Condoms, use

Abstinence is the best course of action, especially in patients with herpes during lesional episodes. However, compliance in some may be minimal, in which case, appropriate condom use should always be recommended. To alleviate any possible misconceptions about condom application, either demonstrate how to apply a condom or ask the patient to demonstrate. During the demonstration, explicitly educate the patient with regard to application, storage, and the use of lubricants.43... 

Subsequently, condom use and behavioral intervention have only been partially successful in reducing the transmission of HIV and other STDs, and so there is an urgent need for additional interventions. 

On condoms, he said "We have to be cautious about advocating condom use until we fully understand local cultural practices and attitudes." Dr. Okware concluded on a sad note "We are trying to improve palliative terminal care and general maintenance, including psychological and spiritual counseling with the help of church ministers. .. admittedly, there is little that can be done for the Patients."2... 

Another question is whether men should receive the vaccine, as they also experience symptoms of HPV infection. Given that genital warts are visible, men might be very motivated to receive such a vaccination. As one of the most ubiquitous of STDs, HPV is unlike any of the others. It can be spread even with condom use and sweeps through a population quickly, all of which should favor the use of a... 

Various physical barrier devices are available for contraceptive use by men and women. Modem barrier methods such as diaphragms, condoms, and cervical caps were made possible by the discovery of the vulcanisation of mbber. 

The male barrier contraceptive device is known as the condom, or mbber, and is widely available in most countries. The condom is a mbber or latex sheath, sometimes packaged with a lubricant and spermicide, which serves as a cover for the penis and a receptacle for semen. The method is very effective if the condom is of good quaUty, remains on, and is replaced for each subsequent intercourse. It was reported that 6 biUion condoms were used in 1990 (101). Usage appears to be increasing as adjunctive use with other methods of contraception for prevention of HIV or other sexually transmitted diseases. By rough estimate, condoms may have been used in more than 13 biUion acts of sexual intercourse that risked unwanted pregnancy, HIV, and/or other sexually transmitted diseases (101). 

Inform the primary health care provider immediately if sexual partner is or may become pregnant because additional measures such as discontinuing the drug or use of a condom may be necessary. 

In parts of the world (sub-Sahran African and southern and South-East Asia) the ADDS pandemic is out of control, with no effective chemotherapeutic agents and little prospect of a vaccine the prognoses are bleak for the millions of HIV-infected individuals. Sexual intercourse is now the main mode of infection and if the pandemic is to be contained, sexually active individuals have to be persuaded to reduce the niunbers of their sex partners and to practise safe sex using condoms. 

Personal preference plays a large role when determining the best contraceptive option. For instance, if a woman is not interested in using a method that will interrupt sexual activity, then a diaphragm would not be appropriate. Preference of the sexual partner may be important as well. Certain agents such as male condoms require the male partner to play an active role in contraception. 

Since the use of combined oral contraceptives may decrease the use of selected barrier contraceptive methods that do protect against STDs (e.g., latex condoms), one of the most common risks associated with the use of oral contraceptives is the risk of acquiring an STD.8... 

There appears to be an increased risk for the development of cervical cancer among long-term users of oral contraceptives.1 Whether or not this increase in risk can be attributed directly to the use of oral contraceptives is uncertain, however. Data suggest that oral contraceptive users, on average, tend to have more sexual partners and use condoms less frequently, and as a result, this may increase their susceptibility to becoming infected with human papilloma virus (HPV), a known risk factor for cervical cancer. 

Condoms, which are available for both male and female use, act as physical barriers to prevent pregnancy.44 Condoms are easy to use, available without a prescription, and inexpensive. Most condoms are made of latex. When used correctly, condoms can be very effective in prevention of unwanted pregnancy. Condoms... 

TP, a 22 year-old woman, presents to your office for a routine gynecologic examination. She entered menarche at the age of 12. Her last menstrual period was 3 months ago. Her periods are often irregular and occur about every 2 to 3 months. She has had all normal Pap smears in the past and no history of sexually transmitted infections. She is currently in a monogamous relationship with a male partner. She has had a total of four sexual partners. She is not taking oral contraceptives and does not routinely use condoms. She has never been pregnant in the past, but she plans on starting a family in the near future. As you examine the patient, you note facial and chest acne, increased facial and abdominal hair, and obesity. 

O In order to yield positive results in terms of counseling a patient, intimate, friendly and knowledgeable clinician contact is vital. Additionally, patients, especially adolescents, should be counseled on the importance of using condoms properly. 

Latices and solutions are used to produce adhesives, carpet backings, upholstery foam, gloves, condoms and medical devices such as catheters. NR is also frequently used in blends with other elastomers. 

The female condom (Reality) covers the labia as well as the cervix, thus it may be more effective than the male condom in preventing transmission of STDs. However, the pregnancy rate is reported to be 21% in the first year of use. 

Phenobarbital, carbamazepine, and phenytoin potentially reduce efficacy of OCs, and many anticonvulsants are known teratogens. The use of condoms in conjunction with high-estrogen OCs or intrauterine devices (IUDs) may be considered for women taking these drugs. 

Barriers condoms are the commonest form of mechanical contraception in use. Their use is important not only in contraception but in protection against infection by HIV and other sexually transmitted diseases (see below). It should be noted that diaphragms do not protect against such diseases. 

Rule 14 deals with devices used for contraception or the prevention of transmission of sexually transmitted diseases - Class 11b, for example, condoms, contraceptive diaphragms and if they are implantable or long-term invasive Class 111, for example, intrauterine devices. 

---