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Canadian STI Guidelines
Page 37: Barriers to Condom Use and Means to Overcome These
Perceived Barrier |
Intervention Strategy |
Decreases sexual pleasure (sensation)
Note: Often perceived by those who have never used
a condom. |
- Encourage patient to try.
- Put a drop of water-based lubricant or saliva inside the tip of
the condom or on the glans of the penis prior to putting on the
condom.
- Try a thinner latex condom or different brand or more
lubrication.
|
| Decreases spontaneity of sexual activity |
- Encourage incorporation of condom use during foreplay.
- Remind patient that peace of mind may enhance pleasure for self
and partner.
|
| Embarrassing, juvenile, "unmanly" |
- Remind patient that it is "manly" to protect
one's self and others.
|
| Poor fit (too small or too big, slips off,
uncomfortable) |
- Smaller and larger condoms are available.
|
| Requires prompt withdrawal after ejaculation |
- Reinforce the protective nature of prompt withdrawal and
suggest substitution of other post-coital sexual activities.
|
Fear of breakage may lead to less vigorous
sexual activity |
- With prolonged intercourse, lubricant wears off and the condom
begins to rub. Have a water-soluble lubricant
available to reapply.
|
| Non-penetrative sexual activity |
- Condoms have been advocated for use during fellatio;
unlubricated condoms may prove best for this purpose due to the
taste of the lubricant.
- Other barriers such as dental dams or an unlubricated condom
cut down the middle to form a barrier have been advocated for use
during certain forms of non-penetrative sexual activity (e.g.,
cunnilingus and anolingual sex).
- Polyurethane condoms for women are commercially available in
Canada. See page 38.
|
| Allergy to latex |
- A natural skin condom can be used together with a latex condom
to protect the male or female from contact with latex.
|
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