The Truth About Condoms

Are Condoms still needed?

As an OBGYN, I discuss birth control and STD prevention on a regular basis, sometimes multiple times a day, and sometimes even multiple times with a single patient. Given all the different types of birth control, we often forget about condoms as an option. While it is true that condoms are not as effective at preventing pregnancy as other birth control methods like IUDs, implants, pills, patches, and injections, there are still benefits to using condoms including their practicality and effectiveness in protecting against sexually transmitted diseases (STDs).

Condoms are the oldest form of protection whose origin dates back to many centuries

In ancient Egypt and Rome, people would actually use linen sheaths to protect themselves from venereal diseases. Nowadays with advances in manufacturing and mass production, condom production has evolved greatly and continues to this day. Condom use and demand increased a result of the changing times with several major world events including World War I and the free spirit of the 1960s and 70s. Most recently condom use increased with the social awareness of new diseases like HIV in the 1980s and human papillomavirus (HPV). Condom companies have made millions of dollars producing and selling condoms. For example, Trojan, who makes over 70% of all U.S. condoms, brings in revenues of approximately $270 million annually.

Condoms prevent fluid transmission from one to another

Condoms are a type of barrier contraception that physically blocks sperm, semen, and other genital lesions from making contact with one’s partner. Condoms serve two main purposes. They can prevent pregnancy, although not as reliably as other birth control options (condoms are 85% effective with typical use as compared with >95% with other forms). More importantly, condoms protect against STDs including HIVGonorrheaChlamydiaTrichomonasSyphilis, Hepatitis B, and even HPV. In fact, the U.S. has the highest rate of STDs of any nation in the industrialized world with our youngest adults (ages 15–24) being hit the hardest. These teens and young adults account for only 25% of the sexually active individuals in our country but amount to just under 50% of all STD cases in the U.S.! Condoms are made of various materials including latex, polyurethane, and natural animal skin. Latex condoms are the most effective against STDs and therefore the most commonly used condom (over 80%).

Here are some benefits unique to condoms

  1. Condoms prevent STDs. This is their greatest utility. There is overwhelming evidence that condoms drastically decrease the transmission rates of STDs.
  2. Condoms are inexpensive. Most come in packs which usually cost less than $20. Some programs or clinics supply them at no cost at all.
  3. Condoms are readily accessible. They do not require any doctor appointments or prescriptions. Condoms can be purchased over the counter at any grocery store, pharmacy, or even gas stations.
  4. Condoms are convenient. Condoms are small in size, easily concealed, and ready for immediate use. They require no preparation prior to use.
  5. There is no delay in fertility after their use. Condoms are a good option for those couples who are not wanting to get pregnant right away but may want a family very soon. They are a highly reversible birth control option.

Condoms are an important option in preventing pregnancy and STD prevention. Protect yourself and your partner.

Thank you Sexography for publishing this article on Medium


By: Dr. Brian Enggano

Dr. Brian Enggano - OB/GYN