Condoms

Condoms have been around for centuries and have been made from materials including paper, animal skins and rubber. Today's latex and polyurethane condoms lower the risk of transmitting sexually transmitted infections (STIs) or becoming pregnant. When used correctly and consistently, condoms continue to be the best protection against HIV and STIs. Read on to find out more about them.

What are condoms?

A condom is a sheath-like covering, usually made of a thin but strong latex rubber that fits over an erect penis. You have many choices when it comes to condoms. Some are lubricated with plain lube, flavored lube or spermicide, and they're also available without any lubricant. The options continue with a variety of specialty condoms: different shapes, colors, sizes and flavors. Just be sure the condom you choose says it prevents STIs and pregnancy.

Condoms made of latex are the most effective at STI prevention and are the most widely available type. Polyurethane condoms are also available and do provide good STI and pregnancy protection. Some condoms are made of animal skin, often called lambskin condoms. These "natural condoms" are effective for pregnancy prevention only. They do not provide protection against STIs because the pores in the animal skin are large enough to allow some bacteria or viruses to pass through the condom. Please note that when we discuss condoms effectiveness for STI prevention below, we are referring to latex or polyurethane condoms only.

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How do condoms work to prevent STIs and pregnancy?

Latex or polyurethane condoms help reduce the risk of STIs by preventing the exchange of fluids including semen, vaginal secretions, and blood during vaginal, anal or oral sex. A condom helps prevent pregnancy in the same way by preventing semen from entering the vagina.

How effective are condoms in preventing pregnancy and STIs?

When condoms are used perfectly for vaginal intercourse--this means used correctly each and every time a couple has sex--the chance of becoming pregnant is less than 3%. But, not every couple who uses condoms uses them every time and not every couple uses them correctly, so the average risk of becoming pregnant is 12%.

If you are concerned about the strength of your condom, a Consumer Reports study found that actual condom breakage is rare: 1 in 165 during vaginal sex and 1 in 105 during anal sex. When you take human error into account, failure rates would be higher. Using a condom correctly will decrease the chance of breakage.

Condoms are currently the best method of STI protection. When used correctly and consistently, condoms will greatly reduce your exposure to STIs.

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How do I use a condom?

Both you and your partner should know how to use a condom. If you have a penis, you can practice the steps to putting on a condom when you are alone. Masturbating while wearing a condom is a good way to get used to the feel and fit as well. If you don't have a penis, you can practice the steps below on a banana, zucchini or other similarly shaped object. This preparation will make the process smoother and easier when you use a condom with a partner.

The first thing to know is that you put the condom on when the penis is erect, before there is any contact between the penis and another person's body. Fluid released from the penis during the early stages of an erection can transmit STIs and may contain sperm.

Open carefully
Check the expiration date. To ensure the package has not been punctured, pinch the package to feel for the air bubble. Do not open the condom wrapper with scissors or your teeth. If the condom is brittle or sticky, throw it out and get a new one.

Apply lubricant
Lubricant will reduce the risk of your condom breaking during use. You can apply a tiny amount of lube to the inside tip of the condom and to the outside of it once you roll it down. Be careful when applying lube to the inside of the condom. Too much lube could cause the condom to slip off. NEVER use oil-based lubricants like hand cream, Vaseline, massage oil, or butter. These weaken latex condoms quickly, making them much more likely to leak or break. ONLY use water-based or silicone lubricants like Astroglide, Pjur, Wet or Liquid Silk.

Pinch, place, & roll down
Pinch air from the tip of the condom with your thumb and forefinger. This will reduce the chance of the condom breaking by leaving space at the tip of the condom to hold the ejaculate and preventing an air bubble from being trapped at the tip. Place the rolled up condom against the end of the hard penis. Unroll the condom down to the base of your penis with your other hand. If the condom was placed on the penis, but couldn’t roll down because it was inverted, make sure a new condom is used. If you flip the condom over, there is a chance that fluids from the tip of the penis are now on the outside of the condom.

Withdraw
Immediately after ejaculation and while the penis is still erect, hold the rim of the condom securely at the base of the penis and pull out. This will keep the condom from slipping off inside your partner and keep any semen from being spilled.

Don't Flush
Remove the condom from the penis, away from your partner's body. Wrap the condom in tissue and throw it away. Do not flush condoms down the toilet. They're not biodegradable and could block up your plumbing.

A new condom should be used each and every time you have vaginal, oral or anal sex. Never reuse a condom. For increased protection against breakage and against transmission of infection, use a new condom or dental dam when you switch between types of sexual activity (for example, from anal sex to vaginal sex).

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What should I do if the condom breaks?

If the condom breaks, tears or slips off during sex, there may be a chance that either partner has been exposed to an STI. You and your partner can make appointments to be tested at Health Services by calling 401.863-3953, or you can click here for more information on additional testing sites in Providence.

For couples concerned about pregnancy, a woman may want to consider using Emergency Contraception (EC). EC is available without a prescription at Health Services and should be taken within 120 hours (5 days) after unprotected vaginal intercourse, the sooner the better. Call Health Services at 401.863-1330 to find out if you should take EC.

What if I have an allergy to latex condoms?

People who have an allergy to latex can use a condom made of polyurethane plastic instead. A polyurethane condom has a looser fit, a longer shelf life and reportedly transmits more body heat through the condom.

Internal condoms (also called Reality or female condoms) are another option for people with latex allergy because they too are made of polyurethane rather than latex. You can visit our page on internal condoms for more information.

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How much do condoms cost and where can I get them?

We have a supply of condoms available for Brown students here in Health Services.Supplies are available in the 1st or 3rd floor bathrooms or in Health Education on the 3rd floor. The LGBTQ Resource Center in the Campus Center, the Sarah Doyle Women's Center, SHAG peer educators and RPLs in the residence halls also have safer sex supplies. All of our safer sex supplies are available at or below cost. For 15 cents/condom (7/$1) you can purchase:

  • lubed condoms
  • non-lubed condoms
  • flavored condoms

Lube is available for 25 cents and dental dams are 50 cents each.

And also available in Health Education:

You can also purchase condoms, dental dams, gloves and lube from the safer sex vending machine, located in J. Walter Wilson in the first floor bathroom at the end of the mailboxes hall. It takes exact change (dimes and quarters) only: 1 dime for a condom, 2 quarters for a dental dam, and 1 quarter for a packet of lube.

If you want to explore more options, check out the selection in local drugstores.

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Links you can use

Durex  
This entertaining site has information available on the different styles of condoms available, quizzes on how to decide which condom is best for you, and the "Durex Clinic" where commonly asked condom questions are answered.

Global Protection Corp.
At this site you can view a range of condoms that are available and find an online store where you can purchase them. You can also read "Myrtle's Journal" a question-and-answer page that addresses concerns about condoms and safer sex.  

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Disclaimer: BWell Health Promiotion is part of Health Services at Brown University. Health Promotion maintains this site as a resource for Brown students. This site is not intended to replace consultation with your medical providers. No site can replace real conversation. Health Promotion offers no endorsement of and assumes no liability for the currency, accuracy, or availability of the information on the sites we link to or the care provided by the resources listed. Health Services staff are available to treat and give medical advice to Brown University students only. If you are not a Brown student, but are in need of medical assistance please call your own health care provider or in case of an emergency, dial 911. Please contact us if you have comments, questions or suggestions.