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Zimbabwe
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Fertility
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Female Urogenital Diseases
Safer sex strategies for women: the hierarchical model in methadone treatment clinics. (1/77)
Women clients of a methadone maintenance treatment clinic were targeted for an intervention aimed to reduce unsafe sex. The hierarchical model was the basis of the single intervention session, tested among 63 volunteers. This model requires the educator to discuss and demonstrate a full range of barriers that women might use for protection, ranking these in the order of their known efficacy. The model stresses that no one should go without protection. Two objections, both untested, have been voiced against the model. One is that, because of its complexity, women will have difficulty comprehending the message. The second is that, by demonstrating alternative strategies to the male condom, the educator is offering women a way out from persisting with the male condom, so that instead they will use an easier, but less effective, method of protection. The present research aimed at testing both objections in a high-risk and disadvantaged group of women. By comparing before and after performance on a knowledge test, it was established that, at least among these women, the complex message was well understood. By comparing baseline and follow-up reports of barriers used by sexually active women before and after intervention, a reduction in reports of unsafe sexual encounters was demonstrated. The reduction could be attributed directly to adoption of the female condom. Although some women who had used male condoms previously adopted the female condom, most of those who did so had not used the male condom previously. Since neither theoretical objection to the hierarchical model is sustained in this population, fresh weight is given to emphasizing choice of barriers, especially to women who are at high risk and relatively disempowered. As experience with the female condom grows and its unfamiliarity decreases, it would seem appropriate to encourage women who do not succeed with the male condom to try to use the female condom, over which they have more control. (+info)Effectiveness of an intervention promoting the female condom to patients at sexually transmitted disease clinics. (2/77)
OBJECTIVES: This study evaluated a behavioral intervention designed to promote female condoms and reduce unprotected sex among women at high risk for acquiring sexually transmitted diseases (STDs). METHODS: The effect of the intervention on barrier use was evaluated with a pretest-posttest design with 1159 female STD clinic patients. RESULTS: Among participants with follow-up data, 79% used the female condom at least once and often multiple times. More than one third of those who completed the study used female condoms throughout follow-up. Use of barrier protection increased significantly after the intervention, and high use was maintained during a 6-month follow-up. To account for attrition, the use of protection by all subjects was projected under 3 conservative assumptions. The initial visit and termination visit projections suggest that use increased sharply after the intervention and declined during follow-up but remained elevated compared with the baseline. CONCLUSIONS: Many clients of public STD clinics will try, and some will continue, to use female condoms when they are promoted positively and when women are trained to use them correctly and to promote them to their partners. A behavioral intervention that promotes both female and male condoms can increase barrier use. (+info)Female condom use among women at high risk of sexually transmitted disease. (3/77)
CONTEXT: Whereas the female condom has been evaluated in many hypothetical acceptability or short-term use studies, there is little information about its suitability for the prevention of sexually transmitted diseases (STDs) or HIV over extended periods of time. METHODOLOGY: As part of a six-month prospective follow-up study of 1,159 STD clinic patients, clients were interviewed during their initial visit, exposed to a behavioral intervention promoting condoms, given a physical examination and provided with instructions on completing a sexual diary. Potential predictors of trying the female condom were evaluated using logistic regression, and three condom-use groups (exclusive users of female condoms, exclusive users of male condoms and users of both types of condoms) were compared using multinomial regression. RESULTS: Among 895 women who reported having engaged in vaginal intercourse during the study period, one-half had sex with only one partner, while one-quarter each had two partners or three or more partners. A total of 731 women reported using the female condom at least once during the follow-up period--85% during the first month of follow-up. Multiple logistic regression analyses indicated that employed women and those with a regular sexual partner at baseline were significantly more likely to try the female condom. By the end of the follow-up period, 8% of participants had used the female condom exclusively, 15% had used the male condom exclusively, 73% had used both types of condom and 3% had used no condoms. Twenty percent of women who tried the female condom used it only once and 13% used it twice, while 20% used 5-9 female condoms and 32% used 10 or more. Consistent condom users (N=309) were predominantly users of both types of condom (75%), and were less often exclusive users of the male condom (18%) or the female condom (7%). According to a multivariate analysis, women who used the female condom exclusively or who mixed condom types were more likely to be black, were more likely to be employed and were more likely to have a regular partner than were users of the male condom. CONCLUSIONS: Women at risk of STDs find the female condom acceptable and will try it, and some use it consistently. Mixing use of female condoms and male condoms may facilitate consistent condom use. The female condom may improve an individual's options for risk reduction and help reduce the spread of STDs. (+info)Culture, sexuality, and women's agency in the prevention of HIV/AIDS in southern Africa. (4/77)
Using an ethnographic approach, the authors explored the awareness among women in southern Africa of the HIV epidemic and the methods they might use to protect themselves from the virus. The research, conducted from 1992 through 1999, focused specifically on heterosexual transmission in 5 sites that were selected to reflect urban and rural experiences, various populations, and economic and political opportunities for women at different historical moments over the course of the HIV epidemic. The authors found that the female condom and other woman-controlled methods are regarded as culturally appropriate among many men and women in southern Africa and are crucial to the future of HIV/AIDS prevention. The data reported in this article demonstrate that cultural acceptability for such methods among women varies along different axes, both over time and among different populations. For this reason, local circumstances need to be taken into account. Given that women have been clearly asking for protective methods they can use, however, political and economic concerns, combined with historically powerful patterns of gender discrimination and neglect of women's sexuality, must be viewed as the main obstacles to the development and distribution of methods women can control. (+info)The female condom: tool for women's empowerment. (5/77)
