The Today Sponge is a small, round, polyurethane foam sponge containing nonoxynol-9, a spermicide. It’s designed to fit over the cervix, acting as both a barrier and a spermicide release mechanism for contraception. This over-the-counter method offers a convenient approach to family planning. The today sponge is disposable and comes with a woven loop for easy removal.
The today sponge works by releasing spermicide to kill sperm. The sponge itself acts as a physical barrier, preventing sperm from entering the uterus. It must be moistened with water before insertion to activate the spermicide. The concave shape of the sponge helps it fit snugly over the cervix. The today sponge provides protection for up to 24 hours and can be used for multiple acts of intercourse within that timeframe. Importantly, it should remain in place for at least six hours after the last act of intercourse.
The effectiveness of the today sponge varies. For women who have never given birth vaginally, typical use effectiveness is around 84%, while perfect use is about 91%. For women who have given birth vaginally, the effectiveness rates are lower, around 68% for typical use and 80% for perfect use. These rates are lower than some other contraceptive methods.
To use the today sponge correctly, thoroughly wet it with clean water and squeeze it until it becomes sudsy. Fold the sides upward to create a more narrow shape for insertion. With the loop hanging down, insert the sponge deep into the vagina, ensuring it covers the cervix. After at least six hours following intercourse, remove the sponge by pulling on the attached loop. Discard the sponge after use; do not flush it down the toilet.
The convenience of the today sponge is a major advantage. It’s available over-the-counter without a prescription, requires no fitting by a healthcare professional, and can be inserted well in advance of intercourse. It provides continuous protection for up to 24 hours, allowing for spontaneity.
However, the today sponge has some drawbacks. The spermicide can cause irritation or allergic reactions in some women. There’s a slightly increased risk of toxic shock syndrome if left in for too long. Importantly, the today sponge offers no protection against sexually transmitted infections (STIs). Consulting with a healthcare professional is recommended to discuss if the today sponge is the right contraceptive choice.
The today sponge is readily available at most drugstores and pharmacies in the United States without a prescription. While widely accessible, it’s important to be aware of its limitations and potential side effects.
