II. Efficacy

  1. Overall Failure rate: 10-14% (3% with perfect use)
  2. Sexually Transmitted Disease transmission
    1. Cervical gonorrhea Relative Risk < 0.97
    2. Urethral gonorrhea Relative Risk < 0.51
    3. Pelvic Inflammatory DiseaseRelative Risk < 0.6
    4. HIV Transmission to partner: 10% (86% if no Condom)
  3. Avoid Condoms with Nonoxynol-9 (Gynol II)
    1. See Spermicide
    2. Increases risk of Gonorrhea and HIV Transmission

III. Risks of Breakage (occurrence: 1 in 161 acts)

  1. Shearing (5.9% with anal sex)
  2. Lack of lubrication
  3. Petroleum based lubricants (Vaseline, oils, fungicides)
  4. Hot, humid climates

IV. Types

  1. Latex
    1. Standard recommendation
  2. Natural membrane
    1. Does not prevent Sexually Transmitted Disease
    2. Use inside of latex Condom if Latex Allergy
  3. Polyurethane (e.g. Avanti, Tactylon)
    1. Less biodegradable
    2. Higher breakage rate (3.8% compared with 1.2% latex)
    3. Higher slippage rate (4.9% compared with 2.0% latex)
    4. Higher six month pregnancy rate
      1. Polyurethane Condoms: 9%
      2. Latex Condoms: 5.4%
    5. References
      1. Steiner (2003) Obstet Gynecol 101:539-47 [PubMed]

V. Sizes

  1. Length: 160-180 mm
  2. Flat Width: 49-52 mm
  3. Thickness: 0.04 - 0.07 mm

VI. Complications

  1. Allergic Reactions to latex
  2. Infection risk
    1. Risk if Condom left in vagina
    2. Urinary Tract Infection risk increased

VII. Top 10 Condoms on UCLA study of durability

  1. Mentor
  2. Ramses Sensitol
  3. Ramses non-lubricated
  4. Gold Circle Coin
  5. Gold circle
  6. Sheik Elite
  7. Durex Nuform
  8. Trojan-Enz
  9. Lifestyles Stimula
  10. Pleaser

VIII. Prevention of Condom breakage or slippage

  1. Be gentle
    1. Do not open package with knife or scissors
    2. Avoid tearing with teeth, rings or Fingernails
  2. Store in cool, dry place
    1. Do not store in glove compartment
    2. Avoid storing in wallet
    3. If kept in wallet, do not use after 1 month
  3. Check expiration date on package
  4. Hold Condom during withdrawal
  5. Apply Condom early in sexual encounter
  6. Avoid removing Condom until after ejaculation
  7. Have adequate Condom supply
  8. Do not reuse Condoms

IX. Management of Problems

  1. Condom breaks
    1. Wash vulva and anus
    2. Insert Spermicide in vagina
    3. Consider Emergency Contraception
  2. Latex Allergy
    1. Use Polyurethane Condom
    2. Woman latex allergic
      1. Use latex Condom inside of natural membrane Condom
    3. Man latex allergic
      1. Use natural membrane Condom inside of latex Condom

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Ontology: Condoms, Unspecified (C0677582)

Definition (UMD) Sheaths (covers), worn by a male or female, to provide a physical barrier between the penis and the vagina during coitus in order to prevent conception and/or disease transmission.
Definition (NCI) A contraceptive device consisting of a thin rubber or latex sheath worn over the penis during intercourse.
Definition (CSP) contraceptive device designed to fit over the penis or line the vagina and prohibit the transfer of sperm to the vagina; also used to impede the transfer of sexually communicable diseases.
Concepts Medical Device (T074)
SnomedCT 91202005
LNC LA6523-0, LA14543-5
English Condoms, CONDOM, condoms (medication), Condoms, Unspecified, condom, Condom, Condom, device, Condom, device (physical object), Prophylactic, condoms
Spanish condón, preservativo, condón (objeto físico)