Sunday, October 30, 2005

WHY A CONDOM?





The Male Condom
Condoms collect semen before, during,

and after a man ejaculates ("comes").
This can keep sperm from entering the
vagina.
Of 100 women whose partners use

condoms, about 15 will become
pregnant during the first year of typical use.*
Only two women will become pregnant
with perfect use.
** More protection against pregnancy
is possible if condoms are used with
a spermicide foam, cream, jelly,
suppository, or film.
They also protect both partners during

vaginal and anal sex from sexually
transmitted infection. Latex condoms
offer very good protection against HIV.
The Female Condom
The female condom is a reversible

barrier method of birth control. It is a
polyurethane (plastic) pouch with
flexible rings at each end. It is
inserted deep into the vagina like
a diaphragm. The ring at the closed
end holds the pouch in the vagina.
The ring at the open end stays
outside the vaginal opening.
The female condom collects semen

before, during, and after ejaculation,
keeping sperm from entering the
vagina and protecting against
pregnancy.
Of 100 women who use female
condoms, 21 will become pregnant
during the first year of typical use.
Five will become pregnant with
perfect use.
The female condom also reduces

the risk of many sexually
transmitted infections, including HIV.

How to Use Condoms
Handle condoms gently.

Store them in a cool, dry place.
Long exposure to air, heat, and
light makes them more breakable.
Do not stash them continually in a
back pocket, wallet, or glove
compartment.
Lubricate the inside and outside

of the condom.
(Many condoms are pre-lubricated.)
Lubrication helps prevent rips and
tears, and it increases sensitivity.
Use water-based lubricants,
such as K-Y jelly or AstroGlide, or
silicone-based lubricants, such as
Eros, with latex condoms.
DO NOT USE:

Oil-based lubricants like petroleum
jelly, cold cream, butter, or mineral
and vegetable oils damage latex.
Using condoms reduce the risk of
other sexually transmitted infections,
including gonorrhea, syphilis,
chlamydia, chancroid, trichomoniasis,
HPV, herpes, and pelvic inflammatory
disease (PID).
Condoms can also protect against
vaginitis caused by trichomoniasis
or changes in the pH balance of the
vagina that can be triggered by
semen.
The risk of passing a sexually
transmitted infection during oral sex
is lower than it is during vaginal or
anal intercourse. People who want
to further reduce the risk can use
condoms during oral sex.

Putting On a Condom
Detailed instructions for correct

use are included in the packaging
for the condom. Be sure to read
and understand them before you
use it.
For pleasure, ease, and
effectiveness, both partners should
know how to put on and use a
condom. To learn without feeling
pressured or embarrassed, practice
on your penis or a penis-shaped
object like a ketchup bottle, banana,
cucumber, or squash.
Guidelines:
-Put the condom on before the penis
touches the vulva.
Men leak fluids from their penises
before and after ejaculation.
Pre-ejaculate ("pre-cum") can carry
enough sperm to cause pregnancy.
It can also carry enough germs to
pass sexually transmitted infections.
-Use a condom only once. Use a

fresh one for each erection
("hard-on"). Have a good supply
on hand.
-Condoms usually come rolled into

a ring shape. They are individually
sealed in aluminum foil or plastic.
-Be careful — don't tear the condom
while unwrapping it. If it is torn,
brittle, stiff, or sticky, throw it
away and use another.
-Put a drop or two of lubricant

inside the condom.
-Pull back the foreskin, unless

circumcised, before rolling on
the condom.
-Place the rolled condom over

the tip of the hard penis.
-Leave a half-inch space at the

tip to collect semen.
-Pinch the air out of the tip with

one hand while placing it on the
penis.
-Unroll the condom over the

penis with the other hand.
-Roll it all the way down to the

base of the penis.
-Smooth out any air bubbles.

(Friction against air bubbles
can cause condom breaks.)
Lubricate the outside of the

condom.

Taking Off a Condom

-Pull out before the penis

softens.
-Don't spill the semen —

hold the condom against the
base of the penis while you pull
out.
-Throw the condom away.
-Wash the penis with soap and

water before embracing again.
-If a Condom Breaks ......

during intercourse, pull out
quickly and replace it.
-Men should be able to tell if a
condom breaks during intercourse.
To learn what it feels like, men
can break condoms on purpose
while masturbating.
... and semen leaks out, wash

the semen away with soap and
water.
... and semen leaks into the

vagina during a woman's fertile
period, ask a reproductive
health clinician for information
about starting emergency
contraception within 120 hours.

Sex Play, Pleasure,
and the Condom.
Many women and men say they
have better sex when they use
condoms. They are able to focus
on their sexual pleasure without
distractions about unintended
pregnancy and sexually transmitted
infection. Some couples put the
condom on as part of their foreplay.
Many men stay hard longer
when they use condoms.
Disadvantages
Some men and women feel that

the condom dulls sensation.
Others become frustrated and lose
some of their sexual excitement
when they stop to put on a
condom. Some men are
self-conscious about using
condoms. They feel pressured
about having to maintain an
erection to keep the condom on.
Others feel pressured to ejaculate.
Many overcome these pressures
and learn to enjoy using
condoms by using them during
sex play before intercourse.
Side Effects
Condoms have no side effects

except for people who are
allergic to latex. One to two
percent of women and men
have such allergies. They may
use plastic male or female
condoms instead.
How to Get Condoms

and What They Cost
Condoms are available in

drugstores, family planning clinics,
some supermarkets, and from
vending machines. They each
cost about $0.50, or less. Female
condoms cost about $2.50.
Some family planning centers
give them away or charge very little.
The cost in clinics or when
authorized by a private doctor is
covered by Medicaid in some states.
Don't Let Embarrassment Become

a Health Risk Nearly as many women
as men buy and carry condoms. And
many people use them — every time
they have sexual intercourse.
If you are embarrassed to talk with
your partner about using condoms,
practice before you are in a sexual
situation
Guidelines for Sex Partners:
1. Have each other's consent.
2. Never use pressure to get

consent.
3. Be honest with each other.
4. Treat each other as equals.
5. Be attentive to each other's

pleasure.
6. Protect each other against

physical and emotional harm.
7. Guard against unintended

pregnancy and sexually
t
ransmitted infection.
8. Be clear with each other

about what you want to do
and don't want to do.
9. Respect each other's limits.
10.
Accept responsibility for
your actions.
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