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STD Prevention Through
Education. Limited Testing,
and Treatment
Page 1


What You Need To Know About Condoms

Condoms have been around for centuries. Long enough, you would think, for experts to know how well they work. But condoms involve humans -- not just one but two. And they involve humans doing what humans do best -- have sex. And sex, alas, is rarely as simple or straightforward as one might expect.

Since the beginning of the AIDS epidemic, condoms have gotten more respect. Researchers have spent hundreds of hours and millions of dollars trying to know all there is about this simple device. Like why people don't use them. Why they break. How well they protect against different sexually transmitted diseases (STD,s). Or how new materials, like plastic, and new designs, like baggy tips, can improve the condom experience.
Researchers have learned much. But so many factors are involved when two humans have intimate contact that it is not easy to sort them out.
Nonetheless, they have come to some important conclusions that you need to keep in mind:

No. 1. The biggest problem with condoms is not that I they fail people but that peo ple fail them. Put another way, condoms breaking or leaking account for only a small portion of pregnancies and STDs. The real culprit is people not using them consistently.
No. 2. Inexperience is the main reason why condoms fail (i.e., break, leak, or slip off during use). Using condoms correctly takes some practice, yet most couples are on their own in learning the right technique. Condom failure explains why up to 15% of couples who use condoms for contraception will end up pregnant within a year.
No. 3. Condoms don't protect equally against all STDs. Consistent condom use is close to 100% protection against HIV. But some STDs, such as genital herpes and human papillomavirus (HPV), can be spread through skin-to-skin contact. Because condoms do not cover the entire genital area, these STDs can be transmitted even with condom use. Still, most experts agree that condoms do offer some level of protection even against these other STDS.
No. 4. Condoms tend to protect men from STDs better than women. The reason is not entirely clear. However, it is well established that women are more prone to STD infection because of their anatomy. This is just one more reason why consistent condom use is important.
No. 5. Males are less likely to have symptoms of STDs. Therefore, they are more likely to believe they are free of STDs.
No. 6 Like most things, condoms fall apart over time. Look at the expiration date on the condom foil. And avoid keeping condoms in your wallet -- the pressure and heat will shorten their life span.
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