Male Condoms: Effective Barrier Method for Pregnancy and STI Prevention

1. Pre-service Education on FP and AYSRH Session II, Topic 6 Male Condoms Male Condoms, Session II Topic 6 Slide 1

2. What is a Male Condom? • Effective barrier method that can be used for both prevention of pregnancy and protection against HIV and other sexually transmitted infections (STIs) • A sheath that fits over a man’s erect penis • Most made of thin latex rubber • Variety of sizes, colors, flavors, and textures are available. Male Condoms, Session II Topic 6 Slide 2

3. Male Condoms: Key Points for Providers and Clients Male Condoms, Session II Topic 6 Slide 3

4. Male Condoms: Key Points for Providers and Clients Male Condoms, Session II Topic 6 Slide 4

5. Contraceptive Effectiveness More effective Less effective In this progression of effectiveness, where would you place male condoms and female condoms? Male condoms Male Condoms, Session II Topic 6 Slide 5

6. Male Condoms:Effectiveness for Preventing HIV Correct and consistent use of condoms significantly reduces the risk of HIV infection in men and women. When used correctly with every act of sex, condoms prevent 80 to 95 out of 100 HIV infections that would have occurred without condoms. Source: Weller, 2002; WHO/RHR and JHU/CCP, 2011; Boily, 2009; FHI, 2007; Minnis 2005. Male Condoms, Session II Topic 6 Slide 6

7. Safe and easy to use Widely available Effective for preventing pregnancy and STIs when used consistently and correctly No hormonal side effects Can be used as backup method of contraception Can help men with premature ejaculation Do not require provider’s help Protect women from PID, cervical cancer Available in a variety of sizes, flavors and textures Characteristics of Male Condoms Male Condoms, Session II Topic 6 Slide 7

8. Characteristics of Male Condoms As commonly used, less effective than many other methods Require partner communication and cooperation Require motivation to put on before any physical contact occurs Latex condoms can be damaged by oil-based lubricants, heat, humidity or light May reduce sensation (continued) Male Condoms, Session II Topic 6 Slide 8

9.      How to Use a Male Condom Use a new condom for each sex act. Check package for date and damage. Tear open carefully. Before any physical contact, place condom on tip of peniswith rolled rim facing away from body. Unroll condom all the wayto base of penis. Throw away used condom properly After ejaculation, hold rim of condom so it will not slip off, and withdraw penis from vagina while still erect. Slide condom off, avoid spilling semen. Male Condoms, Session II Topic 6 Slide 9

10. Male Condoms: Practices to Avoid • Condom breakage or slippage is rare • Avoid: • Unrolling the condom in advance • Using oil-based lubricants • Using condoms that may be old or damaged (dried out, brittle, sticky) • Reusing condoms • Practicing dry sex Male Condoms, Session II Topic 6 Slide 10

11. Characteristics Correcting myths, misperceptions, fears How to use; demonstration Importance of correct and consistent use Common problems; practices to avoid Lubricants Where to get more condoms Use of ECPs, if needed How to talk with partner about condoms Counseling about Male Condoms:Key Counseling Topics Male Condoms, Session II Topic 6 Slide 11

12. Follow-Up Visits • Ask how the client is doing with the method. Ask about questions or concerns. • Ask if they are having any problems using condoms correctly and every time they have sex. • Give the client more condoms, and ask them to return before supply runs out. Remind them of other places they can get condoms. • Ask a long-term client about major life changes that may affect her needs; plans for having children or STI/HIV risk. Male Condoms, Session II Topic 6 Slide 12

13. Male Condoms: Summary • Safe and easy to use • Protect from both pregnancy and STIs/HIV • Female condom can be initiated by woman • Require partner’s cooperation Male Condoms, Session II Topic 6 Slide 13