Birth control – High school girls who used intrauterine devices and implants for long-acting reversible contraception were less likely to also use condoms compared with girls who used oral contraceptives, according to an article published online by JAMA Pediatrics.
Long-acting reversible contraception (LARC) is a promising strategy to reduce unintended pregnancies in teens. But LARC and other contraceptive methods, including oral contraceptives, don’t protect against sexually transmitted infections (STIs) and nearly half of all new STIs occur among young people in their teens and 20s. Guidelines recommend contraception to avoid pregnancy and a condom to prevent STIs, including the human immunodeficiency virus (HIV), for sexually active couples. However, such dual use is uncommon among adolescents.
It’s been a while since that awkward moment in health class when you learned how to put a condom on a banana. Whether you were actually paying attention or too preoccupied chatting with your friends (and avoiding saying the word “penis” at all costs), it’s possible you may have missed a thing or two about the proper way to wrap it up.
Now that you’re an adult, you may think you’ve mastered these simple sheaths. But believe it or not, the CDC estimates there’s a typical use failure rate of 18 percent. The takeaway: even as an adult, you’re not immune to teenage-status condom errors. However, when used correctly, condoms are 98 percent effective at preventing pregnancy, and they’re your best line of defense against STDs. To help you avoid joining that 18 percent, stop making these common mistakes.
Your health teacher wasn’t lying to you, “There’s plenty of sperm in pre-ejaculation,” says Lauren Streicher, MD, Associate Clinical Professor of Obstetrics and Gynecology at Northwestern University, and author of Sex Rx: Hormones, Health and Your Best Sex Ever. “So even if he doesn’t ejaculate, you’re still at risk of both pregnancy and a sexually transmitted infection.” In other words: quit procrastinating. As soon as you’re ready to get going, grab a condom.
Forgetting to check for damages
About 83 percent of women and 75 percent of men failed to check condoms before use in an Indiana University review of studies. We get it—in the heat of the moment, you aren’t thinking about much more than getting that condom on as quickly as possible. But before you assume that rubber is ready for action, take a beat to make sure the wrapper doesn’t look worn out and the condom isn’t sticky, brittle, discolored, or damaged. Also, if it expired back your college days, it’s time to trade up to a fresh box.
While it may seem pretty self-explanatory, there are plenty of ways to mess up the simple act of putting on a condom. So here’s a quick throwback to the banana lesson: After unwrapping the condom and checking that it’s not inside out, place the rolled tip on top of the penis. Then unroll it to completely cover the shaft. If you only bother going halfway down, you’ll be exposed to way more skin, putting you at risk of contracting (or transmitting) an STD. Also, while putting it on, pinch out excess air inside the condom and make sure you leave half an inch of space at the tip where semen can collect, reminds Dr. Streicher.
If one condom is great at preventing pregnancy and STDs, then two condoms should be even better, right? Definitely not. More is not merrier in this case. Layering two condoms can dramatically increase the chance of slipping off, especially if you’re using a lubricated type, explains Dr. Streicher. “If the first condom rolls off, then it usually takes the second one with it.”
Taking it off too soon
Just like waiting too long to put the condom on is problematic, so is taking it off too early. Yet, researchers from Indiana University found between 13.6 percent and 44.7 percent of individuals removed the condom before intercourse was over. Of course, pulling off protection puts you at risk of both STDs and pregnancy. So instead of giving up on a condom before you’ve reached the final act, consider trying out different kinds to figure out which one works best for you and your partner.
Buying the wrong size
Condoms aren’t a one-size-fits-all deal, and let’s face it, not every man is an XL (sorry, fellas). “There’s always that guy who buys the extra-gigantic condom, when he’s not,” says Dr. Streicher. When it comes to staying safe, it’s important to be realistic about size. If the condom is too small, it could break. If it’s too large, it could slip off during sex. The most important thing is not to focus on stroking your guy’s ego, but rather finding a condom that actually fits properly.
Forgetting about oral
You can’t get pregnant from oral sex, but you can still get an STD, says Dr. Streicher, which means you’ve still got to wrap it up. And here’s a trick they probably didn’t teach you in health class: women can use condoms when receiving oral as well. “Since no one ever uses dental dams, instead, take a condom and cut the tip off,” instructs Dr. Streicher. “This will give you a square to put over your vulva for protection.” If you decide to try out this tip (no pun intended), make sure you use an un-lubricated condom; otherwise the barrier will fly right off.
Using the wrong lube
Speaking of which, lube can be a great addition to your condom experience. Not only can it make sex more enjoyable, but it also helps prevent the latex from tearing or ripping. However, if you choose the wrong lubricant, it could spell disaster. “Not all lubricants are condom-compatible,” says Dr. Streicher. “Any oil-based product can cause break-down of condoms. You always want to stick with water-based or silicone-based, or a mixture of both.”
Storing them improperly
You were told in high school health class not to store condoms in your wallet. Well, that wasn’t just a myth to scare you into celibacy. All the bending and friction can cause tiny holes, rendering the rubber totally useless, and if you keep your wallet in your pocket, your body heat can also degrade the sheath. Instead, make sure you keep condoms in a cool, dry place away from sunlight or heat.
Not using one at all
You already know you need to be using condoms, but the advice is worth repeating: “Any time there’s skin-to-skin contact, you should really use a condom,” says Dr. Streicher. Educate yourself on the nine types of condoms, and stock up.