ABSTRACT
Condoms are the only proven barrier to transmission of HIV and other STIs. They are second in usage to the Pill among those younger than 30 years and second to sterilization in those older than 30. Femidom is one of several female condoms. It comprises a polyurethane sac with an outer rim at the introitus and a loose inner ring, whose retaining action is similar to that of the rim of the diaphragm. It thus forms a well-lubricated secondary vagina. During use, the penetrative phase of intercourse can feel more normal to the male partner and can also start before his erection is complete. Reports about the acceptability of Femidom are mixed, and a sense of humour certainly helps. Though some trials of re-usable female condoms were successful in low-resource settings in Africa where STI risk is high, the female condom has not caught on, as was hoped, for widespread use when men refuse to use (male) condoms.