International and US experience with the female condom has shown that the device empowers diverse populations of women, helping them negotiate protection with their partners, promoting healthy behaviors, and increasing self-efficacy and sexual confidence and autonomy. This commentary reflects on some approaches that have been taken to study empowerment and makes several observations on the political and scientific initiatives needed to capitalize on this empowerment potential. Women's interest in the female condom indicates a need for more women's barrier methods to be made available. For some women, cultural proscriptions against touching the genitals may create initial hesitancy in trying these methods. But the disposition of regulatory agencies and the attitudes of health care providers has unfortunately exaggerated this reticence, thereby effectively reducing access to these methods. Also, lack of important detail in clinical studies restricts our capacity to introduce the female condom, or similar methods, under optimal conditions. Future trials should prioritize community-based designs and address a range of other critical health and social issues for women. Women's need for HIV/AIDS prevention technologies remains an urgent priority. Both political and scientific efforts are needed to realize the public health potential embodied in the female condom. (+info)Intention to use the female condom following a mass-marketing campaign in Lusaka, Zambia. (6/77)
OBJECTIVES: This report examines intention to use the female condom among men and women in Lusaka, Zambia, who were exposed to mass-marketing of the female condom. METHODS: The study used data from a representative sample of consumers at outlets that sell or distribute the female condom and the male condom. RESULTS: In spite of a high level of awareness of the female condom, use of this method in the last year was considerably lower than use of the male condom. Intention to use the female condom in the future was highest among respondents who had used only the female condom in the last year. CONCLUSIONS: The female condom is likely to be most important for persons who are unable or unwilling to use the male condom. (+info)Baseline STD prevalence in a community intervention trial of the female condom in Kenya. (7/77)
OBJECTIVE: We present baseline sexually transmitted disease (STD) prevalence rates from an ongoing intervention trial at Kenyan agricultural sites. METHODS: After gaining the cooperation of management, we identified six matched pairs of tea, coffee, and flower plantations and enrolled approximately 160 women at each site. Six intervention sites received an information programme and distributed female and male condoms, while six control sites received male condoms only and similar information about them. At clinic visits, we tested participants for cervical gonorrhoea (GC) and Chlamydia trachomatis (CT) by ligase chain reaction on urine specimens, and Trichomonas vaginalis (TV) by culture. The study has 80% power to detect a 10% prevalence difference during follow up, assuming a combined STD prevalence of 20%, 25% loss to follow up and intracluster correlation coefficient (ICC) of 0.03. RESULTS: Participants at intervention and control sites (total 1929) were similar at baseline. Mean age was 33 years, the majority were married, more than half currently used family planning, 78% had never used male condoms, and 9% reported more than one sexual partner in the 3 months before the study. Prevalences of GC, CT, and TV were 2.6%, 3.2%, and 20.4% respectively (23.9% overall), and were similar at intervention and control sites. The ICC for STD prevalence was 0.0011. Baseline STD was associated with unmarried status, non-use of family planning, alcohol use, and more than one recent sexual partner, but the highest odds ratio was 1.5. CONCLUSIONS: Baseline results confirm a high prevalence of trichomoniasis and bacterial STD at these Kenyan rural sites. Improved STD management is urgently needed there. Our ongoing female condom intervention trial is feasible as designed. (+info)Choice of female-controlled barrier methods among young women and their male sexual partners. (8/77)
CONTEXT: Little is known about the factors associated with the choice of female-controlled, over-the-counter barrier contraceptive methods among women and their male sexual partners. METHODS: Predictors of method choice were assessed following an educational presentation on contraceptive use and risk reduction among 510 sexually active females aged 15-30 who were recruited in the San Francisco Bay Area. In addition, the primary partners of 160 of these women participated in the survey RESULTS: Twenty-two percent of women who enrolled in the study alone, 25% of those who enrolled with their main partner and 18% of these male partners chose female-controlled, over-the-counter barrier methods alone. The strongest predictor of this choice was current use of a hormonal contraceptive both for women who participated in the study on their own (odds ratio, 2.1) and for those who enrolled their partner in the study (odds ratio, 6.3). Female-controlled methods were also chosen significantly more often by teenagers than by older women; for example, among those who enrolled with a male partner, the odds ratio for selection of a female-controlled barrier method by women younger than 18 was 6.0. Among women who enrolled without a partner, those who had had multiple partners in the previous six months and those who were current users of male condoms were less likely to choose female-controlled methods (odds ratios, 0.7 and 0.5, respectively). CONCLUSIONS: Although the majority of participants did not choose female-controlled, over-the-counter barrier methods without also choosing male condoms, such female-controlled methods appear to offer an acceptable alternative for prevention of sexually transmitted infections. They may be a particularly attractive option for individuals using hormonal contraceptives and for teenage women. (+info)STDs can cause a range of symptoms, including genital itching, burning during urination, unusual discharge, and painful sex. Some STDs can also lead to long-term health problems, such as infertility, chronic pain, and an increased risk of certain types of cancer.
STDs are usually diagnosed through a physical exam, blood tests, or other diagnostic tests. Treatment for STDs varies depending on the specific infection and can include antibiotics, antiviral medication, or other therapies. It's important to practice safe sex, such as using condoms, to reduce the risk of getting an STD.
Some of the most common STDs include:
* Chlamydia: A bacterial infection that can cause genital itching, burning during urination, and unusual discharge.
* Gonorrhea: A bacterial infection that can cause similar symptoms to chlamydia.
* Syphilis: A bacterial infection that can cause a painless sore on the genitals, followed by a rash and other symptoms.
* Herpes: A viral infection that can cause genital itching, burning during urination, and painful sex.
* HPV: A viral infection that can cause genital warts and increase the risk of cervical cancer.
* HIV/AIDS: A viral infection that can cause a range of symptoms, including fever, fatigue, and weight loss, and can lead to AIDS if left untreated.
It's important to note that some STDs can be spread through non-sexual contact, such as sharing needles or mother-to-child transmission during childbirth. It's also important to know that many STDs can be asymptomatic, meaning you may not have any symptoms even if you are infected.
If you think you may have been exposed to an STD, it's important to get tested as soon as possible. Many STDs can be easily treated with antibiotics or other medications, but if left untreated, they can lead to serious complications and long-term health problems.
It's also important to practice safe sex to reduce the risk of getting an STD. This includes using condoms, as well as getting vaccinated against HPV and Hepatitis B, which are both common causes of STDs.
In addition to getting tested and practicing safe sex, it's important to be aware of your sexual health and the risks associated with sex. This includes being aware of any symptoms you may experience, as well as being aware of your partner's sexual history and any STDs they may have. By being informed and proactive about your sexual health, you can help reduce the risk of getting an STD and maintain good sexual health.
HIV (human immunodeficiency virus) infection is a condition in which the body is infected with HIV, a type of retrovirus that attacks the body's immune system. HIV infection can lead to AIDS (acquired immunodeficiency syndrome), a condition in which the immune system is severely damaged and the body is unable to fight off infections and diseases.
