a woman forgets to have the pill, even if it is only for one day, she may get pregnant. If she forgets to have the pill it is advisable for the couple to use condoms while having sex. in order to prevent pregnancy. This also applies if a woman has diarrhea or has been vomiting within 4 hours of taking the pill. If the woman forgets to take the pill again and again, she should consult the clinic on other possible ways of contraception.

Which contraceptive method is best for a sexually active youth?
Each contraceptive method has its advantages and disadvantages, For example the advantage of pills is that nothing more has to be done when having sex, if the woman takes pills regularly. The disadvantage of pills is that a woman had to remember taking pills every day. Condom has advantage that it does not only protect from pregnancy but also from sexual transmitted diseases. But it has the disadvantage that you have to put it on while you are having sex.

Similarly, injections have the advantage that they have to be given every two or three months only .The disadvantage is that some women take a lot of time to start ovulating after stopping the use of injections and that some women have irregular periods, while they are using the injections.

Therefore, the girl together with a family planning specialist should look at the situation and discuss advantages and disadvantages of different methods .They can then decide on which method is the best one for the girl.


How should I use male condoms properly?
When using condoms the following steps should be followed. Make sure that the packet of the condom is not torn and that the date of expiry has not passed yet.

If the penis is erect, open the packet carefully, do not use razor blades, teeth, scissors or a knife. Squeeze the top in order to release all air from condom when you put it on. This helps to prevent the condom from bursting. Roll the condom over the penis until it is fully covered. Once you are sure that the condom is placed, you can have sexual intercourse safely.

When withdrawing the penis from the vagina, be careful that the condom remains on the penis. After withdrawing the penis, remove the condom carefully before the penis gets soft, in order to avoid sperm reaching the vagina. Throw a used condom into a pit latrine or burn it, but do not leave it lying around.

In many condom packets available in the markets you can find explanations on how to use condoms. If you want to use a condom when having sex, it may be wise idea to try putting a condom on whilst you are alone in order to get experience in using it.


How should I use female condoms properly?
In most African countries female condoms are not yet widely available and they are rather expensive.

Female condoms are placed inside the vagina before having sex. If you use female condoms make sure that the packet is not torn and that the expiry date is not passed yet.

Carefully tear open the packet. The condom has two plastic rings and an opening on the upper side. One ring is smaller and it is on the closed side. The other ring is big and it is on the side of the opening. Take the condom on the closed side and squeeze the ring by using the thumb, the index and the middle fingers. Sometimes the condoms do slips away, but try more until you fix it well. Find for a suitable sitting position and while squeezing the ring of a condom, insert the female condom into the vagina by the use of your fingers. Let the ring go so it holds the condom inside the vagina, when you remove your fingers. Then insert the finger into the condom and push it until it reaches the opening of the uterus.
After having sex, remove the condom carefully. Throw the used condom into a pit latrine or burn it, but do not leave the used condom lying around.


Who should put work on putting on the condom, the man or the woman?
Whether it is the man who places the condom on the penis or be it the woman who helps putting it on, fully depends on the decision-making of the two people having sex. Both can put it on the penis while having sex and both can also buy the condom from the shop.

Is it true that condom is too big to some men and too small for others?
There are different sizes of condoms .On average the size of condom fits almost all adult men. Very rarely the condoms are too small for certain men. Some men like to show off by pretending to have big penises but they are only making excuses for not using condoms.

For adolescents however the situation is different. Often the condoms are too big compared to sizes of their penises. In many African countries smaller than average condoms are not available. Adolescents whose penises are still too small condoms should abstain from penetrative sex and use other ways of fulfilling their sexual desires, such as hugging and kissing.


Why should a condom only be used once?
Condoms must only be used once, because if they are used twice or thrice they will not protect well from pregnancy and sexually transmitted diseases any more. Condoms must not be washed and reused. They must be thrown into a pit latrine or burnt after use. Condoms are made to be used once only.

Why do condoms sometimes burst when having sex?
Condoms do burst sometimes, if they are not placed well on the penis. It is most important to squeeze the tip of the condom when putting it on the penis, the air inside the condom can make the condom burst when having sex.

In addition, you must not apply lubricants such as Vaseline in order to smoothen the penetration. Lubricants such as Vaseline can endanger the durability of the condom and they may lead to the condom bursting. The lubricant which is in the packet of the condom as you buy it assures the durability of the condom and is different from other types of Lubricants.

It is most important to remember that if a condom is used properly, the chance of it bursting is very small.


Can male sperm pass through a condom?
No, sperm can not pass through the condom. Condoms are produced in order to prevent sperm from reaching the vagina the vagina when having sexual intercourse. Because seminal fluids can not pass through condom, condoms are good ways of avoiding pregnancy, as well as sexually transmitted diseases and HIV/AIDS.

Some people say that there are small holes in the condoms which sperms and microorganisms causing sexual transmitted diseases can pass through. But this is a lie. If you want to be sure that a new condom has no hole, take one and fill it with normal water. You can find that water can not pass through the condom at all. After doing this throw the condom in a pit latrine or burn it. DonÔøΩt use it for sexual intercourse!


What is the lubricant in the condom packed for and is it harmful to human any way?
The lubricant in the condom is a special type of lubricant and it is there to protect the condom until the day it is used. Without using this lubricant the durability of the condom would not be guaranteed, because the condom would dry out and loose its elasticity. This lubricant does not harm at all to most people. Very few people whose skin is very sensitive, have an itchy feeling after using a condom, but this is not a serious problem. Such people are advised to gently wash their sexual parts with mild soap after having sexual intercourse.

There is a rumor that the lubricant on condom contains HIV. This is not true, so the lubricant is there to only to guarantee the durability of the condom.


How does it feel for a woman to have sex with or without condom?
We can not say on how it feels for a woman to have sex with or without condoms.Each person has his or her preferences.But the most crucial issue with regard to sex is the emotional parts, mutual understanding between the lovers and the level of mutual excitement.

Some women prefer having sex if a man uses a condom; because there is no fear of getting pregnancy or being infected with a sexual transmitted deseases.Other women prefer having sex without condoms. However, from getting pregnant, nowadays there is danger of sexual transmitted diseases or even HIVAIDS when having sex without condom. Therefore, it is safer not to trust any one, until both of you have done medical tests and have been proved to be healthy.


 

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