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So I went ahead and bought my first box of condoms today pending possible playfulness later tonight, and I'm a sucker for literature, so I looked at this little brochure Durex so thoughtfully included within the box describing failure rates for various types of birth control. Something caught my eye.
"Male Latex Condom - Typical Use Rate of Pregnancy 14%, Lowest Expected Rate 3%"
What the fuck? Typical use is pretty self-defined here compared to expected rate (condoms break, not taking the pill at the same time every day) but how the hell did they come up with a 3% number assuming you're wearing the thing correctly and it dosen't break / leak / ect. ? Assuming none of these things happen (and I know that's not necessarily a given!), you should be covered 100%, right?
No, see, that dosen't make any sense. I know that that often-touted "no contraceptive is 100% effective" line is pretty good general wisdom, but I'm asking something SPECIFIC here - I'm okay with 99% or 97% or 86% (in case of their *reasonable expectation* numbers -> 100% - 14% = 86%), but why the hell would a PHYSICAL BARRIER WALL be any less than 100% unless it fails (which puts it under the "reasonable expectation" caregory) ?
assuming you're wearing the thing correctly and it dosen't break / leak / ect.?
That's pretty much what the 3% covers. It's rare, but condoms can and do break even if you use them correctly.
And those percentages are over a year of use, not each time, FYI.
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kaliyamaLeft to find less-moderated foraRegistered Userregular
edited February 2009
Condom companies have an incentive to overstate failure rates, as long as everyone does it, because it gives them more cover if someone sues them b/c they have kids, because they've warned the consumer. That said, i'd almost want to stick to oral sex until the person was on the pill, because while the risk is small, the damage is catastrophic...
@ Sev - Good to know about the one year clause, I just caught that, thank you. And Kali, I think she is, actually, I just wanted to be double-sure re: pregnancy.
Okay, sold. Just saw that and had a minor freakout. 3% is large enough of a number that it upset me, but more context helps. Thanks, all!
Really? So you were perfectly fine with the typical use rate of pregnancy at 14%?
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Condom companies have an incentive to overstate failure rates, as long as everyone does it, because it gives them more cover if someone sues them b/c they have kids, because they've warned the consumer. That said, i'd almost want to stick to oral sex until the person was on the pill, because while the risk is small, the damage is catastrophic...
The pill and condoms have a pretty equal rate of failure actually, so unless you're using both, one isn't really better than the other in terms of preventing pregnancy.
That said, i'd almost want to stick to oral sex until the person was on the pill, because while the risk is small, the damage is catastrophic...
Just get condoms with spermicidal lube, or get some spermicide and use it. Make sure you're using it properly and you'll be fine. I've been doing that for 7 years and no babies :-P. Two methods of birth control lowers your risk to what I would consider a manageable level...
a 3% failure rate means that out of 100 women having sex once, 3 will get pregnant. Statistically speaking.
Now, this is stats, which is why you're probably freaking out. Statistics does not mean "if I have sex with my special lady 100 times, we will have 3 pregnancies." It means that in each case, there is a 3% chance that she will be pregnant.
"Perfect Use" is the lower number, which means you put it on before any foreplay, it doesn't slip off, you hold the "roll" at the end of your penis when you're finished, and you keep it on until you're away from your special lady. In other words, "use as directed." Now, a lot of people don't do that -- they slip the condom off at the end and ejaculate on their special lady's stomach, or they rub their penis on her vulva before putting a condom on, or even slip in during foreplay because "I'm not going to come so it's OK."
All of that increases the risk. And yes, they do sometimes break or slip off and you may not notice.
On the Off Chance that this First Box happens to be your First Experience with Condoms, I also recommend you give one a spin ahead of time so you know what you're doing should the need arise.
a 3% failure rate means that out of 100 women having sex once, 3 will get pregnant. Statistically speaking.
That can't possibly be right. If 100 women had sex once with no condom, I doubt more than a few would get pregnant. I think it probably applies to a whole year.
"Typical Use" rates mean that the method either was not always used correctly or was not used with every act of sexual intercourse (e.g., sometimes forgot to take a birth control pill as directed and became pregnant), or was used correctly but failed anyway.