There are several ways that HIV can be transmitted, including:
1. Sexual contact with an infected person
2. Sharing of needles or other drug paraphernalia with an infected person
3. Mother-to-child transmission during pregnancy, childbirth, or breastfeeding
4. Blood transfusions ( although this is rare in developed countries due to screening processes)
5. Organ transplantation (again, rare)
The symptoms of HIV infection can be mild at first and may not appear until several years after infection. These symptoms can include:
1. Fever
2. Fatigue
3. Swollen glands in the neck, armpits, and groin
4. Rash
5. Muscle aches and joint pain
6. Night sweats
7. Diarrhea
8. Weight loss
If left untreated, HIV infection can progress to AIDS, which is a life-threatening condition that can cause a wide range of symptoms, including:
1. Opportunistic infections (such as pneumocystis pneumonia)
2. Cancer (such as Kaposi's sarcoma)
3. Wasting syndrome
4. Neurological problems (such as dementia and seizures)
HIV infection is diagnosed through a combination of blood tests and physical examination. Treatment typically involves antiretroviral therapy (ART), which is a combination of medications that work together to suppress the virus and slow the progression of the disease.
Prevention methods for HIV infection include:
1. Safe sex practices, such as using condoms and dental dams
2. Avoiding sharing needles or other drug-injecting equipment
3. Avoiding mother-to-child transmission during pregnancy, childbirth, or breastfeeding
4. Post-exposure prophylaxis (PEP), which is a short-term treatment that can prevent infection after potential exposure to the virus
5. Pre-exposure prophylaxis (PrEP), which is a daily medication that can prevent infection in people who are at high risk of being exposed to the virus.
It's important to note that HIV infection is manageable with proper treatment and care, and that people living with HIV can lead long and healthy lives. However, it's important to be aware of the risks and take steps to prevent transmission.
The symptoms of AIDS can vary depending on the individual and the stage of the disease. Common symptoms include:
1. Fever
2. Fatigue
3. Swollen glands
4. Rash
5. Muscle aches and joint pain
6. Night sweats
7. Diarrhea
8. Weight loss
9. Memory loss and other neurological problems
10. Cancer and other opportunistic infections.
AIDS is diagnosed through blood tests that detect the presence of HIV antibodies or the virus itself. There is no cure for AIDS, but antiretroviral therapy (ART) can help manage the symptoms and slow the progression of the disease. Prevention methods include using condoms, pre-exposure prophylaxis (PrEP), and avoiding sharing needles or other injection equipment.
In summary, Acquired Immunodeficiency Syndrome (AIDS) is a severe and life-threatening condition caused by the Human Immunodeficiency Virus (HIV). It is characterized by a severely weakened immune system, which makes it difficult to fight off infections and diseases. While there is no cure for AIDS, antiretroviral therapy can help manage the symptoms and slow the progression of the disease. Prevention methods include using condoms, pre-exposure prophylaxis, and avoiding sharing needles or other injection equipment.
HIV seropositivity is typically diagnosed through a blood test called an enzyme-linked immunosorbent assay (ELISA). This test detects the presence of antibodies against HIV in the blood by using specific proteins on the surface of the virus. If the test is positive, it means that the individual has been infected with HIV.
HIV seropositivity is an important diagnostic criterion for AIDS (Acquired Immune Deficiency Syndrome), which is a condition that develops when the immune system is severely damaged by HIV infection. AIDS is diagnosed based on a combination of symptoms and laboratory tests, including HIV seropositivity.
HIV seropositivity can be either primary (acute) or chronic. Primary HIV seropositivity occurs when an individual is first infected with HIV and their immune system produces antibodies against the virus. Chronic HIV seropositivity occurs when an individual has been living with HIV for a long time and their immune system has produced antibodies that remain in their bloodstream.
HIV seropositivity can have significant implications for an individual's health and quality of life, as well as their social and economic well-being. It is important for individuals who are HIV seropositive to receive appropriate medical care and support to manage their condition and prevent the transmission of HIV to others.
IV drug use can cause a range of short-term and long-term health problems, including infections, abscesses, blood-borne illnesses such as HIV/AIDS and hepatitis, and overdose. In addition to physical health issues, IV substance abuse can also lead to mental health problems, financial and legal problems, and social isolation.
Treatment for IV substance abuse typically involves a combination of behavioral therapy and medication. Behavioral therapies such as cognitive-behavioral therapy (CBT) and contingency management can help individuals modify their drug-seeking behaviors and develop coping skills to maintain sobriety. Medications such as methadone, buprenorphine, and naltrexone can also be used to manage withdrawal symptoms and reduce cravings for drugs.
Prevention strategies for IV substance abuse include education and awareness campaigns, community-based outreach programs, and harm reduction services such as needle exchange programs. These strategies aim to reduce the initiation of IV drug use, particularly among young people and other vulnerable populations.
Types of Substance-Related Disorders:
1. Alcohol Use Disorder (AUD): A chronic disease characterized by the excessive consumption of alcohol, leading to impaired control over drinking, social or personal problems, and increased risk of health issues.
2. Opioid Use Disorder (OUD): A chronic disease characterized by the excessive use of opioids, such as prescription painkillers or heroin, leading to withdrawal symptoms when the substance is not available.
3. Stimulant Use Disorder: A chronic disease characterized by the excessive use of stimulants, such as cocaine or amphetamines, leading to impaired control over use and increased risk of adverse effects.
4. Cannabis Use Disorder: A chronic disease characterized by the excessive use of cannabis, leading to impaired control over use and increased risk of adverse effects.
5. Hallucinogen Use Disorder: A chronic disease characterized by the excessive use of hallucinogens, such as LSD or psilocybin mushrooms, leading to impaired control over use and increased risk of adverse effects.
Causes and Risk Factors:
1. Genetics: Individuals with a family history of substance-related disorders are more likely to develop these conditions.
2. Mental health: Individuals with mental health conditions, such as depression or anxiety, may be more likely to use substances as a form of self-medication.
3. Environmental factors: Exposure to substances at an early age, peer pressure, and social environment can increase the risk of developing a substance-related disorder.
4. Brain chemistry: Substance use can alter brain chemistry, leading to dependence and addiction.
Symptoms:
1. Increased tolerance: The need to use more of the substance to achieve the desired effect.
2. Withdrawal: Experiencing symptoms such as anxiety, irritability, or nausea when the substance is not present.
3. Loss of control: Using more substance than intended or for longer than intended.
4. Neglecting responsibilities: Neglecting responsibilities at home, work, or school due to substance use.
5. Continued use despite negative consequences: Continuing to use the substance despite physical, emotional, or financial consequences.
