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Report: Condoms Do Prevent Some STDs


WebMD Health News

July 20, 2001 (Washington) -- Condoms effectively prevent the spread of HIV and gonorrhea, but the jury is still out on whether they stop other sexually transmitted diseases, like chlamydia and syphilis. That's the final word of a new government report released Thursday.

Some are concerned that pro-abstinence groups and even the Bush administration may use the report to show that condoms are ineffective and to support their abstinence message. If they do, however, they will find themselves standing on very shaky ground, according to experts. Available data overwhelmingly suggest that condoms prevent the spread of STDs when used correctly.

A panel of experts representing universities, the National Institutes of Health, the CDC, and the FDA reviewed available condom studies and found that condoms are effective in "reducing sexually transmitted HIV in both men and women" and for reducing "the risk of gonorrhea for men."

But the experts could not conclusively say that condoms prevented the transmission of other STDs, including chlamydia, syphilis, and human papilloma virus, which causes genital warts and cervical cancer.

"It does not mean that condoms are ineffective. It just doesn't mean that," says panel member Timothy W. Shacker, MD, an assistant professor of medicine and infectious diseases at the University of Minnesota.

It only means that the data is not yet available for STDs besides HIV and gonorrhea, Shacker tells WebMD. "Many of us [on the panel] feel that when that data is available, it will show that condoms are effective at preventing all STDs," he says.

That's because HIV is so small -- much smaller than the bacteria and viruses that cause other STDs, says Doug Colvard, PhD, of the Contraceptive Research and Development Program, which works to develop better contraceptives for third world countries. So if data show condoms prevent HIV from spreading, it's reasonable to conclude that they stop other STDs, he tells WebMD.

Ward Cates, MD, president of Family Health International, which focuses on contraceptive research and education, agrees. "The glass is 90% full," Cates tells WebMD, referring to the fact that most studies now show or suggest that condoms are an effective way to prevent STDs.

"Condoms prevent the most dangerous STD, HIV, and the most easily transmitted STD, gonorrhea, [so] condom promotion is an important thing to continue to do," he says.

In addition, a study in the Journal of the American Medical Association that came out too late to be included in the report showed that condoms were effective at preventing the transmission of herpes, a spokesman for the Department of Health and Human Services, Campbell Gardett tells WebMD. This study would have been included in the report, if there had been time.

Tom Coburn, MD, a former member of Congress who requested the panel review condom effectiveness, has publicly questioned their effectiveness in preventing the spread of disease.

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