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Birth control

post #1 of 15
Thread Starter 
Hey Gents     I have a handful of birth control questions.  Mom and I had the wonderful "I don't want any kids talk this afternoon."  She said "Condoms work only 50-60% of the time." I did not want to argue or get disgruntled seeing as how I have to keep living here until school starts in the fall. So my question is two fold. What form of protected sex works the best and what form of protection do you guys use?  THANKS LOTS. \t\t\t\t\t\t                                     Parsonsdb
post #2 of 15
A wet suit. Yeah condoms have a lower % but I don't think it's that low. But when your a young male, what else is there? You cant be sure that any girl you're with is on the pill.
post #3 of 15
Oh yeah...NEVER double bag your mule as that lowers it even more (due to the friction of the two)
post #4 of 15
Condoms have a better safety rate than that"”in the 80-90% range"”when used properly. (Please note that 90% is WAY less than 100% when we're talking about birth control, because, when you get pregnant, you get 100% pregnant...and the same goes for AIDS, herpes, chlamydia, and other STDs.) When condoms fail, it is usually for one of the following reasons: 1. The condom was not put on properly. If you don't leave a reservoir at the tip, there's not enough room for the condom to hold the ejaculate. This can cause the condom to rupture. Some condoms have a reservoir tip as part of the design, but if yours doesn't, be sure to pinch the tip when putting it on so as to create one. Excessive stretching of the condom can also weaken the latex (or polyurethane; we hope you're not using lambskin in 2002), making the condom more prone to breakage. Unless you're John Holmes, you don't need to pre-stretch your condoms. (If you are porn star material"”and don't flatter yourself"”buy extra-large condoms, rather than stretching standard-issue rubbers.) 2. The condom was put on too late. Pre-ejaculatory fluids also contain sperm, and they start to flow very early during sex play. If you engage in vaginal penetration without a condom, and then "suit up" only when things get hot and heavy, your partner may already be pregnant by the time you get the rubber on. (You'll also have completely negated any protection you'd have had against STDs, had you used the condom properly.) 3. The condom was removed too late. Yep, it feels great staying inside for a while after you're done, but as soon as you begin to lose your erection, your condom loses its grip. Leakage occurs, and it's, "hello, parenthood." 4. Believe it or not, some guys try reusing their condoms. Perhaps the greatest tragedy of this is that people who so obviously should not be permitted to reproduce are the ones most likely to do so. 5. Manufacturing defects. Sometimes, you do everything right, and the sucker still breaks. Although this happens less often than the previously mentioned failures, the odds against it are little comfort when you're the one who falls into that statistical minority. Regarding latex, polyurethane and lambskin: Latex condoms are the most common, and have the best record of protection against pregancy and disease. Polyurethane condoms are relatively new; they have the advantage of not causing an allergic reaction in people who have a problem with latex. Although early tests and polls suggest that they should be equal to latex in performance, it's too soon to be 100% sure. Lambskin is porous, and the pores, while too small to allow transmission of sperm, are more than large enough to permit passage of HIV, which is why nobody with at least half a brain uses them anymore. While we're talking about HIV, et al., let's be clear about one thing: condoms are the only form of protection against the transmission of STDs. This means that even if your girlfriend is simultaneously on the pill, has an IUD, inserts a diaphragm and is in the middle of a visit from "Aunt Flo," you should still use a condom. (There is a "female condom" on the market, which is supposedly the equal of its male counterpart, but so few people use it that it merits little more than a footnote here.) Likewise, even if we're just talking about pregnancy, the best bet is to use condoms in conjunction with another form of birth control: pill, diaphragm/cervical cap, Norplant, whatever. The fact that she's using something does not let you off the hook, because 1) no single method of birth control, barring abstinence, is 100% effective, and 2) you can't be responsible for how reliable she is about the way she uses her methods; you can only count on you. In my time, my partners and I have used most of the available methods, alone or in combination. If you have any questions about what they are and how they work, by all means let me know, and I'll answer as best I can.
post #5 of 15
Wow, PS That was like sex ed class... Are you an ob/gyn or something?? Seriously, excellent post.
post #6 of 15
Quote:
Are you an ob/gyn or something?
LOL. Nah, I've just had an average amount of hands-on experience and I'm very well-read on the subject. I did consult on a sex manual once...but, uh, I was a computer consultant.
post #7 of 15
Wonderfully comprehensive post. I'd like to add my two cents: 1) If the condom breaks, STOP HAVING SEX. The reasoning that "oh, well, it broke, so the damage has been done already, so why stop?" is deeply flawed. The odds of pregnancy and STD transfer are objectively low anyway, but the greater the exposure, the greater the odds. Stop immediately - she'll want you more anyway since you're stopping 2) It is important to know about other medications available in the case of a condom break, etc. The first is "Plan B" or "The morning-after pill" which are designed to prevent pregnancy, only, not STD transfer. These treatments are expensive, and physically debilitating to a woman, so use them only as recourse in the event of an accident. Also, if you're under 18, you may need parental approval, and that sucks. Trust me. 3) Finally, you can purchase spermicidal condoms that will reduce the risk of pregnancy, as it contains a chemical (nonoxynol-9, or something) that kills sperm cells. I find these condoms unbearable as it causes pain during urination for about 12 hours after use, but it DOES dramatically increase protection.
