Women have been using barrier contraceptives for more than 3,000 years. Ancient Egyptians, Greeks, and Romans inserted a mixture of herbs, tree resins, and honey or oil into their vaginas. Some African women used hollowed-out okra pods as a vaginal pouch, somewhat like the modern female condom. Roman women used goat bladders in a similar manner while their partners used various forms of animal membrane as sheaths for the penis.
Today, millions of women and men rely on modern forms of barrier contraception both to prevent pregnancy and more and more to protect themselves against sexually transmitted diseases such as gonorrhea and especially HIV. Many women also choose barrier contraceptives to avoid the potential side effects and risks associated with the Pill, the IUD, and other forms of birth control.
Most barrier contraceptives are simple to use and are available without a prescription. This chapter outlines the advantages and drawbacks of each of your options, from the familiar condom and diaphragm to new alternatives like the vaginal sponge and female condom.