What you can expect

To use the contraceptive sponge:

• Remove the sponge from its package. Moisten it with about 2 tablespoons (30 milliliters) of clean water and squeeze it gently until the sponge is sudsy. Water activates the spermicide inside the sponge.
• Insert the sponge. Find a comfortable position, such as squatting with legs slightly spread apart. Separate your labia with one hand. With your other hand, hold the sponge with the strap facing down and the dimple facing up. Fold the sides of the sponge upward. Point the folded sponge toward your vagina and use one or two fingers to slide the sponge into your vagina as far up as it will go. Be careful not to push your fingernail through the sponge while inserting it.
• Check the placement of the sponge. Slide your finger around the edge of the sponge to make sure your cervix is covered.
• Leave the sponge in place for at least 6 hours after sex. However, do not leave it in longer than 24 hours to reduce the risk of an infection.
• Remove the sponge. Gently pull on the strap. If you can't find the strap, bear down or grasp the sponge between your thumb and forefinger and pull. If your vaginal muscles are still holding the sponge tightly, wait a few minutes and try again. Slip a finger between the sponge and your cervix on one side to break any suction. Be careful not to push your fingernail through the sponge while removing it. Check the sponge for any tearing. If torn, run a finger around the upper part of your vagina to sweep out any remaining pieces of the sponge.
• Discard the used sponge. Place the used sponge in the trash. Don't flush it down the toilet. Never reuse a sponge.

Don't use the contraceptive sponge during your period. Douching isn't recommended. If you douche, wait until at least six hours after sex to avoid washing away spermicide. Don't douche while the sponge is in your vagina.

Contact your health care provider if:

• You have signs and symptoms of toxic shock syndrome, such as sudden high fever, diarrhea, dizziness, vomiting, fainting or a rash that looks like sunburn
• You have trouble removing the sponge or you're able to remove only part of the sponge