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No. There is no evidence that different sizes will reduce breakage and slippage.
There is no need to provide more than one size latex condoms.
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Some condom users complain of condoms being too small or too large, and some researchers have presumed that breakage could be minimized if condoms were made in different sizes. One study evaluated breakage rates and acceptability of larger (55 mm flat diameter) and smaller (49 mm) condoms against the industry standard condom (52 mm). In three countries, breakage rates were 5.5% and 7.4% for the standard and larger devices, respectively. In three other countries, breakage rates were under 5% and similar for the standard and smaller condoms; slippage rates were also similar. Further, condom size had a minimal impact on device acceptability. Certain individuals might benefit from different condom sizes, but the impact has not been demonstrated, and it is not justified for a program to invest in multiple condom sizes.
- Feldblum P, Joanis C. Modern barrier methods: effective contraception and disease prevention. Research Triangle Park, NC: Family Health International, 1994.
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