What are the common side effects and complications associated with barrier methods like condoms and diaphragms that I should discuss with my patients?

Common side effects and complications associated with barrier methods such as condoms and diaphragms that should be discussed with patients include:

• Local irritation or allergic reactions, which may occur due to sensitivity to latex or spermicide used with diaphragms or condoms.
• Discomfort or difficulty with insertion and removal, particularly with diaphragms, which require correct fitting and placement.
• Potential for breakage or slippage, especially with condoms, which can reduce contraceptive effectiveness and increase risk of sexually transmitted infections (STIs).
• Increased risk of urinary tract infections (UTIs) with diaphragm use if not used properly or if left in place too long.
• Possible disruption of sexual spontaneity or reduced sensation, which some users may find problematic.

Healthcare professionals should provide information on correct use, including the use of water-based lubricants with condoms to reduce breakage risk, and advise on STI prevention benefits of condoms. They should also discuss management of common side effects and ensure patients understand the importance of consistent and correct use to maximise effectiveness and minimise complications.

This information supports informed decision-making and promotes safer sex practices.

NICE CG30,NICE