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How do you choose between the different condom types? An important
thing to consider is whether or not you plan to use the condom as a
contraceptive or if you just want to use it for sex play. If you need a
condom for protection, make sure to read the condom label to see if it
is approved for use against unplanned pregnancy and STDs. Also, make
sure to check the expiration date to make sure that the condom is safe to
use.

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There are different condom brands with great flavors. The flavor may
be contained in the lubricate or directly on the condom. Some flavored
condoms are even colored to match the flavor (such as red for strawberry
flavor, yellow for banana). Flavors can include mint, grape, orange,
banana, strawberry, and even coffee. These different condom brands are
also approved for strength and protection. These condoms are shaped
and textured to increase pleasure for the female, male or both partners.

How effective
Effectiveness depends on the user; risk of pregnancy or sexually
transmitted infection(STI) is greatest when condoms are not used with
every act if sex. Very few pregnancies or infections occur due to incorrect
use, slips, or breaks.

Protection against pregnancy;

Return of fertility after use of condoms is stopped; no delay

Protection against HIV and other STIs;

• Male condoms significantly reduce the risk of becoming infected with HIV when used correctly with very act of sex
• Condoms reduce the risk of becoming infected with many STIs when used consistently and correctly
• Protect best against STIs spread by discharge, such as HIV, gonorrhea,and chlamydia
• Also protect against STIs spread by skin-to-skin contact

Side effects, health benefits and health risks

Side effects; None

Known health benefits:Help protect against Risks of pregnancy STIs, including HIV

Known health risks

- Extremely rare
- Severe allergic reaction

What condoms users should not do?
Some practices can increase the risk that the condom will break and should be avoided

• Do not unroll the condom first and then try to put it on the penis
• Do not use lubricants with an oil base because they damage latex
• Do not use condom if the color is uneven or changed
• Do not use a condom that feels brittle, dried out, or very sticky
• Do not reuse condoms
• Do not have dry sex

Also, do not use the same condom when switching between different
penetrative sex acts, such as from anal to vaginal sex. This can transfer
bacteria that can cause infection.

Frequently Asked Condom Question

Why should you use a condom when you have sexual intercourse?
Condoms, when used consistently and correctly, are the only form of
protection that can help stop the transmission of sexually transmitted
diseases (STDs) and prevent pregnancy.

Are condoms effective against HIV and other STDs?
Condoms are very effective at preventing HIV transmission, and will also
help to prevent the transmission of any other infection that’s spread
through semen or vaginal fluids. However, they are only effective if
they’re used properly every time you have sex.

How are condoms tested?
There are a range of tests performed by both regulatory agencies and the
condom manufacturers to ensure they’re safe and strong enough to use
during sex. These include electronic testing, the water leak test, the air
burst test and the strength test.

How can I check a condom is safe to use?
You need to make sure the condom has not expired, and that it has been
properly stored.

Is it true that condoms have tiny holes in them?
Some people claim that condoms have tiny pores or holes in them
through which sexually transmitted diseases such as HIV can pass. This
is not true. Many studies show that condoms do not have pores big
enough for HIV to travel through. Most latex condoms have walls that are
approximately .05 mm thick – a virus such as HIV would therefore have to
pass through a barrier around 500 times thicker than itself to reach the
outside.

What are condoms made of?
Condoms are usually made of latex or polyurethane. Latex condoms are
more widely available and cheaper, although some people are allergic to
them, in which case a polyurethane condom may be more appropriate.

What is the history of the condom?
Condom use can be traced back several thousand years and were once
simply strips of linen. Animal intestines have also provided an alternative
to today’s more practical latex and polyurethane varieties.

How much protection do condoms give against pregnancy?
If a condom breaks what are the risks of pregnancy?
When used properly (i.e. the condom doesn’t split or burst) condoms can
be very effective in preventing both pregnancy and STDs. If a condom
breaks and no other form of contraception such as the birth control pill is
being used then there is a risk that a woman may become pregnant.

Is it possible to get different sizes of condoms?
Condoms are made in different lengths and widths, and different
manufacturers produce varying sizes. There is no standard length for
condoms, although those made from natural rubber will always stretch if
necessary to fit the length of the man’s erect penis.
The width of a condom can also vary. Some condoms have a slightly
smaller width to give a ‘closer’ fit, whereas others will be slightly larger.

