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.
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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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