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PocketGuide for Family Planning Service Providers

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Condoms (Male): Counseling Outline

METHOD Thin sheaths made of rubber, vinyl or natural products which may be treated with a spermicide for added protection. They are placed on the penis once it is erect.

Condoms differ in such qualities as shape, color, lubrication, thickness, texture and addition of spermicide (usually nonoxynol-9).

Types

  • Latex (rubber)
  • Plastic (vinyl)
  • Natural (animal products)

Mechanisms of Action

  • Prevent sperm from gaining access to female reproductive tract
  • Prevent microorganisms ( STDs) from passing from one partner to another (latex and vinyl condoms only)

Condoms

APPROPRIATE FOR
  • Men who wish to participate actively in family planning
  • Couples who need contraception immediately
  • Couples needing a temporary method while awaiting another method (e.g., implants, IUD or voluntary sterilization)
  • Couples needing a backup method
  • Couples who have intercourse infrequently
  • Couples in which either partner has more than one sexual partner, even if using another method
  • Women/men at risk for STDs (e.g., HBV, HIV/AIDS)
METHOD CHARACTERISTICS: BENEFITS
  • Effective immediately
  • Do not affect breastfeeding
  • Can be used as backup to other methods
  • No method-related health risks
  • No systemic side effects
  • Widely available (pharmacies and community shops)
  • No prescription or medical assessment necessary
  • Inexpensive (short-term)

Noncontraceptive Benefits

  • Promote male involvement in family planning
  • Only family planning method that provides protection against STDs (latex and plastic condoms only)
  • May prolong erection and time to ejaculation
  • May help prevent cervical cancer
METHOD CHARACTERISTICS: LIMITATIONS
  • Moderately effective (2–12 pregnancies per 100 women during the first year of use)
  • Effectiveness as contraceptives depends on willingness to follow instructions
  • User-dependent (require continued motivation and use with each act of intercourse)
  • May reduce sensitivity of penis, making maintenance of erection more difficult
  • Disposal of used condoms may be a problem
  • Adequate storage must be available at client's home
  • Supplies must be readily available before intercourse begins
  • Resupply must be available

 

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