In your book, you recommend use of two condoms if the couple has a history of breakage. But, that contradicts a central point of sex-safe curriculum; not using two condoms because friction between them can break them. So, this is my doubt. I’m pretty confused.
The sex curriculum is simply wrong. Sorry…
Use of two condoms…see below:
Trigger Question: Are two condoms ever recommended and if so, why?
Q: What is the evidence that 2 condoms may be used at once? Who does this? What are their reasons for doing this? What are the other things that can do done to prevent condom breakage? Are there some men and some women who have sexual intercourse in a manner that predisposes them to have repeated condom breaks or repeated condom slippage?
Typical condom breakage rates range from 0.5% to 6.7%. Falling-off rates range from 0.6% to 5.4%. More recently, attention has focused on condoms that slip down the penis but not completely off (partial slippage). [Albert -1995] [Warner 2004]
Legal prostitutes in
Here are the techniques prostitutes use to prevent breakage:
Among the most-cited techniques to prevent breakage were use of additional water-soluble lubricant (64%); monitoring the condition of the condom regularly throughout intercourse (20%); refraining from rough, vigorous sex (18%); using appropriately sized condoms (5%); and changing condoms during prolonged intercourse (5%). Many of these tips have previously been suggested to prevent condom breakage.
Use of multiple condoms simultaneously was also a frequently reported method (9%) to prevent breakage. Twenty-nine women (66%) reported that at least one client had worn two condoms concurrently during intercourse in the previous year, for a total of more than 5,000 concurrent uses. Eight women reported doubling up condoms during every act of commercial intercourse in the previous year. Visual inspection of the used condoms from the prospective trial revealed that condoms were doubled up in 10.8% of the 372 sexual episodes. Condoms were doubled up primarily to prevent breakage when women had experienced a prior condom break, when the client’s penis was very large, when the client presented with unidentifiable penile sores or track marks, when a thin condom was being used, and when the client requested it. To avoid friction, women reported applying additional lubricant between the condoms.
[Albert – 1995]
Albert reported a retrospective breakage rate much lower than other reported studies. There were 49 breaks reported in the course of 41,127 acts of intercourse (0.12%). This comes to a breakage rate of:
1 condom break per 849 acts of intercourse.
In her prospective study, 41 women used condoms during 353 acts of vaginal intercourse. A water based lubricant was used 89% of the time and oil-based lubricants were not used at all. There were no breaks at all (0/353) and lack of breakage was confirmed by visual inspection of all condoms by the senior author of the paper. (Condoms had been placed in zip-locked bags).
When women receive a license to be a prostitute in
A 1988 study found 5,000 cases of gonorrhea in
Although the actual exposure level of brothel workers to clients with HIV and other sexually transmitted disease infections is not known, the absence of HIV and other sexually transmitted diseases may be explained by the fact that clients are required to use condoms during every sexual act.
Clearly Albert has documented that use of 2 condoms in a high-risk group of women does not place them at risk for increased rates of condom breakage or increased rate of infection.
There is a final lesson to be learned from Albert’s fascinating study. Condom mishaps are not evenly distributed among all condom users. In the retrospective phase of Dr. Alexa Albert’s study, the 44 women relating their experience with condom breakage, slippage and falling off reported:
Of the 49 total breaks in the year prior to the study, 20 (41%) were reported by 1 woman. Fourteen of the 42 instances of slippage in the previous month (33%) were reported by another woman. Likewise, 48 of the 103 instances of slippage in the previous year (47%) were reported by only 3 women. [Albert-1995]
Summary: Use of two condoms is a common practice among legal prostitutes in
To learn more about the advantages and disadvantages of condoms, go to our website: www.managingcontraception.com and click on Choices. You can also order this wonderful new educational book from our website or by calling 404-875-5001. Do you have your copy yet?
Key Words: book, recommend, condoms, breakage, contradicts, central point, sex-safe, curriculum, friction, doubt, evidence, sexual intercourse, slippage, brothels, protection, prostitutes, HIV, infections, Dr. Alexa Albert
Posted 3-10-2013, Updated 10-28-2013