“font-size: 9.0pt; font-family: Verdana;”>E.O. wants to

know:

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“font-family: Verdana;”>I recently discovered “female condoms” and

was wondering if they are as effective as “male” condoms at

reducing the risk of STDs? Can they be used for anal sex? If so –

is there a risk of them getting lost? (Yikes!) If you have a

particularly aggressive partner, I’d be worried about losing the

condom… Aren’t they – in effect – magnum size condoms with wider

ends? And why are they so expensive? Is this just another option or

am I missing the picture?

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“font-size: 9pt; font-family: Verdana;”>The answer comes

from Healthy Living News via Dr. Eva Hersh,

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Chief Medical Officer at Chase Brexton Health Services in

Baltimore.

After a

slow start when they were first introduced, female condoms, sold

under several brand names (Reality FC2 is the market leader) are

becoming more widely used by both straight and gay couples to

prevent STD’s from vaginal and anal intercourse, as well as by

straight couples to prevent pregnancy. They can be purchased in

condom sale areas of pharmacies and large groceries, or on line

(search “buy female condom.”)

“font-size: 9.0pt; font-family: Verdana;”>The female condom is a

thin, flexible plastic tube 7 inches long, with a small removable

ring at the base and a 3-inch non-removable ring at the opening,

which sits outside the vagina or anus. This outer ring, which is

too large to accidentally push inside, is the reason the female

condom cannot “get lost”. Female condoms are made of nitrile, a

synthetic material that resembles latex. Checked on-line, the price

of female condoms is $1.80 to $2.50 each. No prescription is

needed. Although some studies have shown it may be safe to wash and

re-use them, female condoms are not approved to be re-used. With

average use, they are 80 percent effective in preventing pregnancy

(not quite as good as male condoms.)

Most male condoms are made of latex rubber. (Some are made of

lambskin and some are polyurethane.) The nitrile material of the

female condom is both thinner and stronger than latex, so it is

less likely to rip or tear. Nitrile is safe for people with latex

allergies. Because the female condom sits loosely in the vagina or

rectum rather than fitting snugly like a male condom, the penis

should be inserted using the hand (of either partner) to make sure

the penis sits inside the condom rather than alongside it. Male and

female condoms should not be used together: friction between the

two can cause one or both to tear.

Female condoms are effective in preventing sexually transmitted

infections like HIV, hepatitis B, gonorrhea, and Chlamydia. Because

they cover the receiving partner’s external genitals (the labia or

the skin around the anus) female condoms are a little more

effective than male condoms in preventing infections that are

transmitted via skin contact rather than through semen. Examples of

skin-contact transmitted STD’s include syphilis, herpes and HPV,

the virus that causes warts  and cervical cancer.

People can feel awkward using the female condom at first. It

usually takes a few tries to get comfortable inserting it. Because

it can be put in as much as 8 hours before intercourse, there is no

need to interrupt sex. Unlike latex male condoms, any type of

lubricant, whether water, silicone or oil based, is safe to use

with female condoms. Using lubricant placed both on the inside and

outside of the condom, is important with female condoms: if not

enough is used, the condom may slip in and out during sex and can

make crackling sounds, which can be distracting. The current

condoms are much less “noisy” than the original ones made of

polyurethane were – the switch from polyurethane to nitrile was

made in 2006, so if you tried one and didn’t like it before 2006,

try a new one and see what you think now.

As you suggested, the condom can slip out with vigorous sex,

particularly if the receiving partner is on top. If this happens,

the condom should be immediately removed and a new one put in.

Unlike the male condom, use of the female condom does not require a

fully erect penis, so it’s not necessary for the inserting partner

to pull out immediately after ejaculation.

Female condoms are not FDA approved for anal sex, although they are

often used and are recommended by clinicians, especially to prevent

HIV in couples who don’t use male condoms. There can be more

slipping, discomfort, and rectal bleeding when the female condom

rather than the male condom is used for anal

intercourse.

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“font-size: 9.0pt; font-family: Verdana;”>Do you have a

health-related question? Let us hear from you. Email your question

to

“color: black;”>yourhealthmatters@stlamerican.com

.

Rather

than a personal reply, a health professional will provide an answer

that we will share with all readers in a future issue of Your

Health Matters.

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