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Condoms

To prevent sexually transmitted infections as well as pregnancy you must use a barrier method of contraception.

What are they?

Condoms are barrier methods that prevent sperm meeting an egg. There are male and female condoms. Condoms are made of latex (rubber) or polyurethane (plastic).

How reliable are they?

Effectiveness depends on how carefully they're used. Male condoms are 98 per cent effective when used according to instructions. This means that using this method, two women in 100 will get pregnant in a year. Female condoms are 95 per cent effective. This means five women in 100 will get pregnant in a year.

How are male condoms used?

Male condoms fit over a man's erect penis. They should be used before any close genital contact. Once the man has 'come' but before the penis goes soft, he must withdraw holding the condom firmly in place to avoid spilling any sperm. The condom is then removed and should be disposed of carefully.

How are female condoms used?

Female condoms are put into the vagina and line it loosely when in place. The closed end of the condom is inserted high into the vagina. The open, outer ring lies just outside the vagina. After sex the condom is removed by twisting the outer ring to keep the sperm inside and pulling it out. It should be disposed of carefully.

Advantages:

Disadvantages:

Condom allergy

Although in the past condom allergy was thought to be a poor excuse used by men when they didn't want to use a condom, it has become clear recently that the problem is real.

In many cases the problem seems to be an allergy to rubber. Hypoallergenic condoms are now available made from polyurethane instead of latex. Another possibility is a sensitivity to the spermicide that lubricates the condom. If you experience any rash or irritation after intercourse, try using a condom without nonoxynol-9 or 11 spermicide to see if that helps.

For many people, a lack of lubrication is the underlying cause of the irritation. The friction caused by dry skin surfaces makes sex uncomfortable. The solution is to use extra lubricant during foreplay and intercourse. This should be water-based. Oil-based lubricants react with the condom, breaking down and weakening the latex.

To avoid dryness and the friction it brings, 'jel-charge' the condom. Expel the air from the tip of the condom, put lubricant inside the top and massage it over the penis as you role the condom on. This not only solves the problem of dryness but also heightens the sensation experienced during intercourse.

Where can I get condoms?

Advice and support

Call fpa's helpline on 0845 122 8690.

This article was last reviewed in July 2007.

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