Condom makers have realized that different lengths and widths are
needed and have broadened their range of sizes.
The brand names will be different in each country, so you will need to do
your own investigation of different names.

Is using two condoms better than one to avoid pregnancy?
Using two condoms at the same time – either two male condoms or a
male and female condom – is not a good idea as the friction of them
rubbing together may result in one or both of the condoms tearing. If you
want to take extra precautions against pregnancy when having sex, and
are concerned about the possibility of a condom breaking, it is better to
use another form of contraception. For example, using the birth control
pill as well as a condom will provide extra protection against pregnancy
and STDs.

If I use a condom I seem to lose my erection…

It is a good idea to get some condoms before having sex and practice
using them. That way you can get used to the feel of condoms and
putting them on, which should help you feel more relaxed about using
them when having sex and less likely to lose your erection.

What is the best way to get condoms?
It will depend on which country you are in, but in Ethiopia you can buy
condoms from Hotels, bars, shops, pensions, pharmacy, clinics, and
supermarkets.

Important: It Does not protect against HIV nor STD 

Log of Long act

Characteristics
- Highly effective (>99 %)
- Safe for most women
- Interval, post partum lactating/ non lactating
- Emergency contraceptive
- Reversible (Immediate) and economical
- Long term (no daily decision/ imposition of drugs)
- One visit for insertion and one follow up
- Confidentiality
Privacy
- Not Sexual dependent – client control over her fertility

Advantage and Indications
- Contraceptive effect starts immediately
- Highly effective
- Protective against ectopic pregnancy
- Long-lasting
- Convenient
- Well-liked by users
- Cost effective
- Good choice for older women with hormonal contra indication.
- Facility and provider dependent.
- Immediately postpartum
Disadvantages of IUCD
- Associated with Longer/ mild/heavy bleeding spotting Cramp in the
1st 3 months
- Menstrual disturbances
- Cramping and pain
- Spontaneous expulsion
- Perforation
Timing for Insertion and Removal

Insertion

- Any time during menstrual Cycle (If reasonably sure that clients is not pregnant)
- Post partum
- Post Abortion

Removal

- Any time during menstrual Cycle
- If Client desires (After adequate Counseling) / If Client want to get pregnant
- If Client experienced persistent S/E or other heath problems
- Evidence of perforation
- At the end of the effective life of the IUD

similar to the natural hormone that a women’s body makes. After it is
given intramuscularly (I.M.), the hormone is released slowly into the blood
stream. Confidence is a long acting hormonal contraceptive and is given
every three months. It can be used through out breastfeeding.
- Private.
- Return of fertility delayed about 4 months longer on average
- No estrogen side effects

Important:. It Does not protect against HIV nor STD 

Mechanism of Action
- Inhibition of ovulation (release of egg from the ovary)
- Thickens the cervical mucus, the thicker renders sperm penetration
difficult
- Prevents the implantation of a fertilized egg

Side effects
Some users report the following;
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Changes in bleeding patterns including with confidence first three month
- Irregular bleeding
- Prolonged bleeding
- Weight gain
- Headaches
- Dizziness
- Abdominal bloating and discomfort
- Mood changes

Health benefits
Confidence helps protect against
- Risk of pregnancy
- Cancer of the lining of the uterus(endometrial cancer)
- Uterine fibroids
- Ovarian cancer
- Iron-deficiency anemia
Confidence may help protect against
- Symptomatic pelvic inflammatory disease
- Iron-deficiency anemia
Reduces;
- Sickle cell crises among women with sickle cell anemia
- Symptoms of endometriosis (pelvic pain, irregular bleeding)

Who can use Confidence?
- Nearly all women can use Confidence safely and effectively, including
women who have or have not had children
- Are breastfeeding (starting as soon as 6 weeks after childbirth)

to prevent pregnancy after unprotected sexual intercourse. Post pill
contains a progestin hormone like the natural hormone progesterone
and in a women’s body.

