What are condoms?

A
condom is a tube made of thin, flexible material that is closed at one
end. Condoms have been used for hundreds of years to prevent pregnancy by
keeping a man's semen out of a woman's vagina. Condoms also help prevent
diseases that are spread by semen, vaginal fluids, blood or by contact
with infected sores in the genital area, including HIV. Most condoms are
made to go over a man's penis. A new type of condom was designed to fit a
woman's vagina. This "female" condom can also be used to protect the
rectum.
What are they made of?
Condoms used to be made of natural skin (including lambskin) or
of rubber. That's why they are called "rubbers". Most condoms today are
latex, but condoms made from polyurethane are also
available.
Lambskin condoms can prevent pregnancy. However, they
have tiny holes (pores) that are large enough for HIV to get through. Lambskin condoms do not prevent the spread of
HIV.
Latex is the most common material
for condoms. Viruses can not get through it. Latex is inexpensive and
available in many styles. It has two drawbacks: oils make it break down
(tiny holes may occur not visible to the eye) and some people are allergic
to it.
Polyurethane is a widely-available option for people who
are allergic to latex, but they are more pricey than latex.
How are condoms used?
Condoms can protect you during contact
between the penis, mouth, vagina, or rectum. Condoms won't protect you
unless you use them correctly.
-
Store condoms away from too much heat,
cold or friction. Do not keep them in a wallet or a car glove
compartment.
-
Check the expiration date. Don't use outdated
condoms.
-
Don't open a condom package with your teeth. Be careful that
your fingernails or jewelry don't tear the condom. Body jewelry in or
around your mouth, penis or vagina might also tear a condom.
-
Use a new
condom every time you have sex, or when the penis moves from the rectum to
vagina.
-
Check the condom during sex, especially if it feels strange,
to make sure it is still in place and unbroken.
-
Do not use a male
condom and female condom at the same time.
-
Use water-based lubricants with latex
condoms not oil-based. The oils in Crisco, butter, baby oil, Vaseline or cold cream
will make latex fall apart.
-
Use unlubricated condoms for oral sex
(most lubricants taste awful).
-
Do not throw condoms into a toilet.
They can clog plumbing.
The male condom is
readily available in drugstores. It is most often made of latex and if
used correctly is effective in preventing HIV transmission. Condoms can
provide substantial risk reduction if used correctly and
consistently:
-
Put the condom on when erect and BEFORE any CONTACT
-
For increased pleasure put some water based lubricant inside the tip
of the condom.
-
If you are not circumcised, push your foreskin back
before you put on a condom. This lets your foreskin move without breaking
the condom.
-
Squeeze the air out of the tip of the condom to leave
room for semen (cum) and unroll the rest of the condom down to the base of
the penis. Apply lube to the exterior (even with lubed condoms) of the
condom.
-
Do not use two condoms. Friction between the condoms
increases the chance of breakage.
-
Do NOT use oil-based oils, creams
or jellies
-
After orgasm, hold the base of the condom and pull out
before your penis gets soft.
-
Be careful not to spill semen onto your
partner when you throw the condom away.
The female condom is a sleeve of polyurethane with a closed end and larger open
end. There is a flexible ring in each end.

Unlike latex
condoms, polyurethane does not break down when exposed to heat and light,
so the female condom may be stored for up to 5 years. While they provide
women with more control in sexual encounters, they are not without
problems. They are more costly than male condoms, and some women complain
they are uncomfortable and noisy. Polyurethane is an option for people who
are allergic to latex, but only the female condom and one brand of male
condom are made of polyurethane.
Like the male condom, proper use is crucial
to the female condoms effectiveness:
-
Put the condom in place before
your partner's penis touches your vagina or rectum.
-
For use in the vagina, squeeze
the smaller ring and insert it into the vagina, like inserting a
diaphragm. The larger ring goes over the opening to the vagina to protect
the outside sex organs from infection.
-
For use in the rectum or anus,
remove the inner smaller ring. Put the condom over your partner's erect
penis. The condom will be inserted into the rectum along with the penis.
-
Guide
the penis into the large ring to avoid unprotected contact between the
penis and the partner's vagina or rectum.
-
Leave the outer ring and about
2cm of the SHEATH lying outside the vagina
-
Ensure that the penis is
inserted INSIDE (not underneath or beside) the sheath
-
ENSURE that the
outer ring is not pushed into the vagina during intercourse
-
After sex, remove
the condom before standing up. Twist the larger outer ring to keep the
semen inside. Gently pull the condom out and throw it away.
-
Remove the condom
IMMEDIATELY after use.
NOTE:
Lambskin
condoms can prevent pregnancy. However, they have tiny holes (pores)
that are large enough for HIV to get through.
Lambskin condoms do not
prevent the spread of HIV.
Nonoxynol-9 is a chemical that kills sperm
(a spermicide) used in lubricants and lubricated condoms. It can help
prevent pregnancy when it is used in the vagina along with condoms or
other birth control methods. Nonoxynol-9 should not be used in the mouth
or rectum.
Because nonoxynol-9 kills HIV in the test tube, it used to
be considered as a way to prevent HIV infection during intercourse.
Unfortunately, many people are allergic to it. Their sex organs (penis,
vagina and rectum) can get irritated and develop small sores that actually
make it easier for HIV infection to occur. We recommend not using condoms
with lubricant containing Non-9 since it is also known to break down latex
and increase the risk of HIV and STD infection.
Nonoxoynol-9
does not prevent the spread of HIV.
The bottom line:
When used correctly, condoms are
the best way to prevent the spread of HIV during sexual activity. Condoms
can protect the mouth, vagina or rectum from HIV-infected semen. They can
protect the penis from HIV-infected vaginal fluids and blood in the mouth,
vagina or rectum. They can also prevent other sexually transmitted
diseases.
Condoms must be stored, used and disposed of correctly. Male
condoms are used on the penis. Female condoms can be used in the vagina or
rectum.