STDs and Use of Condoms for Safe Sex

Everyone knows condoms prevent pregnancy and protect against sexually transmitted diseases. But how well do they work?

Safe-sex

On one side are abstinence advocates, including a conservative congressman who is blocking appointment of a new federal drug agency chief until the labels are changed. On the other side are "safe sex" advocates who fear label changes could undermine confidence in condoms and increase the spread of AIDS and other sexually transmitted diseases.

There really is no such thing as "safe" sex. The only truly effective way to prevent STDs is abstinence. Sex in the context of a monogamous relationship wherein neither party is infected with a STD also is considered "safe." Most people think that kissing is a safe activity. Unfortunately, syphilis, herpes, and other infections can be contracted through this relatively simple and apparently harmless act. All other forms of sexual contact carry some risk. Condoms are commonly thought to protect against STDs. Condoms are useful in decreasing the spread of certain infections, such as chlamydia and gonorrhea; however, they do not fully protect against other infections such as genital herpes, genital warts, syphilis, and AIDS. Prevention of the spread of STDs is dependent upon the counseling of at-risk individuals and the early diagnosis and treatment of infections.

However, experts say that consistent and correct use of male latex condoms can diminish (though not eliminate) the risk of STD. To achieve the maximum protection, condoms must be used both consistently and correctly.

Inconsistent use can lead to STD acquisition because transmission can occur with a single act of intercourse with an infected partner. Similarly, if condoms are not used correctly, the protective effect may be diminished even when they are used consistently.

The most reliable ways to avoid transmission of sexually transmitted diseases (STDs), including human immunodeficiency virus (HIV), are to abstain from sexual activity or to be in a long-term mutually monogamous relationship with an uninfected partner. However, many infected persons may be unaware of their infections because STDs are often asymptomatic or unrecognized.

Condoms

A male condom is a thin sheath placed over the erect penis just before sexual intercourse. Condoms, commonly called rubbers, are a very effective way to protect yourself and your partner from sexually transmitted diseases (STDs) and to prevent pregnancy. Condoms are simple to use, inexpensive and widely available.

Latex condoms, when used consistently and correctly, are highly effective in preventing the sexual transmission of HIV, the virus that causes AIDS. In addition, consistent and correct use of latex condoms reduces the risk of other sexually transmitted diseases (STDs), including diseases transmitted by genital secretions, and to a lesser degree, genital ulcer diseases. Condom use may reduce the risk for genital human papillomavirus (HPV) infection and HPV-associated diseases, e.g., genital warts and cervical cancer.

Condoms are usually made of latex, but some are made from polyurethane or lambskin. Latex and polyurethane condoms provide the most protection against sexually transmitted diseases. Condoms are available with or without a lubricant in a variety of lengths, shapes, widths and thicknesses - and even come in different colors. Some condoms are textured to enhance sensation.




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