Important: It Does not protect against HIV nor STD 

How it works?
?? Post pill prevents release of eggs from ovaries
?? Post pill increases the thickness of the natural mucus at the neck of
the cervix, making it more difficult for sperm to cross from vagina
into the uterus
?? Post pill also alters the lining of the uterus, preventing it from being
prepared for a fertilized egg into the uterus

Side effects
Some users report the following
?? Change in bleeding pattern including;
?? Slightly irregular bleeding for 1-2 days after taking post pills

?? Monthly bleeding that starts earlier or later than expected
?? Nausea (reduce the risk of nausea by taking ECPs with food)
?? Abdominal pain
?? Fatigue
?? Headaches
?? Breast tenderness
?? Dizziness
?? Vomiting

Health benefits
Post pill helps to protect against risk of pregnancy

When to take them
?? The tablets of post pill should be taken orally within 72 hours after
unprotected intercourse
?? Post pill should be taken as early as possible otherwise efficacy
declines with time
?? The first tablets should be taken as early as possible and the second
tablet should be taken with in 12 hours of the first dose
?? Post pill can be taken at anytime during the menstrual cycle unless
menstrual bleeding is over due

When to use?
?? Any time within 3 days after unprotected sex, the sooner after the
unprotected sex that the post pill are taken the more effective they
are, sex was forced(rape) or coerced
?? Any unprotected sex

Contraceptive mistake, such as
?? Condom was used incorrectly, slipped or broken
?? Couple incorrectly used a fertility awareness methods (for example,
failed to abstain or to use another method during the fertile days)
?? Man failed to withdraw, as intended, before he ejaculated
?? Women has missed 3 or more combined or oral contraceptive pills or
has started a new pack 3 or more days late
?? IUD has come out of place
?? Women is more than 2 weeks late for her repeat progestin- only
injection

Important: It Does not protect against HIV nor STD 

How it work
Style has a number of effects during a women’s menstrual cycle
?? Style prevents release of eggs from ovaries(ovulation)
?? Style increases the thickness of the natural mucus at the neck of the
cervix, making it more difficult for sperm to cross from vagina into
the uterus
?? Style also alters the lining of the endometrium of the uterus,
preventing it from being prepared for a fertilized egg into the uterus

How effective
Effectiveness depends on the user: risk of pregnancy is greatest when a
women starts a new pill pack 3 more days later, or misses 3 or more pills
near the beginning or end of pill pack.

Side effect
Some user report the following
?? Changes in bleeding patterns including
?? Lighter bleeding and fewer days of bleeding
?? Irregular bleeding
?? Infrequently bleeding
?? No monthly bleeding
?? Headaches
?? Nausea
?? Weight change
?? Mood change

Health benefits
Style helps to protect against the followings:
?? Risks of pregnancy
?? Cancer of the ovary
?? Symptomatic pelvic inflammatory disease
?? May help protect against:
?? Ovarian cysts
?? Iron deficiency anemia
Reduce
?? Menstrual dysmenorrheal
?? Menstrual bleeding problems
?? Ovulation pain
?? Symptoms of endometriosis (pelvic pain, irregular bleeding)

Why some women say they like style?
?? Effective, reversible method
?? Are controlled by the women
?? Can be stopped at any time without a provider’s help
?? Do not interfere with sex
?? Less risk of abnormal menstrual bleeding compared to monophasic
or biphasic preparations

Who can use style?
?? Style safe and suitable for nearly all women

Choice (COC)

How it works?
Choice has a number of effects during a women’s menstrual cycle.
Choice prevents pregnancy mainly by suppressing ovulation through the
combined action of estrogen and progestin
Choice increases the thickening of the natural mucus at the neck of
cervix, making it more difficult for sperm to cross from vagina into the
uterus
Choice also alters the lining of the endometrium of the uterus, preventing
it from being prepared for a fertilized egg into the uterus

Important: It Does not protect against HIV nor STD 

How effective?
Effectiveness depends on the user; risk of pregnancy is greatest when
a women starts a new pill pack 3 or more days late, or misses 3 or more
near the beginning or end of a pill pack.
Protection against sexually transmitted infections (STI): none