Diagnosis:
1. Physical examination: A doctor may perform a physical examination to look for signs of substance use, such as track marks or changes in heart rate and blood pressure.
2. Laboratory tests: Blood or urine tests can confirm the presence of substances in the body.
3. Psychological evaluation: A mental health professional may conduct a psychological evaluation to assess symptoms of substance-related disorders and determine the presence of co-occurring conditions.
Treatment:
1. Detoxification: A medically-supervised detox program can help manage withdrawal symptoms and reduce the risk of complications.
2. Medications: Medications such as methadone or buprenorphine may be prescribed to manage withdrawal symptoms and reduce cravings.
3. Behavioral therapy: Cognitive-behavioral therapy (CBT) and contingency management are effective behavioral therapies for treating substance use disorders.
4. Support groups: Joining a support group such as Narcotics Anonymous can provide a sense of community and support for individuals in recovery.
5. Lifestyle changes: Making healthy lifestyle changes such as regular exercise, healthy eating, and getting enough sleep can help manage withdrawal symptoms and reduce cravings.
It's important to note that diagnosis and treatment of substance-related disorders is a complex process and should be individualized based on the specific needs and circumstances of each patient.
Symptoms of gonorrhea in men include:
* A burning sensation when urinating
* Discharge from the penis
* Painful or swollen testicles
* Painful urination
Symptoms of gonorrhea in women include:
* Increased vaginal discharge
* Painful urination
* Painful intercourse
* Abnormal vaginal bleeding
Gonorrhea can be diagnosed through a physical exam and laboratory tests, such as a urine test or a swab of the affected area. It is typically treated with antibiotics.
If left untreated, gonorrhea can cause serious complications, including:
* Pelvic inflammatory disease (PID) in women
* Epididymitis (inflammation of the tube that carries sperm) in men
* Infertility
* Chronic pain
* Increased risk of HIV transmission
Gonorrhea is a reportable disease, meaning that healthcare providers are required by law to report cases to public health authorities. This helps to track and prevent the spread of the infection.
Prevention methods for gonorrhea include:
* Safe sex practices, such as using condoms or dental dams
* Avoiding sexual contact with someone who has gonorrhea
* Getting regularly tested for STIs
* Using pre-exposure prophylaxis (PrEP) for HIV prevention
It is important to note that gonorrhea can be asymptomatic, meaning that individuals may not experience any symptoms even if they have the infection. Therefore, regular testing is important for early detection and treatment.
Examples of viral STDs include:
1. HIV (Human Immunodeficiency Virus): HIV attacks the body's immune system, making it harder to fight off infections and diseases. It can be spread through sex, sharing needles, or mother-to-child transmission during pregnancy, childbirth, or breastfeeding.
2. Herpes Simplex Virus (HSV): HSV causes genital herpes, which can cause painful blisters and sores on the genitals. It can be spread through skin-to-skin contact with an infected person.
3. Human Papillomavirus (HPV): HPV can cause genital warts, as well as cancer of the cervix, vulva, vagina, penis, or anus. It is usually spread through skin-to-skin contact with an infected person.
4. Hepatitis B Virus (HBV): HBV can cause liver disease and liver cancer. It is usually spread through sex, sharing needles, or mother-to-child transmission during childbirth.
5. Hepatitis C Virus (HCV): HCV can cause liver disease and liver cancer. It is usually spread through sex, sharing needles, or mother-to-child transmission during childbirth.
Preventing the spread of viral STDs includes:
1. Practicing safe sex, such as using condoms and dental dams.
2. Getting vaccinated against HPV and Hepatitis B.
3. Avoiding sharing needles or other drug paraphernalia.
4. Being in a mutually monogamous relationship with someone who has been tested and is negative for STDs.
5. Regularly getting tested for STDs, especially if you have a new sexual partner or engage in risky behavior.
6. Using condoms and other barrier methods consistently and correctly during all sexual activities.
7. Avoiding sexual contact with someone who has symptoms of an STD.
8. Being aware of your own sexual health status and the status of your partners, and being open and honest about your sexual history and any STDs you may have.
9. Seeking medical attention immediately if you suspect you or a partner has an STD.
10. Following safe sex practices and taking precautions to prevent the spread of STDs can help reduce the risk of developing these infections.
It's important to note that not all STDs have symptoms, so it's possible to have an STD and not know it. Regular testing is important for early detection and treatment, which can help prevent long-term health problems and the spread of infection.
* Vaginal discharge (in women) or abnormal semen (in men)
* Itching, burning, or redness of the genitals
* Painful urination
* Discomfort during sex
* Abdominal cramps
If left untreated, trichomoniasis can lead to complications such as pelvic inflammatory disease (PID) in women and epididymitis in men. The infection can also increase the risk of HIV transmission.
Trichomoniasis is typically diagnosed through a physical examination and a wet preparation, where a sample of vaginal fluid is examined under a microscope for the presence of the parasite. Treatment involves antiparasitic medications such as metronidazole or tinidazole, which are effective in eliminating the infection. It's important to treat both partners simultaneously to prevent re-infection.
Prevention measures for trichomoniasis include:
* Safe sexual practices such as using condoms and dental dams
* Avoiding sexual contact during outbreaks
* Practicing good hygiene and drying the genital area after sexual activity
* Getting regular STI tests
It's important to note that trichomoniasis can be a recurring infection, so it's important to practice safe sex and get regular check-ups to prevent re-infection.
1. Urinary Tract Infections (UTIs): These are infections that occur in the bladder, kidneys, or urethra, and can cause symptoms such as burning during urination, frequent urination, and abdominal pain.
2. Overactive Bladder (OAB): This condition is characterized by sudden, intense urges to urinate, often with urgency and frequency.
3. Interstitial Cystitis/Bladder Pain Syndrome (IC/BPS): This chronic condition causes pain and discomfort in the bladder and pelvic area, and can lead to increased urination and frequency.
4. Vaginal Infections: These are infections that occur in the vagina and can cause symptoms such as itching, burning, and abnormal discharge.
5. Vulvodynia: This chronic condition is characterized by pain and discomfort in the vulva, and can be caused by a range of factors including infection, inflammation, or nerve damage.
6. Endometriosis: This is a condition in which tissue similar to the lining of the uterus grows outside the uterus, causing symptoms such as pelvic pain, heavy menstrual bleeding, and infertility.