"Lowest Expected" rates mean that the method was always used correctly with every act of sexual intercourse but failed anyway (e.g., always took a birth control pill as directed but still became pregnant).
Typical Use means "You're a doofus and failed sex ed." But even people who are obsessive over birth control won't achieve the Lowest Expected numbers. Both numbers are the chance of pregnancy over a year of use. I'm not sure what they mean by "one year of use", as far as frequency of sexual activity. Are people doing it every day or every week? I'm fairly certain that the percentage was obtained as part of a meta-study, so you won't have the same amount of sexual activity among the subjects in each individual study.
a 3% failure rate means that out of 100 women having sex once, 3 will get pregnant. Statistically speaking.
That can't possibly be right. If 100 women had sex once with no condom, I doubt more than a few would get pregnant. I think it probably applies to a whole year.
A 3% failure rate could mean that 3% of the time, even when properly used, semen ends up getting through the condom, one way or another. Chance of pregnancy would need to include the probability that that 3% happens while she's ovulating.
i'm pretty sure that the 3% is judged over a year of normal use. so if you use condoms normally for a whole year, there's a 3% chance your partner will have caught the baby disease by the end of it
Condom companies have an incentive to overstate failure rates, as long as everyone does it, because it gives them more cover if someone sues them b/c they have kids, because they've warned the consumer. That said, i'd almost want to stick to oral sex until the person was on the pill, because while the risk is small, the damage is catastrophic...
The pill and condoms have a pretty equal rate of failure actually, so unless you're using both, one isn't really better than the other in terms of preventing pregnancy.
Untrue. Condoms vs Pill with perfect use are 97% vs 99.8%, which is a huge huge difference, when talking about the numbers of people having sex. If you add that being unprotected by pill is detectable, you can effectively remove yourself from that portion of the statistic. Also, considering that perfect use for a condom requires technique, where pill use pretty much requires only a time of day, it is bar none, the most effective (non-intrusive) form of preventing pregnancy.
Condom companies have an incentive to overstate failure rates, as long as everyone does it, because it gives them more cover if someone sues them b/c they have kids, because they've warned the consumer. That said, i'd almost want to stick to oral sex until the person was on the pill, because while the risk is small, the damage is catastrophic...
The pill and condoms have a pretty equal rate of failure actually, so unless you're using both, one isn't really better than the other in terms of preventing pregnancy.
Untrue. Condoms vs Pill with perfect use are 97% vs 99.8%, which is a huge huge difference, when talking about the numbers of people having sex. If you add that being unprotected by pill is detectable, you can effectively remove yourself from that portion of the statistic. Also, considering that perfect use for a condom requires technique, where pill use pretty much requires only a time of day, it is bar none, the most effective (non-intrusive) form of preventing pregnancy.
Perfect use for the pill is not average use which is much lower. Most women do not take the pill at the same time everyday thereby lowering the effective rate to 92%.
In other words, unless your girlfriends is one of the girls who sets an alarm and takes her pill at the same time everyday you're not getting that 99% effective rate at all.
Condom companies have an incentive to overstate failure rates, as long as everyone does it, because it gives them more cover if someone sues them b/c they have kids, because they've warned the consumer. That said, i'd almost want to stick to oral sex until the person was on the pill, because while the risk is small, the damage is catastrophic...
The pill and condoms have a pretty equal rate of failure actually, so unless you're using both, one isn't really better than the other in terms of preventing pregnancy.
Untrue. Condoms vs Pill with perfect use are 97% vs 99.8%, which is a huge huge difference, when talking about the numbers of people having sex. If you add that being unprotected by pill is detectable, you can effectively remove yourself from that portion of the statistic. Also, considering that perfect use for a condom requires technique, where pill use pretty much requires only a time of day, it is bar none, the most effective (non-intrusive) form of preventing pregnancy.
Perfect use for the pill is not average use which is much lower. Most women do not take the pill at the same time everyday thereby lowering the effective rate to 92%.
