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Barriers and Spermicides Barriers and Spermicides

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Condoms (Male): Management of Side Effects

Condom Broken | Condom Breaks/Slips | Allergic Reaction to Condom | Allergic Reaction to Spermicide | Local Irritation | Diminished Pleasure
SIDE EFFECT/PROBLEM Condom broken or breakage suspected (before intercourse)
ASSESSMENT Check condom for a hole or demonstrable leak.
MANAGEMENT Discard and use new condom or use spermicide in conjunction with condom.

 

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SIDE EFFECT/PROBLEM Condom breaks or slips off during intercourse
ASSESSMENT
MANAGEMENT If condom breaks or leakage is suspected, consider using a method of emergency contraception (see Emergency Contraception chapter).

 

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SIDE EFFECT/PROBLEM Suspected allergic reaction (condom)
ASSESSMENT Rule out infection, allergic or mechanical reaction.
MANAGEMENT Allergic reactions, although uncommon, can be uncomfortable and possibly dangerous. If allergy, help the client choose another method.

 

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SIDE EFFECT/PROBLEM Suspected allergic reaction (spermicide)
ASSESSMENT Rule out infection, allergic or mechanical reaction.
MANAGEMENT Allergic reactions, although uncommon, can be uncomfortable and possibly dangerous. If symptoms persist after intercourse and no evidence of GTI, provide another spermicide or a nonmedicated condom or help client choose another method.

 

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SIDE EFFECT/PROBLEM Local irritation to the penis
ASSESSMENT Determine whether allergic or mechanical reaction present. Check for infection.
MANAGEMENT If allergic reaction apparent, ensure that condom is not medicated. If reaction persists, then consider natural condoms (lambskin or gut) or another method.

Note: Natural condoms do not provide protection against STDs (e.g., HBV, HIV/AIDS) and should not be used by those at risk.

 

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SIDE EFFECT/PROBLEM Diminished sexual pleasure
ASSESSMENT One or both partners complain(s) of decreased pleasure or sensation during intercourse.
MANAGEMENT If decreased sensitivity is not acceptable even with thinner condoms, help client choose another method.

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