post #8 of 15
Good follow-up, Abe. Regarding Nonoxynol-9, while the jury is still out on both its efficacy in killing HIV and its safety, the evidence is weighing heavily against it. For those who don't know, Nonoxynol-9 was developed as a spermicidal contraceptive, and it works as such. It's also a microbicide, and it got a lot of hype in the early '90s for the added benefit of being able to kill HIV, as well as chlamydia, gonorrhea, herpes, etc.; it was proven to kill them in lab tests. As a result, N9 has shown up as the primary ingredient in a host of contraceptive products"”condoms, gels, foams, films, lubricants, and so on. (It's also used as a microbicide in non-sexual products.) Human beings, however, are not test tubes. As you noted, N9 is an irritant to mucous membranes (the pain you feel for 12 hours after using an N9 condom). The problem is, N9 doesn't discriminate about what kinds of cells it kills: sure, it kills sperm cells, but it also kills any other kind. Exposure to N9 can cause disruptions in the mucosal surfaces of the vagina (and the urethra) that are not only painful, but likely act as portals to STDs, including HIV. The results of the latest human studies indicate that, rather than decreasing the risk of HIV, gonorrhea and chlamydia transmission, N9 actually increases the rate of infection. What has yet to be determined (at least, as far as I know) is whether a lower concentration of N9 might still be an effective spermicide and/or microbicide without causing damage to the mucous membranes. Meanwhile, if you're looking for a non-N9 lube to use with condoms, make sure you do NOT use an oil-based lube. Oil disintegrates latex; the use of oil with condoms is the #1 cause of breakage. There are non-spermicidal lubes made specifically for use with condoms: stick with those.
post #9 of 15
Thread Starter 
Pstoller,Abe2 WOW, thank you to both of you for your wealth of knowledge/experience on this subject. You both filled all the gaps that my 6th grade gym teacher left out. Thank you again.... Much appreciated. Experience: "what you get when you don't get what you want" On another note: where do you find this information, websites, books, magazine articles, or just reproductive knowledge? Thanks again..... \t\t\t\tParsonsdb
post #10 of 15
Quote:
where do you find this information, websites, books, magazine articles, or just reproductive knowledge?
All of those are good, or potentially good, sources of information. Of course, there's also a lot of misinformation out there, as well as some healthy differences of opinion. Websites in particular are not necessarily subject to the same "quality control" as books or mainstream magazine articles, so you do want to see if you can find corroborating info to back up what you read online. That said, if your online source is, say the Centers for Disease Control (CDC), that beats the Horny Guys Against Rubbers website. My approach has simply been to read a lot, from many different sources over many years, and then double-check my information before I actually type up posts on the internet. Sure some knowledge comes from having "been around the block" (read: "made stupid mistakes and learned from them"), but it's a lot better to get information in advance from multiple, reliable sources, so you don't learn the hardest lessons the hardest way.
post #11 of 15
I'm gonna reinforce what pstoller said about using multiple forms of protection. I know 2 people who were on the pill and got pregnant. One was just .1 percenter (it's supposedly 99.9% effective) and the other was at university with me an a big drinker, which i believe reduces it's effectiveness or something (haven't verified this but this is what she told me).
post #12 of 15
Quote:
I know 2 people who were on the pill and got pregnant. One was just a .1 percenter (it's supposedly 99.9% effective) and the other was at university with me and a big drinker, which I believe reduces its effectiveness or something (haven't verified this but this is what she told me).
I don't know how alcohol impacts the effectiveness of the pill on a chemical/physiological level. However, it's likely that a "big drinker" would be less disciplined about taking that pill every single day when she was supposed to, and being even slightly irregular in your dosage will definitely reduce the effectiveness of the pill. So, yeah, "I'm on the pill," doesn't guarantee anything.
post #13 of 15
how about info on (gonna butcher spelling) depo provera. Stats and such.
post #14 of 15
Quote:
how about info on (gonna butcher spelling) depo provera. Stats and such.
Depo-Provera (from Upjohn) is purportedly 99.7% effective. Rather than taking a pill every day, the woman gets an injection every three months. It uses a progesterone-like hormone (medroxyprogesterone acetate) to prevent pregnancy; the hormone keeps the ovaries from releasing eggs. Part of the hype is that, because DP doesn't contain estrogen, it doesn't have the same contraindications with smoking cigarettes that estrogen-based pills have. Also, because it's a scheduled injection, women are a lot less likely to forget to take it, and thus it is more reliable than the pill "in the field" (as opposed to in theory, when the pill is taken properly). So, what's the down side? Side-effects. Women have complained about everything from extreme weight gain to severe emotional distress to painful menstrual cycles to, well, a whole catalog of physical and mental symptoms. There is a pending class-action lawsuit against Upjohn by women (and their male partners) who claim to be victims of the drug's side-effects. (Upjohn has maintained that side-effects are usually minor, and no worse than with the pill.) Now, what the incidence of these side-effects is, I have no idea. However, I sure wouldn't rush to get anyone I loved to take it. And, remember, DP offers no protection from STDs.
post #15 of 15
Thread Starter 
Guys I do know about this one. Depo-Provera, A friend of mine had an ex girlfriend that was on this; the weight gain does not even come close to doing justice to what happened to her. She went from a size 1 or 2 to I think 5 in the matter of on shot cycle, (a 3 month time span) along with the weight gain she turned to a mega-mega-super-bitch. But the major benefit is that there is almost no way to get pregnant. Parsonsdb
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