Condoms'Effectiveness  

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Effectiveness and Testing

Are condoms effective at preventing infection with the virus HIV?

Yes. Studies have shown that if a latex condom is used correctly every time you have sex, this is highly effective in providing protection against HIV.

The evidence for this is clearest in studies of couples in which one person is infected with HIV and the other not. i.e. "discordant couples". In a study of discordant couples in Europe, among 123 couples who reported consistent condom use, none of the uninfected partners became infected.1 In contrast, among the 122 couples who used condoms inconsistently, 12 of the uninfected partners became infected.

In the laboratory, latex condoms are very effective at blocking transmission of HIV because the pores in latex condoms are too small to allow the virus to pass through. However, outside of the laboratory condoms are less effective because people do not always use condoms properly.

How often do condoms fail?

There is no one answer to this, as different studies have shown different results. Many studies of condom effectiveness have counted how often women have become pregnant when their partners have used condoms for birth control. This "failure rate" includes cases where the couple did not use a condom every time they had sex, or they did not use the condom correctly. Some studies have included the times the condom was torn accidentally by the people using it.

How often do condoms break

In the United States most studies of breakage caused by defects in the condom itself, have shown the breakage rate is less than 2 out of every 100 condoms, probably less than 1 out of every 100. Studies in other countries have shown a breakage rate ranging from 0% to 7%.

 

How Are Condoms Tested?

In the United States the Food and Drug Administration (FDA) regulates condoms to ensure their safety and effectiveness. Manufacturers of American-made condoms, and condoms imported into the United States, have to test each condom electronically for holes and other defects.

Also, from each batch of condoms, some condoms will be selected randomly and given additional checks. These additional checks will often include a "water leak" test to find holes, and an "air burst" test to check condom strength.

 

1 De Vincenzi I. A longitudinal study of human immunodeficiency virus transmission by heterosexual partners.

 

 
 
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