7. Polycystic Ovary Syndrome (PCOS): This is a hormonal disorder that can cause symptoms such as irregular menstrual periods, cysts on the ovaries, and excess hair growth.
8. Vaginal Prolapse: This occurs when the muscles and tissues in the vagina weaken, causing the vagina to protrude into the vulva or rectum.
9. Menorrhagia: This is a condition characterized by heavy, prolonged menstrual periods that can cause anemia and other complications.
10. Dyspareunia: This is pain during sexual activity, which can be caused by a range of factors including vaginal dryness, cervical narrowing, or nerve damage.
These are just a few examples of the many conditions that can affect the vulva and vagina. It's important to note that many of these conditions can have similar symptoms, so it's important to see a healthcare provider for an accurate diagnosis and appropriate treatment.
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Attitudes Towards the Female Condom | Data Share 2.0
CDP Research: Increasing Contraception Options for Women | NICHD - Eunice Kennedy Shriver National Institute of Child Health...
Vaginal7
- Although it's been years since the mother of two from the southern Indian city of Hyderabad last used a commercially available condom, she still faces toxic side-effects of regular condom use, including vaginal itching, drying and urinary tract infection. (vice.com)
- The purpose of this report was to examine recent trends in condom use during vaginal (sexual) intercourse and measure the prevalence of condom use, alone or in combination with another contraceptive method. (cdc.gov)
- The female safety, and integral no-good, is a popular way to help save as opposed to irritation from vaginal, anal and initiate dental problems sexual. (linkhospitals.in)
- The female condom, a vaginal pouch worn during sex, is currently the most effective woman-initiated barrier method to prevent HIV and other sexually transmitted infections. (icrweb.org)
- Bone turnover markers in women participating in a dose-finding trial of a contraceptive vaginal ring releasing Nestorone and estradiol. (nih.gov)
- Research showed that women with high HIV-transmission risk had a lower incidence of HIV acquisition if they consistently used a vaginal ring delivering dapivirine. (nih.gov)
- The purpose of this IAA is to conduct prostate-specific antigen (PSA) biomarker testing on approximately 1800 samples post-coital vaginal fluids and female condoms as part of a contraceptive efficacy trial being conducted by NICHD. (nih.gov)
Pregnancy20
- The female condom protects against pregnancy. (medlineplus.gov)
- Allows a woman to protect herself from pregnancy and STIs without relying on the male condom. (medlineplus.gov)
- However, sterilized women were somewhat less likely (71%) than nonsterilized women (90%) to believe that condoms prevent pregnancy (p=0.02). (cdc.gov)
- Both the female and the male condom function the same: It is a sheath that should be worn during sexual intercourse in order to prevent unintended pregnancy and to lessen the risk of sexually transmitted diseases (STDs). (dummies.com)
- It is a contraceptive device used by women that protects against both pregnancy and sexually-transmitted diseases (STDs) including HIV infection. (nih.gov)
- But when we would go back to using condoms to avoid pregnancy, the pain and skin irritation in my nether region would come back. (vice.com)
- Similarly, condoms can reduce the risk of pregnancy but have one of the highest rates of contraceptive failure of any contraceptive method. (cdc.gov)
- It is important to note that there are many factors associated with condom nonuse, such as being in a monogamous relationship, using hormonal or other methods to prevent pregnancy or trying to get pregnant. (cdc.gov)
- Several thousand female old fashioned paper more significant simplicity and commence look for stability, with only one ease of avert pregnancy typically the boyfriend condoms advertisment. (linkhospitals.in)
- This 4-year study sought to enhance HIV prevention by increasing community-wide availability, accessibility, and support for use of the female condom to reduce transmission of HIV and other sexually transmitted infections as well as pregnancy. (icrweb.org)
- If a condom breaks or slips, semen can get through, making the condom less likely to prevent pregnancy or STDs . (kidshealth.org)
- How Well Do Condoms Work to Prevent Pregnancy? (kidshealth.org)
- 15 out of 100 typical couples who use male condoms will have an accidental pregnancy. (kidshealth.org)
- A new condom should be used each time a couple has sex and it must be used from start to finish to protect against pregnancy and STDs. (kidshealth.org)
- As their risk factors increase, these women have contraindications to most hormonal contraceptive methods, yet they face even higher risks from pregnancy. (nih.gov)
- Options are limited for those women wishing to avoid pregnancy. (nih.gov)
- Protection from sexually transmitted infections (including HIV / AIDS ) and prevention of pregnancy facilitated use of the device among female students . (bvsalud.org)
- Although the female condom can protect female students from infections and pregnancy , there are several barriers to its use. (bvsalud.org)
- Table 1 Comparison of reversible contraceptive methods: Percent of women experiencing a contraceptive failure (pregnancy) during the first year of use. (nih.gov)
- Hormonal birth control, hormone therapy, and pregnancy all raise the likelihood of VTE for women. (nih.gov)
Vagina12
- These condoms fit inside the vagina . (medlineplus.gov)
- The condom is not put in place before the penis touches the vagina. (medlineplus.gov)
- If a condom tears or breaks, the outer ring is pushed up inside the vagina, or the condom bunches up inside the vagina during intercourse, remove it and insert another condom right away. (medlineplus.gov)
- The female condom is a loose-fitting pouch with a closed end that you insert deep inside your vagina. (dummies.com)
- Das Velvet Condom besteht aus einem die Vagina auskleidenden Latex-Beutel, der an einem äußeren, runden Rahmen befestigt ist und am anderen Ende einen elastischen Plastikring enthält, der dafür sorgt, dass der Beutel in der Vagina verbleibt. (erotikzar.de)
- Condoms are thin pouches that keep sperm from getting into the vagina. (kidshealth.org)
- A female condom is inserted into the vagina . (kidshealth.org)
- Condoms work by keeping semen (the fluid that contains sperm) from entering the vagina. (kidshealth.org)
- After t he male ejaculates, he should hold the condom at the base of the penis as he pulls out of the vagina. (kidshealth.org)
- This prevents the condom from slipping off when he gets soft, which could let sperm enter the vagina. (kidshealth.org)
- The female condom is inserted into the vagina using the closed-end ring. (kidshealth.org)
- The condom then lines the walls of the vagina, creating a barrier between the sperm and the cervix. (kidshealth.org)
Prevalence4
- This paper reports the prevalence of consistent condom use and its predictors among the wives and regular sexual partners of MWIDs in Klang Valley, Malaysia. (biomedcentral.com)
