Vaginal Gel (Phexxi)
A hormone-free gel inserted before sex that lowers vaginal pH to prevent sperm from reaching the egg.
With perfect use, 7 out of 100 people who use Phexxi will get pregnant over a year. Perfect use means Phexxi is used correctly with each act of sex.
Most of the time, people don't use Phexxi correctly or every time they have sex. This is called typical use. With typical use, 14 out of 100 people who use Phexxi will get pregnant over a year.
You can also use another birth control method at the time of sex. We call this a Method Boost because it prevents pregnancy better than Phexxi alone. Method Boost options include the outer condom (penile), pull out, the cervical cap, and the diaphragm.
Do not use the inner condom (vaginal) at the same time as Phexxi because the condom will not stay in place.
Phexxi lowers the vaginal pH, which makes sperm weak and less likely to join an egg.
Phexxi comes in a ready-to-use applicator. You need to put in one full applicator before having penis-in-vagina sex. Using Phexxi is a lot like using a tampon or putting yeast cream in the vagina.
If a little gel is left in the applicator, don’t worry—you’ll still get the right amount if you pushed the plunger all the way. Check the package or Phexxi’s website if you need help.
After putting Phexxi in, it works right away and for up to 1 hour. It stays in place during sex and comes out slowly afterward, mixed with vaginal fluids and semen.
You need to put in a new applicator of Phexxi every time you have sex, even if it’s within the same hour. So, if you plan to have sex again, always use a fresh dose beforehand.
Because Phexxi has no hormones, it does not affect your period.
Phexxi is hormone free. It is safe for people who cannot use hormonal birth control. Phexxi is controlled by you, not your partner.
You have to remember to put it in before sex.
Phexxi is very safe. There are possible annoying side effects, like burning or irritation of the vagina or penis.
Though less common, others have reported getting yeast infections or UTIs (bladder infections).
No. However, correct use of condoms can prevent HIV and STIs.
You can get a prescription from your health care provider.
There are also online birth control services. A licensed health care provider will review your health history.
Phexxi can cost up to $300 a month.
If your insurance covers Phexxi, you may pay $0-$20
For more info about Phexxi: Planned Parenthood: Phexxi Contraceptive Gel