Name of the Procedure:

Common Names: Male Condom\ Technical Terms: Contraceptive Supply, Condom, Male, Each (HCPCS Code: A4267)

Summary

The male condom is a method of contraception worn by men during sexual intercourse. It is a thin, stretchy sheath that covers the penis to prevent sperm from entering a partner's body, thereby reducing the risk of pregnancy and protecting against sexually transmitted infections (STIs).

Purpose

The primary purpose of the male condom is to provide a barrier that prevents the exchange of bodily fluids during intercourse. This helps:

• Prevent unwanted pregnancies.
• Protect both partners from STIs, including HIV.

Indications

• Couples seeking a reliable form of birth control.
• Individuals wanting to reduce the risk of transmission of STIs.
• Those who prefer a non-hormonal method of contraception.

Preparation

• Ensure the condom is carried and stored properly, away from heat and sharp objects.
• Check the expiration date and ensure the packaging is intact before use.
• No specific medical tests or fasting required.

Procedure Description

1. Opening the Condom: Carefully open the package, avoiding damage to the condom with nails or sharp objects.
2. Application: Place the rolled condom on the tip of the erect penis, leaving a small space at the tip to collect semen.
3. Rolling Down: Hold the tip and unroll the condom down to the base of the penis. Ensure it fits snugly without air bubbles.
4. During Intercourse: Use lubricant if needed. Avoid oil-based lubricants as they can degrade the latex.
5. After Ejaculation: Hold the base of the condom while withdrawing to prevent it from slipping off. Remove the condom away from the partner's body.
6. Disposal: Tie the open end of the condom and dispose of it in the trash. Do not flush down the toilet.

Tools and Equipment: None required except the condom itself.\ Anesthesia or Sedation: Not applicable.

Duration

The application and removal of the condom take only a few minutes.

Setting

The condom can be used in any private setting where sexual activity occurs.

Personnel

No healthcare professionals are involved in the actual use of a condom. However, healthcare providers can offer guidance on proper usage.

Risks and Complications

• Common Risks: Condom breakage or slippage if not used correctly.
• Rare Risks: Allergic reactions to latex (non-latex options are available).

Benefits

• Effectiveness: When used correctly, condoms are highly effective at preventing pregnancy and STIs.
• Immediate Benefits: Provide instant protection and do not require advanced preparation.

Recovery

• No recovery needed.
• Immediate return to daily activities.
• No follow-up appointments unless there are issues such as unexplained rash or condom failure.

Alternatives

• Other contraceptive methods, such as birth control pills, IUDs, or hormonal injections.
• Pros: Alternatives may offer longer-term protection or convenience.
• Cons: Many do not provide STI protection.

Patient Experience

• During Use: Some individuals may experience decreased sensitivity, but use of lubricants can enhance comfort.
• After Use: Most people feel no discomfort or lasting effects post-use.
• Pain Management: Usually not needed, but for those with latex allergies, non-latex condom options can prevent discomfort.