How to Use a Condom

How to Use a Condom
Incorrect use accounts for more rips and breaks in condoms than any other factor. If not used correctly, a condom can slip off or down the penis during intercourse. To use a condom correctly, do the following:

• Use a new condom for each sexual act (vaginal, anal, or oral intercourse).
• Do not put the condom on too late and do not take it off too early—leave it on from start to finish.
• Put the condom on as soon as erection occurs and before there is contact between the penis and the partner's vagina, anus, or mouth.
• Put the condom on by holding it at the tip and unrolling it onto the erect penis. Leave a small amount of space at the tip and make sure there is no air trapped there.
• Use water-based lubrication to prevent the condom from breaking. Do not use oil-based lubricants—they degrade latex.
• Withdraw immediately after ejaculation and hold the condom firmly to the base of the penis so it does not slip off.

Polyurethane Condoms for Women
HIV infections are increasing more rapidly among women, according to the NIH. Women contract the virus primarily through unprotected sex with an infected male partner.

Latex condoms provide adequate protection when used correctly and consistently, but they require the consent and cooperation of the male partner. Many men will not use condoms, and in many situations and cultures, women are not empowered to negotiate condom use or to say "No." How can women protect themselves if their male partner will not use latex condoms? Women may use the polyurethane condom for women.

Polyurethane condoms for women fit inside the vagina and cover some of the vulva, the area outside the vagina. They can be used with a water-based or oil-based lubricant. The NIH warns that there is not conclusive evidence that these condoms effectively prevent HIV transmission. Polyurethane condoms for women are expensive and some argue that, like men's condoms, they should be distributed free.

Nonoxynol-9 (N-9) is an ingredient found in contraceptive foams and jellies. Early in the AIDS epidemic, many activists advocated the use of N-9 with condoms, because N-9 is a viricide (substance that destroys viruses) that would decrease HIV transmission. However, recent studies show that the use of N-9 with a condom does not improve protection and may damage the mucosal lining of the vagina, increasing the risk for infection. Women who use N-9 without a condom have a 50% higher rate of infection.