In other words, unless your girlfriends is one of the girls who sets an alarm and takes her pill at the same time everyday you're not getting that 99% effective rate at all.
Yes. She is in fact one of those girls.
Still though, thats like saying condoms don't work because men carry them in their wallets for too long. You either know what you're doing or you don't. If you don't know how to properly work a condom, the failure rate is brutal.
a 3% failure rate means that out of 100 women having sex once, 3 will get pregnant. Statistically speaking.
I know it's been stated already, but it seems important to point out that this is completely wrong.
Where contraceptives 3% failure rate means that out of 100 average sexually active women using the contraceptive in question (condom, pill, whatever), three will become pregnant. The stats quoted are usually average use, not 'perfect use'.
If you're worried about condom failure rates, combine them with fertility awareness (not to be confused with the "rhythm method" as people are in a horrible habit of doing in D&D). With both properly practiced the chances of pregnancy drop to almost nil.
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Yep, I completely blanked on the "year" aspect, which is crucially important.
I was too focused on the statistical part, which is still confusing to many people. The stats are just descriptive of what happened among a population, they are not indicative of what will happen for each sexually active couple.
Yep, I completely blanked on the "year" aspect, which is crucially important.
I was too focused on the statistical part, which is still confusing to many people. The stats are just descriptive of what happened among a population, they are not indicative of what will happen for each sexually active couple.
Exactly. The 14% includes people who don't always use birth control.
Don't forget that the lower, 3% rating, doesn't necessarily mean that none of those people used the condom incorrectly at some time or another. Just that they didn't believe they had or didn't report or remember it.
If the condom worked how it's supposed to every time, no one would ever get pregnant using one, since no semen would come in contact with any lady parts.
And, of course, you'll also hear the opposite -- someone with super sperm that "somehow" gets through a condom, two layers of clothing, and hormonal birth control to impregnate an incredibly fertile woman.
Personally I'm always skeptical of the people (well, my cousins) who claim they only had sex once and got a kid out of the deal. I always figure they have to confess to having sex at least one time, so they just leave it at that ;D
I think, everything being equal, a woman's chance of getting pregnant from a single instance of intercourse is at about 5%, so it's not _too_ far-fetched.
Now, this is stats, which is why you're probably freaking out. Statistics does not mean "if I have sex with my special lady 100 times, we will have 3 pregnancies." It means that in each case, there is a 3% chance that she will be pregnant.
Think of it this way. When you're playing Final Fantasy Tactics and Ramza's bravery is 97 and he's got Blade Grasp, whenever he gets physically attacked there's a 3% chance of getting hit. So every 100 attacks, he should get hit a few times, but he never does!.
Even with perfect use, an improperly manufactured condom can break. You never know if it will happen to you. Even a gal who doesn't like to take the pill might be up for a little Plan B in an instance like that. The problem is, you don't want to be looking for a store that carries it and where the cashier is not religiously opposed to selling Plan B AFTER the condom breaks. Because then the clock is ticking. Buy some before hand and keep it in the bottom of your bathroom cabinet. It won't go bad for a long time. It's OTC and you don't have to be a girl to buy it!
So then the 3% means that they used it properly but the condom broke/tore/had a hole in it/overflow of semen and not "well it was on correctly, nothing happened, no leaks or tears or overflow, and she still got pregnant anyways" right?
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Not really. I think the rates are figured by giving a sample group the condemn, and telling them to use that for a year (which means to a certain extent they're on the honor system). At the end of the year, what percentage of the sample group has gotten pregnant? Better that on the package they list too high a failure rate than too low.
Some of the comments on statistics in this thread have been a bit worrying. More maths lessons all around I think!
Let's say that 3% of women who use condoms as their only means of contraception for a year get pregnant. What does this mean? If you take 100 women who are only using condoms for a year, then you'd expect 3 to get pregnant.
Now, this doesn't actually tell you much about how good condoms are. You don't know the compliance rate (so how many of those 3 women got pregnant because they were too wankered to make sure their partner put on a condom or whatever), what the age and makeup of the group was, or even how many would have got pregnant without using any contraception.