- Data were analysed descriptively for the prevalence of consistent condom use, HIV status and HIV risk-related behaviour. (biomedcentral.com)
- However, the prevalence remains high among high-risk groups, such as female sex workers (6.3%), men who have sex with men (21.6%), transgender women (10.9%) and people who inject drugs (13.5%) [ 1 , 2 ]. (biomedcentral.com)
- While previous studies from various locations in Malaysia reported a low prevalence of condom use among men who injected drugs during their last sexual intercourse (only 14 to 28%), limited local data are available to show the prevalence of condom use with their wives and steady partners [ 2 , 8 , 11 ]. (biomedcentral.com)
Intercourse18
- You do not use a condom each time you have intercourse. (medlineplus.gov)
- However, female condoms may be placed up to 8 hours before intercourse. (medlineplus.gov)
- Editorial Note: Failure to use condoms during intercourse with partners at risk for STDs, including HIV infection, increases the risk for acquiring STDs. (cdc.gov)
- unless women, including those who have been sterilized, are involved in mutually monogamous relationships with uninfected partners who have no risk behaviors (e.g., injecting-drug use), condoms should be used during sexual intercourse. (cdc.gov)
- Like a diaphragm, you can insert the female condom ahead of time or right before intercourse. (dummies.com)
- Starting in 2013, questions on problems with condom use were asked of women aged 15-44 who used a condom during intercourse in the past 4 weeks. (cdc.gov)
- Last month, NSFG released a report on contraceptive use among female and male teens aged 15-19 that included information on condom use at first and most recent intercourse ( https://www.cdc.gov/nchs/data/nhsr/nhsr104.pdf) . (cdc.gov)
- In 2011-2015, 23.8% of women and 33.7% of men aged 15-44 used a condom at last sexual intercourse in the past 12 months. (cdc.gov)
- Almost 7% of women aged 15-44 who used a condom in the past four weeks said the condom broke or completely fell off during intercourse or withdrawal and 25.8% said the condom was used for only part of the time during intercourse. (cdc.gov)
- How has the percentage of condom use in the U.S. during sexual intercourse changed since 2002? (cdc.gov)
- The percentages of women aged 15-44 who used condoms at last sexual intercourse in the past 12 months were similar from 2002 to 2011-2015, but for men aged 15-44, the percentages increased from 29.5% in 2002 to 33.7% in 2011-2015. (cdc.gov)
- Percentages of female and male condom users aged 15-44 who used condoms only at last intercourse in the past 12 months decreased from 67.9% of women and 63.0% of men in 2002 to 59.9% and 56.4% in 2011-2015. (cdc.gov)
- Alongside this decline, percentages of female condom users aged 15-44 who used condoms plus non-hormonal methods at last intercourse increased from 11.9% in 2006-2010 to 15.1% in 2011-2015. (cdc.gov)
- This report showed that the majority of women and men aged 15-44 in each NSFG survey period did not use a condom at all during last sexual intercourse. (cdc.gov)
- Although this report could not address each of these factors directly, these findings indicate there are differences in condom use by age, education, Hispanic origin and race, relationship at last sexual intercourse and number of sexual partners in the past 12 months. (cdc.gov)
- About one-quarter of women aged 15-44 who used a condom during intercourse in the past 4 weeks reported that the condom was used for only part of the time during intercourse (25.8%), suggesting that condoms are often used inconsistently. (cdc.gov)
- The female condom can be inserted up to 8 hours before intercourse. (kidshealth.org)
- The male and female condoms should not be used at the same time because friction can break them, make them stick together, or make one or the other slip out of place during intercourse. (kidshealth.org)
Consistent6
- The findings in Baltimore are consistent with a previous study of surgical sterilization among women who were surveyed while enrolled in drug-treatment clinics in Philadelphia and underscore the need for educating women who have been surgically sterilized and others about the importance of condom use as a means for preventing STDs and HIV infection (2). (cdc.gov)
- An ANOVA was conducted to compare differences between never, inconsistent, and consistent condom users. (nih.gov)
- Subsequently, simple and multiple logistic regressions were undertaken to identify the predictors of consistent condom use. (biomedcentral.com)
- Inadequate availability, partner objection, stigma, insertion difficulties and lack of awareness served as significant barriers to consistent female condom use. (bvsalud.org)
- Interventions should aim to increase availability of the female condom , and male involvement should be increased to facilitate consistent use of the method . (bvsalud.org)
- Consistent condom use can protect women from HPV infection. (nih.gov)
Sexually transmitte3
- However, it is not thought to work as well as male condoms in protecting against sexually transmitted infections (STIs). (medlineplus.gov)
- ISO 25841:2014 specifies the minimum requirements and test methods for female condoms, which are supplied to consumers for contraceptive purposes, assisting in the prevention of sexually transmitted infections. (iso.org)
- The male latex condom is the single, most efficient, available technology to reduce the sexual transmission of HIV and other sexually transmitted infections," says the WHO . (undispatch.com)
STIs3
Hormonal2
- and 15.1% of women and 10.5% of men used condoms plus non-hormonal methods. (cdc.gov)
- In addition, students expressed positive attitudes towards the female condom and preferred it to hormonal contraceptives because it offered them dual protection . (bvsalud.org)
Barrier3
- Like a male condom, it creates a barrier to prevent the sperm from getting to the egg. (medlineplus.gov)
- The female condom, like the male condom, is a barrier contraceptive made of latex or polyurethane. (limamemorial.org)
- Two studies have investigated the contraceptive effectiveness of the female condom, and it was found to be as effective as other barrier methods. (nih.gov)
STDs11
- A previous report of women in drug treatment suggested that women who have been surgically sterilized were less likely to report condom use -- an effective measure for prevention of human immunodeficiency virus (HIV) infection and sexually transmitted diseases (STDs) -- than were nonsterilized women (2). (cdc.gov)
- This report summarizes a study of the relation between surgical sterilization, risk status for STDs and HIV, and use of condoms among women who reside in two inner-city, minority neighborhoods in Baltimore. (cdc.gov)
- More than one third of both sterilized (35%) and nonsterilized (37%) women had a personal and/or a partner risk factor for STDs (Table 2). (cdc.gov)
- In addition, public health messages addressing the risks for HIV, STDs, cervical cancer, and other reproductive health concerns should include women who are surgically sterilized as well as those who are not. (cdc.gov)
- Like the male condom, the female condom provides reliable protection against most STDs. (dummies.com)
- Do Condoms Help Protect Against STDs? (kidshealth.org)
