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  • Title: No added STD protection from spermicidal condoms.
    Journal: Contracept Technol Update; 1998 Aug; 19(8):105-6. PubMed ID: 12348577.
    Abstract:
    An epidemiologic study conducted by Family Health International and Profamilia (Dominican Republic) found that condoms treated with the spermicide nonoxynol-9 offer no greater protection against sexually transmitted diseases (STDs) than regular condoms. Enrolled in the randomized controlled study were 635 female sex workers recruited from STD clinics in Santo Domingo. Participants were scheduled to return for follow-up visits every 2 weeks for 24 weeks or until gonorrhea or chlamydial cervicitis developed; only about 17% of women in both the nonoxynol-9 condom group and the plain condom group completed the study. Although nonoxynol-9 condoms did not cause irritation, they were not associated with significant reductions in cervical or vaginal infections. This study was limited, however, by the potential for selection bias associated with the high drop-out rate and the small amount of spermicide used in the treated condoms. A nonoxynol-9 gel for gonorrhea, chlamydia, and HIV protection is under development. Since current nonoxynol-9 condoms are more expensive than regular condoms and have a shorter shelf-life, family planning programs may want to reconsider their use until more research evidence is available.
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