The Today Sponge is a small, round, polyurethane foam sponge containing the spermicide nonoxynol-9. Designed to fit over the cervix, it acts as both a barrier and a spermicide release mechanism for contraception. This over-the-counter method offers convenient family planning. Disposable and with a woven loop for easy removal, the Today Sponge is a popular choice.
The Today Sponge works by releasing spermicide to kill sperm and acting as a physical barrier, preventing sperm from entering the uterus. Moisten it with water before insertion to activate the spermicide. Its concave shape ensures a snug fit over the cervix. Providing protection for up to 24 hours and usable for multiple acts of intercourse within that time, it must remain in place for at least six hours after the last act.
Effectiveness varies. For women who haven’t given birth vaginally, typical use effectiveness is around 84%, and perfect use is about 91%. For women who have given birth vaginally, effectiveness is lower: around 68% for typical use and 80% for perfect use. These rates are lower than some other contraceptive methods.
To use it correctly, wet the sponge thoroughly with clean water and squeeze until sudsy. Fold the sides upward to narrow it for insertion. With the loop down, insert it deep into the vagina, covering the cervix. After at least six hours post-intercourse, remove it by pulling the loop. Discard after use; do not flush.
A major advantage is convenience. Available over-the-counter without a prescription, it requires no fitting by a healthcare professional and can be inserted well before intercourse. It provides continuous protection for up to 24 hours, allowing for spontaneity.
However, there are drawbacks. The spermicide may cause irritation or allergic reactions. There’s a slightly increased risk of toxic shock syndrome if left in too long. Importantly, it offers no protection against sexually transmitted infections (STIs). Consult a healthcare professional to discuss if it’s the right choice for you. The Today Sponge is readily available at most chemists and pharmacies in Australia without a prescription. While accessible, be aware of its limitations and potential side effects.