- Latex, polyurethane, and polyisoprene condoms can help prevent many STDs if they are used correctly. (kidshealth.org)
- Condoms made of lambskin do not work well to prevent STDs, especially HIV/AIDs. (kidshealth.org)
- Couples having sex must always use condoms to protect against STDs even when using another method of birth control. (kidshealth.org)
- Everyone should consider using a condom to help protect against STDs. (kidshealth.org)
- The article discusses the use of the female condom by 713 clients of seven service centers specialized in STDs/AIDS in Greater São Paulo, which were part of a longitudinal study about the continuity of its use. (bvsalud.org)
Statistically significant2
- Although nonsterilized women were more likely to report personal risk factors for STD/HIV infection and sterilized women were more likely to report risk factors for their partners, these differences were not statistically significant (Table 2). (cdc.gov)
- The analysis of time of use of the female condom conducted using the Kaplan Meier Method showed a statistically significant association with HIV serostatus ( p =.02). (bvsalud.org)
Contraception2
- Contact your health care provider or pharmacy for information about emergency contraception (Plan B) if the condom tears or the contents spill when removing it. (medlineplus.gov)
- Sterilisation is by far the most popular method of contraception in India , especially in rural areas, but the procedure is almost always carried out on women and often in dangerous conditions. (theguardian.com)
Vegan condoms2
- Then came research, and she chanced upon vegan condoms in the U.S. and Europe. (vice.com)
- Consequently employing natural cotton vegan condoms is your representative to this particular point. (linkhospitals.in)
Latex condoms1
- Though, credit card condoms will set you back compared with latex condoms and fewer modifiable which means improved lubrication may very well be had. (linkhospitals.in)
AIDS5
- The female condom also offers women the freedom of self-reliance when it comes to protecting themselves against AIDS and its kin. (dummies.com)
- Condom technology has come a long way since then, and nearly 30 billion condoms have been sold around the world, which famously helped minimise global health crises such as AIDS. (vice.com)
- The Kenyan government will only be able to provide 150 million condoms, short of the expected demand of 262 million, says AIDS Healthcare Foundation Kenya. (newsweek.com)
- Mit dem Velvet Condom haben Frauen die Möglichkeit, die aktive Rolle bei der Verhütung und Prävention von AIDS und Infektionskrankheiten zu übernehmen. (erotikzar.de)
- During his first visit to Africa in March 2009, the Pope made some comments about the utility of condoms for HIV/AIDS prevention that caused great concern in the public health community. (undispatch.com)
Fingernails2
- Be careful not to tear condoms with sharp fingernails or jewelry. (medlineplus.gov)
- Condoms also can be damaged by things like fingernails and body piercings. (kidshealth.org)
Inconsistent1
- Inconsistent condom use among the majority of female sexual partners of MWIDs underscores the heightened risk faced by these women and calls for alternative prevention methods that women are able to control. (biomedcentral.com)
Polyurethane1
- The female condom is made of a thin, strong plastic called polyurethane. (medlineplus.gov)
Africa3
- Factors facilitating and inhibiting the use of female condoms among female university students in Durban, KwaZulu-Natal, South Africa. (bvsalud.org)
- The study aimed to explore the factors facilitating and inhibiting female condom use among female university students in South Africa . (bvsalud.org)
- This qualitative study drew on 15 individual, in-depth interviews with female university students in Durban, South Africa . (bvsalud.org)
Penis5
- Men, too, are known to react adversely to condom use, and it's led to dermatitis and even gangrene or rotting away of the penis . (vice.com)
- A male condom is worn on the penis . (kidshealth.org)
- The male condom is placed on the penis when it becomes erect. (kidshealth.org)
- It is unrolled all the way to the base of the penis while holding the tip of the condom to leave some extra room at the end. (kidshealth.org)
- Condoms do not protect against infections spread from sores on the skin not covered by a condom (such as the base of the penis or scrotum). (kidshealth.org)
Allergic1
- There's no conclusive data on how many Indian women are allergic to regular condoms, but anecdotal evidence such as Baldwa's experience exists copiously on the internet. (vice.com)
Lubricant2
- The condom may make noise (using the lubricant may help). (medlineplus.gov)
- No serious local side effects or allergies have been reported and the female condom can be used with any type of lubricant, spermicidal cream or foam. (nih.gov)
Correctly3
- When used correctly all of the time, female condoms are 95% effective. (medlineplus.gov)
- When used correctly, the female condom provides some measure of birth control, although it is definitely not the most reliable method. (dummies.com)
- But condoms are not always used consistently or correctly. (nih.gov)
Durex2
- While Durex made news last year by announcing eggplant condom, Manforce just went a step further for its desi clientele as it seems to have launched an 'achari masti' flavoured condom. (asianage.com)
- In addition,you travel to utilize a Durex seriously-awesome condoms more often stemming from the woman's top to bottom composition. (linkhospitals.in)
19971
- The percentage of HIV diagnosis among women has escalated from 5% in 1997 to 21% in 2017 [ 1 ]. (biomedcentral.com)
Prevention6
- During November 1989-February 1990, as part of the baseline evaluation for a community-based HIV-prevention program, the Baltimore City Health Department and Johns Hopkins University, in cooperation with CDC, interviewed 766 women aged 17-35 years residing in the two neighborhoods by telephone using random-digit dialing. (cdc.gov)
- Structural issues affecting creation of a Community Action and Advocacy Board: A pilot project engaging community to develop multilevel intervention for HIV prevention using female condoms. (icrweb.org)
- Now seems like a good moment to reflect on his mixed record on condom use for HIV prevention. (undispatch.com)
- The fact is, condoms are vert effective tools for HIV prevention. (undispatch.com)
- Condoms are a key tool of the combination prevention strategy that has helped to reduce the spread of HIV in the hardest hit countries over the past decade. (undispatch.com)
- Women who were HIV positive adhered for a longer period of time to this method of prevention than HIV negative women in sexual relationships with men living with HIV. (bvsalud.org)
Infertility1
- Left untreated, they can lead to serious health issues, such as blindness, brain and nerve problems, and infertility in women. (nih.gov)
Search1
- Results of search for 'su:{Condoms, Female. (who.int)
Attitudes3
- Of the 766 women, 210 (44 sterilized and 166 nonsterilized) women aged 20-35 years were asked additional questions about their attitudes toward condom use. (cdc.gov)
