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Internal condoms

Internal condoms
Internal condoms

What are internal condoms?

Internal condoms, also known as female condoms, are pouches or sheaths inserted into a vagina or anus to provide protection against pregnancy (in vaginal sex) and sexually transmitted infections (STIs). They are made of thin, transparent plastic lining and loosely fit inside a vagina.

They have flexible rings on both ends. The ring on the closed end is used to insert the condom while the ring on the open end is used to hold a section of the upper part of the condom outside the vagina or anus.

A female condom can be made from various materials such as nitrile, latex, or polyurethane.

How do internal condoms work?

They work the same way that external condoms do, except that they are worn on the inside of the vagina or anus instead of on a penis. They keep the sperm inside the condom and out of the vagina or anus. They also help to keep infections or sexual fluids on the penis, vagina, or anus away from a partner (1).

Effectiveness of internal condoms

The effectiveness of an internal condom depends on how you use it. The risk of pregnancy or a sexually transmitted infection increases when you don’t use the condom during every sex act. The only time pregnancy might occur when using this condom is usually as a result of incorrect usage, breakage, or slippage.

As commonly used, 21 out of 100 internal condom users end up pregnant within the first year of usage. This means that it is 79% effective. With perfect usage, 5 out of 100 female users end up pregnant. This means that it can be up to 95% effective at preventing pregnancy. Internal condoms also reduce the risk of getting infected with an STI, including HIV (2).

What does an internal condom look like?

Contraception Quiz

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External Condom

Compare with similar Contraceptive Methods

Are you wondering if condoms are better than daily pills? Or if you should opt for a birth control implant? We're here to assist you in making this decision. You can select up to 5 contraceptive methods and compare them side by side to weigh the pros and cons of each.

Give a try to our Contraceptive Tool

In the example below, you'll find similar methods to the one you're currently reading about. Feel free to click on any that catch your interest or revisit our Contraceptive Methods page

Contraceptive sponge

Non-hormonal

What is it?
A contraceptive sponge is a white plastic foam that is moistened and inserted into the vagina before sex to prevent pregnancy.
Effectiveness
  • It's 80-91% effective.
  • Pros
    • It doesn’t contain hormones.
    • You don’t need a prescription or medical consultation.
    • It can be inserted hours before sex, allowing for spontaneity.
    • There’s no delayed return to fertility. Pregnancy can happen as soon as it is removed.
    Cons
    • It is one of the least effective methods with short-term protection (24 hours).
    • It may cause an allergic reaction.
    • It does not protect from STIs.
    Spermicide

    Non-hormonal

    Spermicide is a chemical or drug that prevents pregnancy by killing the sperm before it can meet an egg for fertilization.
  • It's 84% effective.
    • It’s hormone-free.
    • You don’t need a prescription or consultation to access it.
    • It’s easy to use.
    • It’s less effective when used alone; effectiveness increases with other barrier methods.
    • It’s not available everywhere.
    • It may cause an allergic reaction.
    • It does not protect from STIs.
    Diaphragm contraceptive

    Non-hormonal

    A diaphragm is a shallow, dome-shaped cup with a soft and flexible rim that is placed over the cervix before sex to prevent pregnancy.
  • It's 84% effective.
    • It’s non-hormonal.
    • It allows for sexual spontaneity. It can be inserted hours before sex and left in for up to 24 hours.
    • Your partner can’t feel it.
    • Fertility resumes immediately after it is removed.
    • It’s not a good option if you are allergic to silicone or spermicide.
    • It may cause urinary tract infections, bacterial vaginosis, or candidiasis.
    • It’s a high effort method. It requires discipline and planning.
    Cervical cap

    Non-hormonal

    A cervical cap is a latex or plastic rubber cap that is inserted inside the vagina to block sperm from getting into the uterus.
  • It's 74-91% effective.
    • It’s hormone-free.
    • It’s a good option for those who have sex occasionally and don’t want a regular contraceptive.
    • It’s female-controlled, allowing for sexual agency.
    • It’s not readily available everywhere in the world and can be costly.
    • It can cause vaginal irritation and urinary tract infections (UTIs).
    • It’s not a good option if you are allergic to the material used to make the cap or spermicides.
    • It’s high effort; it requires discipline and prior planning.
    Internal condoms

    Non-hormonal

    An internal condom is a sheath that is worn inside the vagina to prevent pregnancy and STI transmission.
  • It's 95% effective.
    • It offers dual protection from pregnancy and STIs.
    • It’s a good option for people with a latex allergy.
    • It has a shelf life of up to five years and does not require special storage conditions.
    • You don’t need a medical consultation or prescription to access it.
    • It requires high effort as you have to remember to use it before sex.
    • It may slip, break, or draw backward, exposing the user to the risk of pregnancy and STI infections.
    • It’s harder to access and usually quite costly compared to the external condom.

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