What is the appropriate management when a woman complains of genital irritation with spermicide use?
If genital irritation is a problem, steps should be taken to rule out STDs, vaginal moniliasis and bacterial vaginosis. If it is simply a “messy discharge” that is the concern, the use of spermicidal suppositories, film or bioadhesive jelly can be used. It is important however, to try to distinguish between latex sensitivity, lubricant sensitivity and spermicide sensitivity. Often the spermicide is not the cause for the woman’s genital irritation.
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