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During sex the condom came off and we could not find it. Could it be inside my vagina? What should I do? #811/6

During sex my fiance and I later noticed the condom was not there. We looked on the bed and could not find it. So I am assuming it come off in side of my virgina, if so what should I do? Will it come out at some point?

Please e-mail me with the answers..






The following information was taken directly from earlier questions posted on the website:

 

            If you should "lose" a condom or something in the vagina:  relax, adjust your position, and attempt to retrieve it.  You may try squatting, bearing down, or lifting one leg to a higher surface to make retrieval easier.  Your partner may also be better able to assist you.

3)  If you suspect some kind of foreign body is in your vagina, and can not remove it on your own, please seek medical attention immediately!  This is a grave concern and needs immediate action, due to the serious risk of infection of your reproductive tract. 

 

Male condoms can slip part way down the shaft of the penis or fall off into the vagina completely.  In either instance, semen may escape from the condom potentially exposing a woman to the risk of pregnancy and infection.

 

            One of the 3 most important instructions for safe, effective condom use is: "During withdrawal of the penis after ejaculation (while the penis is still erect), hold the rim of the condom against the base of the penis." [Warner, Hatcher, Steiner ? 2004]

 

            Condoms completely fall off the penis in about 2% of acts of vaginal intercourse according to results from prospective studies.  Data on rates of complete slippage during anal intercourse, although very limited, appear to range more widely.  Condoms may also slip down partially during intercourse without falling off, which could pose risk for STLs that are transmitted primarily through skin-to-skin contact (e.g., herpes simplex virus-2, HPV, syphilis, and chancroid).  Unfortunately, since very few studies distinguish partial from complete slippage, the degree to which slippage increases the risk of pregnancy or STLs due to semen leakage or exposure to genital lesions is unknown." [Warner, Hatcher, Steiner ? 2004]

 

            "If the condom breaks, falls off, leaks, or is not used, the following may help:

a.                  Discuss the possibility of pregnancy or infection with your partner and contact your health care provider as soon as you can.  Do not douche.  Emergency contraception may be used to prevent pregnancy if started within 72 hours of having unprotected intercourse.  Call 1-888-NOT-2-LATE to learn more about emergency contraceptives and to obtain phone numbers of providers of emergency contraception nearest to you, or obtain this information from the World Wide Web at hppt://ec.princeton.edu.

b.                  Gently wash the penis, vulva, anus, and adjacent areas with soap and water immediately after intercourse to help reduce the risk of acquiring an STI.  Then insert an applicator full of spermicide into the vagina as soon as possible." [Warner, Hatcher, Steiner ? 2004]

 

Summary:    Condoms fall off completely in about 2% of acts of intercourse.  Usually it is easy to remove the condom from the vagina, easily (if it is recognized that the condom came off).  Consider Plan B emergency contraception when a condom breaks, slips down or comes off.  Use EC as soon as possible.  Definitely within 5 days.

 

A couple who have experienced a condom break or slippage, definitely should have a package of Plan B ready at home so both Plan B tablets can be taken immediately in case of a problem.

  

Key Words:  sex, condom, inside vagina, remove  

Posted 8-2006, Updated 4-11-2009       

 

 

Robert A. Hatcher MD, MPH
Emeritus Professor of Gynecology and Obstetrics
Emory University School of Medicine
Atlanta, GA
---2009-04-11


Managing Contraception for Your Pocket 2013-2014
  

The directors and owners of this website and any publications and information concerning health matters offered here advise a person with a particular problem to consult a primary-care clinician or a specialist in obstetrics, gynecology, or urology (depending on the problem or the contraceptive) as well as the product package insert and other references before diagnosing, managing, or treating the problem.
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