Do you have anal intercourse and if so do you use a condom?
Well, you should.
Ia'm
Dr. Rena Malik, urologist and pelvic surgeon, and today we're going to talk
about using condoms for anal sex.
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pelvic surgeon and I make content weekly about sexual health, bladder health, and
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did you know that the fda recently approved a condom specifically for use
with anal sex prior to this there's been hundreds of condoms that have been
approved for vaginal penetrative intercourse but not for anal sex at the
end of this video i'll let you know exactly which condom it is but prior to
that why does this even matter why do we need condoms for anal intercourse well
while you can't get pregnant through anal you can get sexually transmitted
infections in fact what they found is that people having anal intercourse are
28 times more likely to get hiv than those having vaginal sex and these are
because the tissues of the rectum are fragile vast glooming there's lots of
blood flow to them and they're porous meaning lots of things can get through
them quite easily but you might be wondering fine okay so we want to
protect from sexually transmitted infections but how well do these even
work for anal intercourse and why do we even need condoms that are labeled for
anal intercourse well they did a survey of 2 000 men who had
sex with men and had anal intercourse and they found out that 69 of men would
be more likely to use a condom if it was marketed as specifically for anal
intercourse or fda approved for that purpose to get this approved a group
from emory university in atlanta georgia recruited about 250 men who have sex
with men and 250 men who have sex with women and each of these men were
randomized to receive three different types of condoms they received fitted
condoms thin condoms and standard condoms and they were given five of each
so they had to use the first five then come back for a study visit and get the
next five they were also asked to use an application on their phone that could
allow them to track every day if they had sex or not if they did have sex what
kind of condom did they use did they have any issues with breakage or
slippage which is essentially the condom not working and then also followed if
they got any other sorts of problems like sex-retracement infections or
urinary tract infections in their partner they also all got packets of
water-based lubricant with their condoms and they were encouraged if they were
having anal intercourse to use lubrication and for vaginal intercourse
they were told to use it as needed and guess what the failure rate for condoms
used for anal intercourse was actually lower than that of vaginal intercourse
it was 0.68 for anal intercourse whereas it was
1.89 for vaginal intercourse and you might be
lubricant at the time of intercourse about 98.3
whereas for vaginal lubrication only 41 percent of people use lubricant at the
same time and they did see a higher slippage or breakage rate in vaginal sex
when they weren't using appropriate lubricant also as i've mentioned in
previous videos you don't want to use any sort of oil based lubricants with
condoms the best kind of lubricants are water-based aloe based or silicone based
and particularly for anal intercourse you want to make sure that you're using
a lubricant that has a ph that's similar to the anus which is different than the
ph of the vagina also you can use silicone-based lubricants which last a
little bit longer and don't evaporate if you're using water or aloe base you may
find that you need to reapply so you keep the lubrication they had very few
what we call adverse events or problems associated with condoms less than one
percent of having sexually transmitted infections and this was probably
associated with people either not using condoms or having breakage less than one
percent of having urinary tract infections in your partner and less than
one percent of having discomfort with the condom either for yourself or for
your partner so which condom is fda approved actually it's very interesting
i had not heard of this company before it's called one condom and they have a
very interesting approach to condoms they have multiple different
sizes in fact about 54 different sizes so when you go to their website you can
download a paper which essentially tells you how to measure your penis and you
use that paper as sort of a ruler and it has letterings on it to help you measure
the length and the width and it gives you a code and that code becomes your
size and then that will give you the right size condom for your exact anatomy
do you have to use one condom for anal sex no not exactly you should use
whatever condom you like and whatever condom you feel most comfortable with
but i would highly recommend using a lubricant at the same time but if you're
interested in trying one condom i've included their link in the description
below as always thank you so much for watching
and remember to take care of yourself because you're worth it