Condom Flashcards
(17 cards)
- Introduction
• Introduce yourself. Elicit the patients name, age and occupation. Establish rapport with him.
‘I understand that you have attended the family planning clinic today to find out more about contraception? Before I discuss this topic, I would like to ask you some questions.’
- Ideas
Ideas
• What do you already know about using a condom?
- Concerns
• Do you have any issues or concerns you would like to raise regarding using condoms?
Concerns
• Do you have any issues or concerns you would like to raise regarding using condoms?
Explanation
Mechanism Benefits Efficacy Partner Quality Expiry date Damage Method Lubricants Withdrawl Dispose Fails
Explanation: Mechanism
• Explain in simple terms what the condom is and how it works.
‘The condom is a barrier method of contraception. This means that it works by preventing the sperm from reaching the egg. It fits over the erect penis and is made out of thin latex rubber.’
Explanation: Benefits
• Explain the benefits of using a condom.
‘Wearing condoms greatly reduces chances of pregnancy. They also provide considerable protection against sexually transmitted infections (STIs), including HIV, but this protection is not 100%.’
Explanation: Efficacy
‘When used correctly, a condom is about 98% effective. This means only 2 in every 100 women would get pregnant in the course of a year. This is more effective than other forms of contraception, such as withdrawal or using spermicide on its own.’ If condoms are used less carefully they become less effective.
Correct use means:
- Using a condom every time you have sex
- Putting it on the penis before it touches the vaginal area
- The penis should not touch the woman’s vaginal area after the condom has been taken off
Explanation: Partner
Partner
• Explain that condom use should be discussed with partner and put on before any genital contact.
‘It is important that you discuss with your partner your wish to use condoms. It is important that you put the condom on before there is any genital contact between you and your partner.’
Explanation: Quality
Quality
• Stress the importance of using British kite-marked condoms which have undergone thorough quality checks.
Explanation: Expiry Date
Expiry Date
• Advise the patient to check the expiry date on the condoms and not to use them if they have expired.
Explanation: Damage
Damage
• Advise the patient to check the condom for damage and not to inadvertently tear it with nails or rings when removing it from its packet.
Explanation: Method
Method
• Advise the patient to expel the air from the teat and then demonstrate how to successfully roll on a condom on a model.
‘It is important to squeeze the air out of the ‘teat’ at the end, otherwise the semen will not be able to collect or enter it if it is full of air. Now roll the condom onto the erect penis, as shown on this model. Do not try putting it on before the penis is erect. Roll it down to the base of the penis, and hold the base down as you penetrate
Explanation: Lubricants
Lubricants
• Recommend the patient to avoid oil-based lubricants, such as vaseline, body oils or lotions, which can weaken the condom and predispose it to tears. Recommended lubricants include K-Y jelly or a spermicidal jelly
Explanation: withdrawal
Withdrawal
• State the importance of holding condom onto base of penis during withdrawal and when removing it to ensure that it has not spilt
‘As soon as you’ve climaxed, hold the condom firmly onto the base of your penis with your fingers, and withdraw from the vagina, taking care that no fluid is spilt. This is very important. You should check that the condom has not been damaged because this would mean that there is a possibility that semen has escaped and entered the vagina.’
Explanation: Dispose
Dispose
• Advise the patient to remove the condom, wrap it in paper or tissue, and dispose of it in bin. Warn the patient it is not advisable to reuse a condom. If he wishes to have sexual intercourse again he should wash his penis and use a new condom.
Explanation: Fails
Fails
• Inform the patient of the availability of emergency contraception if the condom is unsuccessful.
‘If the condom tears or you discover that it tore during intercourse, or it slipped or anything else happened, your partner should consult the GP or the family planning clinic as soon as possible, where emergency contraception can be provided.’
Closing
CLOSING
1) Understanding
• Check and confirm for patient’s understanding.
2) Questions
• Respond appropriately to patient’s questions.
3) Leaflet
• Offer to give them more information in the form of a handout. Advise that the leaflet contains much of the information you have mentioned.
Summarise
o Check with patient and deliver an appropriate summary.
