[Question #7283] Follow up for question number 7275

6 months ago
Hi again Doctor Handsfield,

I was asking you on the original question number #7275 about the risk of condom breakage
with vaginal exposure following  oral sex when using the same condom.

Your answer for this question was I quote :

"I don't know if condoms are more likely to break with vaginal exposure following oral. If so, it's a trivial increased risk..." 

I have just one last question about this isuue :

1.   When you say that there is just "increased trival risk for condom breakage" in such sitation,
      you say this out of your personal evaluation or there was a scientific research 
      about the risk of condom breakage in such situation?

       I ask this addtional question becuase on the one hand you wrote 
       that you you do not know if condoms are more likely to break in such situation, 
       but on the other hand you wrote afterwards that if condom breakage happens in 
       such situation it is only a "trivial increased risk". 

       So what is the base for the statemenet of "trival increased risk of condom breakage" in such sitaution come from?

I know that scientific researches from past are most reliable ways for evaluating risks.
I am a person who likes to know facts until the end and do not like uncertainty that much,
so for this reason I would appreciate your explantion for this question,
so that I get the full picture and risk evaluation of condom breakage in such situation in future.

Sorry for the multiple questions about this issue, I promise this is the last one.

Regards

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
6 months ago
Welcome back, but sorry you found it necessary -- especially since in our previous discussion I answered virtually the exact same question, i.e. whether there is research on condom break in the situation you describe or if it's just my personal evaluateion. Here is my reply last time:  "I suppose it's possible such vigorous contact could weaken a condom and raise the risk of rupture during subsequent vaginal or anal penetration. But that's only an educated guiess, with no data; your judgment is as good as mine."

In other words, there is no research on this, so my answer this time of course is the same. But I still fail to understand why it matters or why you care. If you're nervous that the initial event might increase the chance of breakage for subsequent vagnal sex, just change condoms between events. What's the big deal?

HHH, MD
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6 months ago
Hi,

Thank you for the clarification.
About your question "What's the big deal"? 

I will change the condom in such situation when I can,
as I wrote in the beginning of previos post, i was just wondering to know the risk for condom breakage in future situations, 
in a case when for pratical reasons I will use the same condom for oral and then vaginal sex.

So to summerize your answers from the 2 posts and close this discussion we can say:

1.    There is no scientific research for the risk of condom breakage when using the same condom for vaginal sex
       following gentle oral activity or vigorous oral activity.

2.    Your personal evaluation for the risk of condom breakage during vaginal sex 
       following gentle oral activity with the same condom is :  "trivial increased risk".

3.    Your personal evaluation for risk of condom breakage during vaginal sex 
       following vigorous oral activity with the same condom is :  "more significant increased risk". 
       Which in this case it would be smart to insist on changing the condom 
       between oral and vaginal sex to prevent condom breakage.
       But even if condom is not changed in such situation, 
       if the codom is intact in the end of vaginal sex, so protection is complete/no HIV risk. 

I would appreciate you final reference for the 3 conclusions I wrote above,
to make sure I have understood the whole idea.

Thank you very much for all the time and advices.

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
6 months ago
The first two statements correctly express my views. For no. 3, you either have misquoted me or taken the statement out of context. I do not necessarily believe that "vigorous oral activity" followed by vaginal sex increases the risk of breakage. It is plausible that it might have some such effect, but I don't think it is likely. I don't know what sort of "final reference" you need or seek. I've said there are no scientific references, and I see no need to further document, explain, or justify my opinions and advice. This isn't a debate!---
6 months ago
Hi,

I have understood your opinions and advices.
Thank you for all the time and paitence and explanations,

I appreciate it.

All the best
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
6 months ago
I'm Thanks for the thanks. I'm glad to have helped. But please note the forum policy against repeated questions on the same topic. This being your second, it should be your last about this ans similar sexual exposures and risks. Repeated anxiety driven questions are at risk of being deleted without reply and without refund of the posting fee. Among other things, such questions have little educational value for other users, one of the forum's main goals. Thank you for your understanding. Best wishes and stay safe!---