Nonoxynol 9 Contraceptives: No Protection against HIV and Other STDs
The Food and Drug Administration wants to be sure that consumers know about new warnings on over-the-counter vaginal contraceptive products that contain the spermicide ingredient nonoxynol 9 (N9). These products include spermicidal gels, foams, films and inserts.
These warnings emphasize that nonoxynol 9 does not protect against infection from HIV, the virus that causes AIDS, or other sexually transmitted diseases. The warnings are intended to correct a mistaken impression that nonoxynol 9 protects against STD infection, including HIV/AIDS. In fact, using it may actually increase the risk of contracting HIV/AIDS from an infected partner, because nonoxynol 9 can irritate the vagina and rectum.
The new labeling makes several other points:
• Nonoxynol 9 contraceptive products are for vaginal use only, not rectal use. If you or your partner experience burning, itching, a rash or irritation of the vagina or penis, stop using it and talk to your doctor.
• You can use nonoxynol 9 for birth control if you are not at risk for getting HIV/AIDS i.e., you have sex with only one partner who is not infected with HIV and who has no other sexual partners or HIV risk factors.
• Don't use nonoxynol 9 spermicides if you or your partner have HIV/AIDS, or if you don't know whether you or your partner are infected, or if either of you has multiple sex partners or other HIV risk factors. Instead, use a condom that doesn't contain nonoxynol 9. Remember, when used correctly every time you have sex, latex condoms can greatly reduce, but don't eliminate the risk of catching or spreading HIV.
• And finally, talk to your doctor, pharmacist or other health care provider if you have questions about your options for birth control or about how to prevent infection with sexually transmitted diseases.
Additional Information:
FDA MedWatch Safety Alert. Nonoxynol 9 (N9) OTC Contraceptive Products. December 18, 2007.
http://www.fda.gov/medwatch/safety/2007/safety07.htm#Nonoxynol