Side effects
Some users report the following;
- Changes in bleeding patterns including
- Lighter bleeding and fewer days of bleeding
- Irregular bleeding
- Infrequent bleeding
- No monthly bleeding
- Headaches
- Dizziness
- Nausea
- Breast tenderness
- Weight change
- Mood changes
- Acne (can improve or worsen, but usually improves)

Side effects
Some users report the following;
- Changes in bleeding patterns including
- Lighter bleeding and fewer days of bleeding
- Irregular bleeding
- Infrequent bleeding
- No monthly bleeding
- Headaches
- Dizziness
- Nausea
- Breast tenderness
- Weight change
- Mood changes
- Acne (can improve or worsen, but usually improves)

Health benefits
Choice helps to protect against the following;
- Risks of pregnancy
- Cancer of the lining of the uterus (endometrial cancer)
- Cancer of the ovary
- Symptomatic pelvic inflammatory disease

May help protect against;
- Ovarian cysts
- Iron- deficiency anemia
Reduce-
- Menstrual crumps
- Menstrual bleeding problems
- Ovulation pain

Known health risks
Very rare;
- Blood clot in deep veins of legs or lungs (deep vein thrombosis or
pulmonary embolism)
Extremely rare;
- Stroke
- Heart attack

Who can use Choice?
- Choice safe and suitable for nearly all women
- Nearly all women can use Choice safely and effectively, including by
women of any age, whether or not they have had children who;
- Have anemia now or had in the past
- Have varicose veins
- Are infected with HIV, whether or not on antiretroviral
therapy

Women can begin using Choice
- Without a pelvic examination
- Without cervical examination
- Without any laboratory examination

Who cannot use Choice?

Choice should not be used in women with any of the following conditions-
- Known or suspected pregnancy
- Pulmonary embolism
Ischemic heart disease
History of cerebrovascular accidents
- Valvular heart disease with complications
- Sever hypertension
- Diabetes with vascular involvement
- Headaches
- Carcinoma of the breast
- Active liver disease
- Heavy smoking (> 15 cigarettes per day) and the age of 35
- Hypersensitive to any component of this product
- Breastfeeding women Can reduce milk supply

Choice for women with HIV
Women who are infected with HIV, have AIDS or are on antiretroviral
(ARV) therapy can safely use Choice, Urge these women to use condoms
along with Choice. Used consistently and correctly, condoms help
prevent transmission of HIV and other STIs. Condoms also provide extra
contraceptive protection for women on ARV therapy. It is not certain
whether ARV medications reduce the effectiveness of Choice.

• Inhibition of ovulation
• Inhibition of sperm penetration by thickening of cervical mucus
• Delay in ovum transport by decreasing tubal motility

Important: It Does not protect against HIV nor STD 

How effective?
Effectiveness depends on the user; for women who have monthly
bleeding, the risk of pregnancy is greater if I plan is taken late or missed
completely.
Side effects
The following side effects have been reported in women receiving I plan
- Changes in bleeding pattern including
- For breast feeding women, longer delay in return of monthly

bleeding after childbirth

- Irregular bleeding
- Infrequent bleeding
- No monthly bleeding
- Headaches
- Dizziness

Health benefits
I plan helps protect against;
- Risk of pregnancy
- No estrogen side effects. Do not increase risk of estrogen – related
complications such as heart attack or stroke
May help prevent?
- Endometrial and ovarian cancer

- Pelvic inflammatory disease

contraceptive
- Very effective during breastfeeding
- Very low dose
- Do not reduce a mother’s milk supply
Who can use I-plan
- Safe and suitable for nearly all women
- Nearly all women can use I- plan safely and effectively including
women who are;
- Breastfeeding (starting as soon as 6 weeks after childbirth)
- Have or have not had children
- Not married
- Any age, including adolescents and women over 40 years of
age
- Have just had an abortion, miscarriage or ectopic pregnancy
- Smoke cigarettes, regardless of women’s age or number of

cigarettes smoked
- Have anemia now or had in the past

I plan with women with HIV
- Women who are infected with HIV, have AIDS or are on antiretroviral(ARV) therapy can safely use I plan
- Urge these women to use condoms along with I plan. Used
consistently and correctly, condoms help prevent transmission of HIV
and other STIs. Condoms also provide extra contraceptive protection
for women on ARV therapy