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How To Use Condoms

    Condom Fact Sheet

    Consistent and correct use of the male latex condom reduces the risk of sexually transmitted disease (STD) and human immunodeficiency virus (HIV) transmission. However, condom use cannot provide absolute protection against any STD. The most reliable ways to avoid transmission of STDs are to abstain from sexual activity, or to be in a long-term mutually monogamous relationship with an uninfected partner. However, many infected persons may be unaware of their infection because STDs often are asymptomatic and unrecognized.

    Condom effectiveness for STD and HIV prevention has been demonstrated by both laboratory and epidemiologic studies. Evidence of condom effectiveness is also based on theoretical and empirical data regarding the transmission of different STDs, the physical properties of condoms, and the anatomic coverage or protection provided by condoms.

    Laboratory studies have shown that latex condoms provide an effective barrier against even the smallest STD pathogens.

    Epidemiologic studies that compare rates of HIV infection between condom users and nonusers who have HIV-infected sex partners demonstrate that consistent condom use is highly effective in preventing transmission of HIV. Similarly, epidemiologic studies have shown that condom use reduces the risk of many other STDs. However, the exact magnitude of protection has been difficult to quantify because of numerous methodological challenges inherent in studying private behaviors that cannot be directly observed or measured.


    Theoretical and empirical basis for protection:
    Condoms can be expected to provide different levels of protection for various STDs, depending on differences in how the diseases or infections are transmitted. Male condoms may not cover all infected areas or areas that could become infected. Thus, they are likely to provide greater protection against STDs that are transmitted only by genital fluids (STDs such as gonorrhea, chlamydia, trichomoniasis, and HIV infection) than against infections that are transmitted primarily by skin-to-skin contact, which may or may not infect areas covered by a condom (STDs such as genital herpes, human papillomavirus [HPV] infection, syphilis, and chancroid).

    Consistent and Correct Condom Use
    To achieve maximum protection by using condoms, they
    must be used consistently and correctly.

    The failure of condoms to protect against STD/HIV transmission usually results from inconsistent or incorrect use,
    rather than product failure.

  • Inconsistent or nonuse can lead to STD acquisition
    because transmission can occur with a single sex act with
    an infected partner.
  • Incorrect use diminishes the protective effect of condoms
    by leading to condom breakage, slippage, or leakage.
    Incorrect use more commonly entails a failure to use
    condoms throughout the entire sex act, from start (of
    sexual contact) to finish (after ejaculation).
  • How to Use a Condom Consistently and Correctly

  • Use a new condom for every act of vaginal, anal and oral sex—throughout the entire sex act (from start to finish).
    Before any genital contact, put the condom on the tip of
    the erect penis with the rolled side out.
  • If the condom does not have a reservoir tip, pinch the tip
    enough to leave a half-inch space for semen to collect.
    Holding the tip, unroll the condom all the way to the base
    of the erect penis.
  • After ejaculation and before the penis gets soft, grip the rim
    of the condom and carefully withdraw. Then gently pull the
    condom off the penis, making sure that semen doesn’t spill
    out.
  • Wrap the condom in a tissue and throw it in the trash
    where others won’t handle it.
  • If you feel the condom break at any point during sexual
    activity, stop immediately, withdraw, remove the broken
    condom, and put on a new condom.
  • Ensure that adequate lubrication is used during vaginal and
    anal sex, which might require water-based lubricants.
    Oil-based lubricants (e.g., petroleum jelly, shortening,
    mineral oil, massage oils, body lotions, and cooking oil)
    should not be used because they can weaken latex, causing
    breakage.

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