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Question about Breakage
Sep 12, 2008

Hello Dr Robert. I hope this post finds you well. I am sure when I speak for many people when I say thank you for your honest and helpful responses. My Question is about condom breakage and the possible transmission from an HIV+ female to a HIV- male. I have never (as far as I am aware) had a condom break during sex, so I am not sure if it bursts or whether there would just be a hole. But considering infection would mainly take place at the mucal lining i.e. the uretra open coming into direct contact with vaginal fluid, as long as the uretra open was not exposed the chances of infection in this case would be greatly reduced. I would be interested to hear your point of view as there must be condom breakage and then there is real condom breakage. Regard J

Response from Dr. Frascino

Hello J,

When a condom breaks, it does so in a very dramatic fashion. Mr. Happy's head comes poking out, just like your head pokes out of a turtleneck sweater. Remember, condoms are just very thin pieces of latex impressively stretched over a giant tallywhacker. So when it tears, it's not subtle, similar to when an inflated balloon pops.

As for HIV-acquisition risk, condom failure is equivalent to unprotected sex, because Mr. Happy's head is often completely exposed.

Dr. Bob



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