Condoms, Fertility Awareness-Based

Male Condoms

• Thin sheath of Latex rubber made to fit man’s erect penis 

• Condoms are often times lubricated  and some have spermicidal components 

• incorrect use of condom

• condom breakage can occur

factors that affects effectiveness of condom

• Use the method without restrictions

• Do not use the method

Usage:

• Category 1

• Category 4

• Couples who are reliable users and who ask for it 

• Couples who wish to use a backup method when the use of another method is interrupted e.g. missed pills

• Couples with high risk of STIs

• Couples who use it as a temporary method until another method is used or becomes effective (e.g. three months post-vasectomy)

• A woman who is unwilling to use contraceptive methods with systemic effects

• A woman who is breastfeeding and needs contraception

• When other methods are medically contraindicated to either of the couple or for their personal reasons

• Men who have problems with premature ejaculation

okay

• STEPS CONDOM USE

Check the pack for expiry date and perforations

Push condom to one side and carefully tear the pack on the opposite side

Squeeze the tip of the condom between the thumb and index finger on one hand, while the other hand places the condom over the erect penis

Unroll the condom a short distance to make sure that the rolled ring is directed outward

Unroll the condom all the way down to the base of the penis

Soon after ejaculation, withdraw the still erect penis from the vaginal while holding the rim of the condom at the base of the penis

Take off the condom once it is outside the vagina

Knot the condom, wrap it with paper, and dispose properly

penile model

Demonstrate to the client putting on the condom using a

Reiterate key messages to clients

• Be sure to have a condom before you need it 

• Use a condom with every act of intercourse 

• Do not use the same condom more than once 

• Do not use a condom that is outdated, dry and brittle, or very sticky  

okay

Lubrication for Latex Condom

• Use only water-based lubricant

• For polyurethane condoms any type of lubricant can be used 

• Avoid-oil based lubricant like cold cream, mineral oil, cooking oil, petroleum jelly, body lotions, massage oil, or baby oil that can damage latex condoms

okay

Condom Storage 

• Store condoms in a cold and dry place out of direct sunlight (heat may weaken latex) 

• Check the expiration or manufacture date on the box or individual package of condoms 

• Condoms in damaged packages or obvious signs of deterioration (e.g. brittleness, stickiness, or discoloration) should not be used regardless of their expiration date 

• Latex condoms should not be used beyond their expiration date or more than 5 years after the manufacturing date 

Fertility Awareness-based Methods

• Determination of the fertile and infertile periods of a woman

• Observation of the signs and symptoms of fertility and infertility

• Timing of sexual intercourse to achieve/avoid pregnancy

Effectiveness depends on the couple's ability to identify fertile and infertile periods and motivation to practice abstinence

Cervical mucus

Basal Body Temperature

First day of menstruation

Signs of Fertility

• Changes in ___________

  • Determines the beginning and end of fertile days 

• Changes in the ______________

• The ________________ is the sign for keeping track of a woman’s menstrual cycle 

95-97%

75%

Effectiveness of FABm

• _______ effective

• _______ commonly used

• Cervical Mucus Method/Billings Ovulation Method

• Basal Body Temperature Method

• Sympto-thermal Method

• Standard Days Method

FABMs

Cervical Mucus Method

1. Based on daily observation 

Seen and felt at the vaginal area throughout the day 

2. Cervical mucus changes 

Indicate whether days are fertile or infertile 

3. The woman should observe and record feeling of Dryness or wetness in her vaginal area during the day 

Abstain from sexual intercourse during fertile “wet” days 

Basal Body Temperature

1. Based on the changes in a woman’s resting body temperature 

Lower before ovulation until it rises to higher level after ovulation 

2. Infertile days begin from the 4th day of the high temperature reading to the last day of the cycle 

3. All days from the star of the menstrual s=cycle until the third high temperature reading are considered fertile days 

Mark the days you had sex with your partner 

Period

Wet

Dry

Slippery

Pasty

Cloudy

P

W

D

S

P

C

Sympto-thermal Method

Breast engorgement

Unilateral Abdominal Pain

1. Combination of the Basal Body temperature and Billings ovulation 

2. Method together with other signs

Only have sex on dry days 

Standard Day Method

8-19

1. Calculation of fertile and infertile days for menstrual cycles of 26-32 days 

2. Works for women with menstrual cycles of 26-32 days 

3. Identifies cycle days______ as the woman’s fertile period 

4. Colored beads are used to help the woman keep track of her fertile and infertile days

White bead

SDM

• Pregnancy is most likely

Brown bead

SDM

• Pregnancy is very unlikely

Dark Brown Bead

SDM

• Cycle is shorter than 26 days

Red bead

SDM

• First menstrual day

• Shifting from pills

• Shifting from Injectables

• Recently used the IUD

• Postpartum or breastfeeding

WOMEN WITH SPECIAL CONDITION FOR SDM

Shifting from pills

1. Menstrual cycles prior to the use of pills were 26-32 days 

2. The current cycle is expected to be 26-32 days

Shifting from Injectables

1. Last injection at least 3 months ago 

2. Menses have returned 

3. Menstrual cycle prior to use of injectable was within 26-32 days 

4. Last menstrual cycle was within 26-32 days 

Recently used IUD

1. IUD has been removed 

2. Menstrual cycles while using the IUD were within 26-32 days 

3. Last menstrual cycle is within 26-32 days 

Postpartum or Breastfeeding

1. Menstruation has returned

2. Has had at least 4 normal menstrual period

3. Expects current cycle to be within 26-32 days

Lactational Amenorrhea Method

• Relies on condition of infertility that results from specific breastfeeding patterns 

TEMPORARY family Planning method

• Exclusive breastfeeding

• Amenorrhea

• Infant less than 6 months

Criteria for LAM

Full or Nearly Full Breastfeeding

4 hours

6 hours

Criteria for: ______________________

• Breastdeeds on demand 

• No more than ________ interval between breastfeeding during the day and ______ at night 

• Uses both breast for feeding 

• Exclusive means 

  • No supplements of any sorts are gicen 

  • Infant receives no other liquid or food, not even water in addition to breast milk 

• “Nearly Full” means very small amounts (one or two swallows) of water, vitamins, or antibiotics (medically prescribe) 

• Breastmilk is the best source of nutrition for the infant 

• It is recommended that exclusive breastfeeding be practiced during the first six months postpartum 

Amenorrhea

8 weeks = lochia

Criteria for:________________

• Menses have not yet returned 

• Bleeding within the ________ postpartum period is not considered as menstrual bleeding for breastfeeding women 

  • Lochia yun ( mens: mga 2 months pa)

• Intrauterine Device

• Condom

• Tubal Ligation

• Natural Family Planning

• Vasectomy

FP Categories

• 1st choice: Non hormonal Methods

Progesterone-only method

• DMPA (depot medroxyprogesterone acetate)

• Progestin only pills

• 6 weeks pp

FP Categories

• 2nd choice:

• Can be initiated: ____________

Methods containing estrogen

• Combine Oral Contraceptives

• 6 months

FP Categories

• 3rd choice:

• Can be used: