Birth Control Sponge 101

  • What is the birth control sponge?

The birth control sponge is a small, circular plastic sponge. It must be put inside the vaginal canal before sexual intercourse.

  • How does it work?

Pregnancy is prevented because it covers the cervix and this blocks entry to the uterus. The birth control sponge also contains spermicide which slows down sperm from reaching your eggs. The sponge can be put in up to 24 hours before sexual intercourse, it starts working as soon as you wet it before inserting it (water activates the spermicide). It must be left in for at least six hours after sexual intercourse, but no more than 40 hours to avoid infections.

  • Does it prevent STDs?

No, the birth control sponge does not protect against STDs or STIs.

  • Effectiveness

It is 76-88% effective when used correctly.

  • Cost

The birth control sponge can cost anywhere from $0 to $15 for three sponges, depending on insurance coverage.

  • Maintenance

The sponge must be wet and inserted before sexual intercourse. Once it’s inserted, you can leave it in up to 30 hours. You can have sexual intercourse as much as you want with it for 24 hours. But you must leave it in for 6 hours after your last sexual intercourse (hence 30 hours of usage – 24 hours for sexual intercourse + 6 hours of no sexual intercourse for removing it). Once it’s removed, throw it out. Birth control sponges are not reusable. 

  • Advantages

No prescription is needed (sold over the counter)

It starts working as soon as you insert it

It is hormone-free

  • Disadvantages/Side Effects

Must be inserted every time before sexual intercourse

Can be hard to insert

Can be hard to remove

Some people might be sensitive to the spermicide

If skin irritation is caused by the spermicide, it can increase your risk for STDSs and STIs

May lead to Toxic Shock Syndrome

Some partners can feel it during sexual intercourse

It can either be too wet for some people or it can absorb vaginal wetness and lead to dry sex

  • Prescription/Doctor Requirement

No prescription or doctor appointment is required for the birth control sponge.

Images by Billie and Johann LIBOT from Unsplash.