condoms extra safe


hey doc, hope you are enoying your life, first, what you are doing here is not just doctor and patient thing your giving the people here another life they reborn agian , which is the best thing that a man can do, , my question is about the condoms , for exampel a condom from durex called " extra safe " it says "Durex Extra Safe condoms are slightly thicker for those who want ultimate reassurance and designed so that you donât have to sacrifice comfort in the process. " and they said " Do Durex condoms contain spermicide? No. Our condoms are lubricated without spermicide."

but aids map web site says" Some condoms are coated with a spermicide to assist contraception. However, some spermicides can cause irritation in the rectum or vagina and therefore increase the chance of passing on any infections which might be present. Excessive use of a spermicide called nonoxynol-9 (found on Durex Extra Safe, Mates Natural, Mates Conform and Mates Ultra condoms, and in some lubricants) is not recommended for this reason, and is best avoided. "

my questions are : 1- who to believe , the is spermicide or not ? 2-is it realy safer from STDs to use the extra safe than a normal latex condoms ? 3-should I avoid spermicide in condoms ?

thank you doc



Durex Condoms did use lubricant that contained the spermicide Nonoxynol-9 (N-9) in the past but discontinued use of N-9 products in 2004. See link below. Durex condoms made since 2004 including the "extra safe" variety are lubricated without spermicide.

Nonoxynol-9 is a chemical that kills sperm. It's designed to help prevent pregnancy when used in the vagina. Nonoxynol-9 should not be used in the mouth or rectum, as it can cause irritation, thereby making it easier for HIV and other STDs to be acquired. Nonoxynol-9 does not prevent HIV transmission!

In 2001 the World Health Organization developed a consensus opinion on the use of Nonoxynol-9 (N-9). They concluded:

  1. N-9 is not effective in preventing STD/HIV transmission and should not be used or promoted for disease prevention.

  2. N-9 contraceptive products offer an important option for women who choose not to use hormonal birth control methods. But N-9 may increase a woman's chances of getting infected with HIV. Therefore women at risk for HIV shouldn't use N-9 for birth control.

  1. Condoms with N-9 provide no additional protection against pregnancy or infection than plain lubricated condoms. Since N-9 condoms may cause irritation, they should not be promoted. Instead, lubricated condoms without N-9 should be used.

  2. Products with N-9, including condoms, lubes and birth control products, should never be used for anal sex. Even a small amount of N-9 on condoms can damage the rectum, increasing the HIV risk.

Responding to your specific questions:

  1. Believe what's written on the condom label.

  2. No.

  3. You should avoid N-9.

Hope that helps!

Dr. Bob

Durex Stops Making Condoms With Nonoxynol-9 Due to Possible Increased Risk of HIV Transmission From Henry J. Kaiser Family Foundation January 21, 2004