Use of Male Condoms

Use of Male Condoms

Although they’re not 100% effective as a contraceptive or as protection from STIs only abstinence is condoms improve your chances on both counts. Use them properly:

• Buy latex condoms. If you’re allergic to latex, use a polyurethane condom or wear a lambskin condom under a latex one.

• Buy and use condoms while they are fresh. Packages have an expiration date or a manufacturing date. Don’t use condoms beyond the expiration date or more than five years after the manufacturing date (two years if they contain spermicide).

• Try different styles and sizes. Male condoms come in a variety of textures, colors, shapes, lubricants, and sizes. Shop around until you find a brand that’s right for you. Condom widths and lengths vary by about 10-20%. A condom that is too tight may be uncomfortable and more likely to break; one that is too loose may slip off.

• Don’t remove the condom from its individual, sealed wrapper until you’re ready to use it. Open the packet carefully. Don’t use a condom if it is gummy, dried out, or discolored.

• Store condoms correctly. Don’t leave condoms in extreme heat or cold, and don’t carry them in a pocket or wallet.

• Use only water-based lubricants such as K-Y Jelly. Never use oil-based lubricants like Vaseline or hand lotion; they may cause the condom to break. Avoid oil-based vaginal products.

• Avoid condoms with lubricants containing the spermicide non-oxynol-9. N-9 causes tissue irritation that increases the risk of STI transmission.

• Use condoms correctly. Roll the condom down over the penis as soon as it’s erect. Squeeze the air out of the reservoir tip or the top half-inch of the condom as you unroll it to leave room for semen. Make sure there are no air bubbles. Remove it after ejaculation but before the penis becomes flaccid. Use a new condom every time you have intercourse.

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• Practice. Condoms aren’t hard to use, but practice helps. Take one out of the wrapper; examine it and stretch it to see how strong it is. Practice by yourself and with your partner.

Open the discussion of using condoms with your partner before you have sex. Despite the embarrassment most people feel at bringing up the subject at all, at least one study has shown that even if you have to insist on using condoms, your partner will like you more, respect you more, be more likely to want a long-term relationship with you, and feel that the sexual encounter was more intimate and meaningful.

Use of the Male Condom Place the rolled-up condom over the head of the erect penis. Hold the top half-inch of the condom (with air squeezed out) to leave room for semen. (b) While holding the tip, unroll the condom onto the penis. Gently smooth out any air bubbles. (c) Unroll the condom down to the base of the penis. (d) To avoid spilling semen after ejaculation, hold the condom around the base of the penis as the penis is withdrawn. Remove the condom away from your partner, taking care not to spill any semen. women who have been treated for chlamydia be retested three months after treatment is completed.

Gonorrhea

Gonorrhea is caused by the bacterium Neisseria gonor-rhoeae, which flourishes in mucous membranes. The CDC estimates that there are more than 820,000 new gonorrhea infections each year in the United States. The highest incidence is among 15- to 24-year-olds. Like chlamydia, untreated gonorrhea can cause PID in women and urethritis and epididymitis in men. It can also cause arthritis and rashes, and it occasionally involves internal organs. An infant passing through the birth canal of an infected mother may contract gonococcal conjunctivitis, an infection in the eyes that can cause blindness if not treated.

Symptoms In males, the incubation period for gonorrhea is brief, generally two to seven days. The first symptoms are due to urethritis, which causes urinary discomfort and a thick, yellowish-white or yellowish-green discharge from the penis. The lips of the urethral opening may become inflamed and swollen. In some cases, the lymph glands in the groin become enlarged and swollen. Many males have very minor symptoms or none at all.

Most females with gonorrhea are asymptomatic. Those who have symptoms often experience urinary pain, increased vaginal discharge, and severe menstrual cramps. Women may also develop painful abscesses in the Bartholin’s glands, a pair of glands located on either side of the opening of the vagina. Up to 40% of women with untreated gonorrhea develop PID.

Gonorrhea can also infect the throat of people who engage in oral sex or rectum of people who engage in anal sex. Gonorrhea symptoms in the throat may be a sore throat or

Pelvic inflammatory disease (PID) An TERMS

Infection that progresses from the vagina and cervix to the uterus, oviducts, and pelvic cavity.

Laparoscopy A method of examining the internal organs by inserting a tube containing a small light through an abdominal incision.

Human papillomavirus (HPV) The virus that causes human warts, including genital warts, and is responsible for many genital cancers.

Genital warts A sexually transmitted viral infection characterized by growths on the genitals, caused by HPV.

Genital herpes A sexually transmitted infection caused by the herpes simplex virus.

Pus on the tonsils, and those in the rectum may be pus or blood in the feces or rectal pain and itching.

Diagnosis and Treatment Several tests gram stain, detection of bacterial genes or DNA, or culture are available to detect gonorrhea. The physician may also collect samples of urine or cervical, urethral, throat, or rectal fluids.

Antibiotics can cure gonorrhea, but increasing drug resistance is a major concern. Today only one class of antibiotics, the cephalosporins, remains consistently effective against gonorrhea. People with gonorrhea often also have chlamydia, requiring additional antibiotics to treat chlamydia.

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