Of course it could be that that 3% represents 3% of the women who would have got pregnant if they hadn't been using any contraception. So that would undoubtedly be rather less than 3 per hundred (as there is no way 100 out of 100 women having sex for a year will get pregnant).
Someone should hunt down the paper the condom makers are referring to.
(I'm not a statistician, so this could all be wrong. :winky:)
It's likely, as I said before, that the FDA used several studies to calculate those numbers. Still, apparently there's a large amount of literature on this subject, just waiting to be dug up. From the abstract of that particular article:
Although millions of couples rely on male latex condoms to protect against unintended pregnancy and sexually transmitted infections, their use is limited in part by questions about their performance. Rates of condom breakage and slippage, two measures of performance, vary broadly across studies. This variation in part reflects study variability and limitations, including sample size, reliance on subjects' memory, user populations, and products evaluated. In an effort to define condom performance in a group of monogamous couples typical of those using condoms for contraception, we conducted a clinical trial of a single brand of lubricated condoms (Durex Ramses). A total of 4637 attempts to use the condom were evaluated. Six breaks occurred before intercourse (nonclinical breaks), and 10 condoms broke during intercourse or were only noted to have broken upon withdrawal (clinical breaks), resulting in a nonclinical breakage rate of 0.13% (95% confidence interval, 0.05-0.28%), clinical breakage rate of 0.28% (0.15-0.48%), and a total breakage rate of 0.41% (0.25-0.64%). The rate of complete slippage was 0.63% (0.42-0.90%), and total failure (clinical breaks plus complete slips) was 1.04% (0.76-1.37%). These rates are lower than those in other studies with the exception of one, a prospective investigation in a population of female prostitutes. Results indicate that condoms can, in experienced, motivated populations, provide excellent performance and suggest that their efficacy at preventing pregnancy may equal that of the most reliable forms of contraception. Because this study involved a single condom brand, these results may not be generalizable to other brands.
PIP: Rates of condom slippage and breakage were recorded for 4637 attempts to use the condom during sexual intercourse by 92 monogamous couples who had sex at least 8 times per month and had no history of fertility-impairing conditions, including sexually transmitted infections. The couples were comprised of men age 18-50 years and women age 18-40 years. They were at risk of pregnancy, and condoms were their sole method of birth control during the study. Lubricated Durex Ramses condoms were tested in this clinical trial. The men and women were of mean ages 28.8 and 26.8 years, respectively, 75.0% White, and either married or never married in approximately equal proportions. Nearly all participants completed high school and 75% lived with their current partner or spouse. 70-75% were experienced condom users, having used a condom more than 50 times with their current partner. 6 breaks occurred before intercourse and 10 condoms broke during intercourse or were noted to have broken upon withdrawal. These breakages amount to a nonclinical breakage rate of 0.13%, a clinical breakage rate of 0.28%, and a total breakage rate of 0.41%. No breakage or slippage occurred during the 4 reported acts of anal intercourse. The rate of complete slippage was 0.63% and total failure, clinical breaks plus complete slips, was 1.04%. These rates are lower than those in other studies except for 1 prospective study in a population of female prostitutes.
My philosophy has been never to sleep with a girl who isn't on birth control. Then you utilize her birth control, your condom, some spermicidal lube and you're off to the races.
If you're super paranoid you could also pull out if you're disciplined enough.
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no contraceptive is 100% effective
That's pretty much what the 3% covers. It's rare, but condoms can and do break even if you use them correctly.
And those percentages are over a year of use, not each time, FYI.
Really? So you were perfectly fine with the typical use rate of pregnancy at 14%?
The pill and condoms have a pretty equal rate of failure actually, so unless you're using both, one isn't really better than the other in terms of preventing pregnancy.
Just get condoms with spermicidal lube, or get some spermicide and use it. Make sure you're using it properly and you'll be fine. I've been doing that for 7 years and no babies :-P. Two methods of birth control lowers your risk to what I would consider a manageable level...
Now, this is stats, which is why you're probably freaking out. Statistics does not mean "if I have sex with my special lady 100 times, we will have 3 pregnancies." It means that in each case, there is a 3% chance that she will be pregnant.
