Birth Control - Suppository

A suppository, when inserted in the vagina a few minutes prior to intercourse, is melted by body heat. The melted greasy base coats the opening of the uterus and forms a barrier to sperm while the chemical kills the sperm. Although sound in principle, the suppository has not been found to be completely reliable. Sometimes it does not melt properly prior to ejaculation or when melted does not completely cover the mouth of the womb. 

Jellies and creams work on the same principle as suppositories. Inserted into the vagina with a special applicator, they are intended to block the opening into the uterus and destroy sperm. Since they are already in semi fluid form, they have an advantage over the suppository in not having to melt before the crucial moment. Tests on some jellies and creams have been promising. Your doctor will know if physicians conclusively demonstrate in the future that these methods are reliable.

 Coitus interrupts consists of withdrawing the penis from the vagina just prior to ejaculation. One of the oldest methods of birth control, mentioned in the Bible in the story of Oman who "spilled his seed upon the ground," it is still widely practiced. We do not recommend it for several reasons. Even if successfully practiced, it is not an adequate safeguard since sperm may leak out before actual ejaculation. It can cause tension and strain, placing heavy responsibility upon the man, who finds it no easy matter to exercise control while highly excited. He may become irritable, emotionally disturbed, and have guilt feelings if he fails. The wife's concern lest he should fail to withdraw at the proper moment is a source of fear, tension, and emotional difficulties for her as well.

Coitus interrupts does not permit development of the full love and tenderness that come when intercourse is completed with sexual organs united. The contraceptive techniques we have described here are the most common, but others exist. Every couple must decide which, if any, to use-and should discuss the subject with their doctor or a qualified person at a birth control clinic or family planning agency. Most large cities and many smaller ones have such services. Or you may write to Planned Parenthood-World Population, 515 Madison Avenue, New York, N.Y. 10023, for information.