Dual Method Use Recommendations for Contraceptive Use RH TOC Dual Method Use Q.1. Current instructions recommend the use of the diaphragm with spermicide.
Research indicates the spermicide improves the contraceptive effectiveness.
Where possible, men should have a semen analysis before having intercourse without a back-up method. In some programs condom users are also advised to use a spermicide to increase effectiveness. Where possible, this idea has been incorporated into spermicidally lubricated condoms. Some providers urge pill users to have supplies of condoms as a back-up in the case of missed pills or when the pill user has run out of pills. This is a reasonable approach and provides a good opportunity for counseling on correct pill use.