TABLE 4-1 Effects of Contraceptives on STDs and Pregnancy
|
|
STDs |
|
|
|
Contraceptive Method |
Bacterial |
Viral (including HIV/AIDS) |
Pregnancy |
|
Condoms |
Protective (if used for STD/HIV prophylaxis) |
Protective (if used for STD/HIV prophylaxis) |
Protective |
|
Sterilization |
Not protective (except against salpingitis) |
Not protective |
Highly protective |
|
Spermicides with nonoxynol-9 |
Protective against cervical gonorrhea and chlamydial infection; associated with increased risk of urinary tract infections and altered vaginal floraa |
No proven protection in vivo |
Protective |
|
Diaphragms |
Protective against cervical infection; associated with increased risk of altered vaginal florab |
Insufficient data |
Protective |
|
Oral contraceptives |
Associated with increased cervical chlamydial infection; protective against symptomatic pelvic inflammatory disease |
Not protective; some studies suggest increased risk for acquisition of HIV;c others show no effectd |
Highly protective |
|
Implantable/injectable contraceptives |
Not protective |
Not protective; some studies suggest increase risk for acquisition of HIV infectiond,e |
Highly protective |
|
IUDs |
Associated with pelvic inflammatory disease in first month after insertion |
Not protective |
Protective |
|
Rhythm method |
Not protective |
Not protective |
Protective |