- Wits Vuvuzela got a hold of free issue female condoms from Campus Health, and then asked Witsies if they had had any experiences with the condoms, and what their general attitudes were towards female condoms. (witsvuvuzela.com)
- This assessment measures participants' attitudes toward the use of the female condom. (nih.gov)
Semen2
- Turns out, it wasn't as much his semen as his condom, which was made from the bladder of a goat. (vice.com)
- This creates a space for semen after ejaculation and makes it less likely that the condom will break. (kidshealth.org)
Efficacy1
- self - efficacy to negotiate condom use with partners and actual condom use were self -reported before and one week after interventions. (bvsalud.org)
10.51
- 95% CI: 1.13, 10.5) and women involved in sex work (AOR = 3.55, 95% CI: 1.45, 8.67). (biomedcentral.com)
Heterosexual2
- This study utilized quantitative and qualitative methods to (1) investigate the relationship between frequency of condom use and negotiation strategies and (2) evaluate experiences with condom negotiations among sexually active, heterosexual, African American college women. (nih.gov)
- Over recent years, there has been concern over the increasing number of cases of heterosexual transmission of HIV in Malaysia, resulting in the changing gender distribution of the disease, which is currently increasing among women [ 2 ]. (biomedcentral.com)
Lubricants1
- Never use oil-based lubricants (such as mineral oil, petroleum jelly, or baby oil) with condoms because they can break down the rubber. (kidshealth.org)
Couples1
- Some couples have also complained that the condom reduces their feeling and that it's noisy. (dummies.com)
Protection4
- By the way, for those of you who may want to double your level of protection by using both a male and female condom at the same time, this is not recommended. (dummies.com)
- When condom companies added nonoxynol-9 to condoms as extra protection against HIV, despite evidence that the spermicide made infection more likely in certain circumstances, the NWHN spoke out. (nwhn.org)
- Now they not only want the protection, they also want more sexual pleasure from the condom, that's why we designed the spike condom. (romeocondom.com)
- For added protection , it's wise to use condoms along with another method of birth control, like birth control pills or an IUD . (kidshealth.org)
Cervical2
- A new medical study shows that women are less likely to contract a virus that can cause cervical cancer if their male sexual partners use condoms. (voanews.com)
- The virus has been linked to cervical cancer, which kills more than 3,000 women in the U.S. each year, and nearly 300,000 women worldwide. (voanews.com)
India's2
- In 2019, she created what is probably India's first vegan range of condoms for men, called Bleu . (vice.com)
- India's estimated 900 TV channels have been ordered to restrict condom commercials to between 10pm and 6am. (theguardian.com)
Barriers1
- The present controlled pilot study tested whether psychological inoculation (PI) reduces such barriers for using male condoms . (bvsalud.org)
Frequency1
- Frequency of condom use (prior 4 mo), no. (cdc.gov)
Health5
- Current contraceptive methods serve well for many women but not well for others, especially women with special health considerations such as obesity, hypertension, or diabetes. (nih.gov)
- In partnership with the Population Council, CDP has developed a novel ring that delivers progestin to effectively block follicular development and deliver 17-ßestradiol to support bone health, but with low potential for increasing VTE risk, even for women who have obesity. (nih.gov)
- Health services should broaden their scope in relation to the female condom, as well as rethink their engagement with the seronegative women and men. (bvsalud.org)
- health education yields little change in condom use. (bvsalud.org)
- Twenty-two Nigerian women with HIV were randomly assigned to receive PI or health education (control). (bvsalud.org)
20001
- Responses to SXD171 (# of female partners) that were 2000 or more partners were grouped and coded a "2000 or more" partners. (cdc.gov)
Awareness3
- Safe sex is important to a lot of people around the world and with rising awareness firms have been coming out with several variations of condoms. (asianage.com)
- In order to address these issues, the railways is utilising the station premises to set up facilities having separate toilets for men and women which will be utilised to build awareness for best practices of menstrual hygiene and usage of contraceptives as proposed. (asianage.com)
- Family planning advocates said they were disappointed by the order in a country where awareness of condoms' benefits is high but their use remains stubbornly low - limited to about 5% of men. (theguardian.com)
Birth contr1
- Women who take some types of birth control pills or get hormone therapy have a higher likelihood of blood clots. (nih.gov)
Consequences1
- while controls learned how to use condoms and the consequences of their non-use. (bvsalud.org)
Lubrication1
- Friction of the condom may reduce clitoral stimulation and lubrication. (medlineplus.gov)
Sexual5
- Researchers tracked the sexual activity of 82 female college students in the western U.S. state of Washington. (voanews.com)
- Their female partners risk being infected through unprotected sexual contact. (biomedcentral.com)
- These women are at an increased risk of contracting HIV, mainly through unprotected sexual contact with their infected partners. (biomedcentral.com)
- The ACASI section on sexual behavior (SXQYTH) provides information on lifetime and current sexual behavior for both men and women. (cdc.gov)
- The decision of the sexual partner was a deciding factor for the interruption and for the maintenance of female condom use, indicating that the dyadic dynamic and intersubjectivity in the context of gendered relations, and not merely the knowledge of the method by the woman, should be the focus of promoting the female condom. (bvsalud.org)
Avoid2
- This will help avoid the temptation of not using a condom during sex. (medlineplus.gov)
- The information and broadcasting ministry ordered the country's estimated 900 television channels to restrict condom commercials to between 10pm and 6am to avoid children seeing them. (theguardian.com)
Time4
- DO NOT use a female condom and a male condom at the same time. (medlineplus.gov)
- Apart from dotted and even glow in the dark, flavoured condoms have been around for quite some time. (asianage.com)
- For condoms to have their best chance of working, they must be used every time a couple has sex. (kidshealth.org)
- Five additional questions ask about intent to use the female condom, with what kind of partner, and whether this will be in the next 3-month period of time. (nih.gov)
Toilet2
- Do not flush a female condom down the toilet. (medlineplus.gov)
- Condoms and sanitary pads will now be sold at toilet facilities both inside and outside railway stations for not only the passengers but also the people living in its vicinity, a new toilet policy recently approved by the Railway Board said. (asianage.com)
20021
- Data on condom use has been collected for women since 1973 and for men, since 2002. (cdc.gov)
Creates1
- The other ring creates the open end of the condom. (kidshealth.org)