Data gathered between 2015 and 2017 by the Department for Disease Control, Ministry of Public Health, show that condom usage among teenagers is on a continuous upward trajectory. In 2017, 75% of males and 77% of females who had their first sexual encounter in grade 5 of high school reported using a condom, while the percentages were 69.5% and 74.6% respectively among teenagers who had their first sexual encounter during their second year of technical college.
Although the rate of condom usage is on the rise among teens, the rate of regular usage remains lower due to factors such as couples placing their trust in one another after their relationship reaches a certain point and disregarding condoms altogether. Such thinking has led to a number of sexually transmitted disease outbreaks, including HIV, syphilis, chlamydia, gonorrhea, genital warts, genital herpes and canker.
The condoms we see for sale in shops across the country tend to be those favored by males as they are both easy to use and disposable. This male domination in terms of condom availability means that female condoms are a lot rarer in Thailand. This article will focus on male condoms, which are capable of preventing the transmission of sexually transmitted disease, whether used during vaginal, anal or oral sex.
A: Condoms currently come in two main types: those made from natural latex and those made from artificial materials. Condoms made from animal products are no longer as popular as they once were.
A: Men can ensure they are selecting the right size of condom by observing how large their penis gets when they become sexually aroused. Generally, the penis will grow to around 3–5 times its normal length as the tissue in the corpora cavernosa (penis shaft) acts like a sponge, getting harder as more blood reaches this area during times of arousal.
Men should opt for a condom size based on its fit, meaning it is neither too loose nor too tight as you don’t want the condom to slip off or break during intercourse. The sizes of condoms differ from brand to brand but are usually classified based on the penis circumference rather than the length, which tends to be similar across all brands of condom at approximately 6–7 inches. Men with a penis longer than the stated length may therefore struggle to find a condom that fits over the whole penis. Condom circumference will be stated in millimeters, as follows:
A: Condoms can break for a number of reasons, although some couples may continue having sex despite knowing that their condom has broken due to them being caught up in the moment. However, there are some occasions when couples are unaware that the condom has been compromised, which could be due to a lack of care being taken, being drunk, or being high on drugs.
The human papillomavirus (HPV) has over 150 strains and can infect both males and females. Infections rarely cause symptoms and they often go away without the person being at all aware of their presence. However, in people with weak immune systems, the virus can result in warts appearing on the skin, genitalia, pharynx or anus. Moreover, some strains of HPV, namely the 16th and 18th strains, are capable of causing some forms of cancer, including cervical cancer, throat cancer (contracted via oral sex), penis cancer and anus cancer.
An article published in the Journal of Lower Genital Tract Disease in 2011 revealed that 90% of anus cancer cases were caused by the 16th and 18th strains of HPV, while 6 out of every 10 penis cancer cases and 7 in 10 throat cancer cases were also associated with HPV infections. Furthermore, the group most at risk of these forms of cancer were found to be men who have sex with men.
Although condoms cannot provide 100% protection against contracting HPV, administering HPV vaccinations to boys and girls at age 9 has been found to prevent against the most serious strains of the disease. Vaccinations can still be given up to the age of 26. Should recipients be older than 26, the vaccine will only provide protection against strains of the disease which have not yet been contracted. People older than 26 should consult with a doctor before receiving such a vaccination.
The First Class Honors M.D.,Faculty of Medicine, Chiang Mai University, 2007. , 2007