Jim Shelton's Pearls

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September 12, 2001

Do female condoms last after multiple uses?

The female condom is a useful complement to the male condom in my country, especially for commercial sex workers (CSWs). But female condoms are fairly expensive. Do female condoms remain strong after multiple uses?

Yes, for up to 8 uses, according to a recent study in South Africa. The study measured structural integrity of female condoms for up to 8 "re-uses" among CSWs. The condoms were washed with detergent, dried and relubricated with vegetable oil between uses. The study found no deterioration in strength based on FDA-standard burst and seam strength tests. There were a total of 5 holes detected over the course of the study, but four of these were within about an inch of the outer rim and most were detected by the women themselves. The breakage rate was 1.7% versus 1.9% in a single-use US study.

The report concludes: "The overall conclusion would support that while it is preferable to use a new female condom or male condom, a reused female condom may be an acceptable next choice in situations where this is not possible."

References:
Beksinska ME et al. Structural integrity of the female condom after multiple uses, washing drying and relubrication. Contraception 2001; 63:33-36.

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The "Pearls" offer answers to commonly asked questions about family planning. These "Pearls" are prepared by Dr. James D. Shelton, Senior Medical Scientist, Office of Population, United States Agency for International Development (USAID)

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