FSRH | Barrier methods of contraception

28th September 2012 by Louise Hudman

This guideline is really just revision and I don’t think anyone has ever come in asking for information about condoms. However, I suppose that if we are being keen, when someone says ‘I’m using condoms’ for contraception, we should be checking that they are aware of the failure rates and, especially in young people, offering them information about safe condom use.

Failure rates with perfect use of male condoms is 2% per year (ie 2 women will fall pregnant a year). With typical use, the failure rate is 18%…

Anal Sex. For anal sex, use of lubricant greatly reduces the chance of breakage (from 21.4% to 3%). If inappropriate lubricant is used, the breakage rate is higher (eg oil based lubricant  7.7%, saliva 10.8%).

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