"Perfect Use" is the lower number, which means you put it on before any foreplay, it doesn't slip off, you hold the "roll" at the end of your penis when you're finished, and you keep it on until you're away from your special lady. In other words, "use as directed." Now, a lot of people don't do that -- they slip the condom off at the end and ejaculate on their special lady's stomach, or they rub their penis on her vulva before putting a condom on, or even slip in during foreplay because "I'm not going to come so it's OK."
All of that increases the risk. And yes, they do sometimes break or slip off and you may not notice.
That can't possibly be right. If 100 women had sex once with no condom, I doubt more than a few would get pregnant. I think it probably applies to a whole year.
Typical Use means "You're a doofus and failed sex ed." But even people who are obsessive over birth control won't achieve the Lowest Expected numbers. Both numbers are the chance of pregnancy over a year of use. I'm not sure what they mean by "one year of use", as far as frequency of sexual activity. Are people doing it every day or every week? I'm fairly certain that the percentage was obtained as part of a meta-study, so you won't have the same amount of sexual activity among the subjects in each individual study.
The latest FDA numbers are found here (2003):
http://www.fda.gov/fdac/features/1997/babytabl.html
edit: what hahnsoo said
Untrue. Condoms vs Pill with perfect use are 97% vs 99.8%, which is a huge huge difference, when talking about the numbers of people having sex. If you add that being unprotected by pill is detectable, you can effectively remove yourself from that portion of the statistic. Also, considering that perfect use for a condom requires technique, where pill use pretty much requires only a time of day, it is bar none, the most effective (non-intrusive) form of preventing pregnancy.
Perfect use for the pill is not average use which is much lower. Most women do not take the pill at the same time everyday thereby lowering the effective rate to 92%.
In other words, unless your girlfriends is one of the girls who sets an alarm and takes her pill at the same time everyday you're not getting that 99% effective rate at all.
Yes. She is in fact one of those girls.
Still though, thats like saying condoms don't work because men carry them in their wallets for too long. You either know what you're doing or you don't. If you don't know how to properly work a condom, the failure rate is brutal.
I know it's been stated already, but it seems important to point out that this is completely wrong.
Where contraceptives 3% failure rate means that out of 100 average sexually active women using the contraceptive in question (condom, pill, whatever), three will become pregnant. The stats quoted are usually average use, not 'perfect use'.
I was too focused on the statistical part, which is still confusing to many people. The stats are just descriptive of what happened among a population, they are not indicative of what will happen for each sexually active couple.
Exactly. The 14% includes people who don't always use birth control.
If the condom worked how it's supposed to every time, no one would ever get pregnant using one, since no semen would come in contact with any lady parts.
Secret Satan
Edit (all of those things combined) just one would be no guarantee.
Personally I'm always skeptical of the people (well, my cousins) who claim they only had sex once and got a kid out of the deal. I always figure they have to confess to having sex at least one time, so they just leave it at that ;D
Think of it this way. When you're playing Final Fantasy Tactics and Ramza's bravery is 97 and he's got Blade Grasp, whenever he gets physically attacked there's a 3% chance of getting hit. So every 100 attacks, he should get hit a few times, but he never does!.
Let's say that 3% of women who use condoms as their only means of contraception for a year get pregnant. What does this mean? If you take 100 women who are only using condoms for a year, then you'd expect 3 to get pregnant.
Now, this doesn't actually tell you much about how good condoms are. You don't know the compliance rate (so how many of those 3 women got pregnant because they were too wankered to make sure their partner put on a condom or whatever), what the age and makeup of the group was, or even how many would have got pregnant without using any contraception.
Of course it could be that that 3% represents 3% of the women who would have got pregnant if they hadn't been using any contraception. So that would undoubtedly be rather less than 3 per hundred (as there is no way 100 out of 100 women having sex for a year will get pregnant).
Someone should hunt down the paper the condom makers are referring to.
(I'm not a statistician, so this could all be wrong. :winky:)
If you're super paranoid you could also pull out if you're disciplined enough.