Reviewed by: Amy W. Anzilotti, MD. Larger text size Large text size Regular text size. But do you know the best thing you can do when a condom breaks? Stay calm and take these steps to prepare and protect yourself!
If at any point during sex you feel or even suspect a condom break, stop and withdraw immediately. To determine what next steps to take, you must first assess the circumstances. Is the condom still on your partner? Is it inside of you? Did the break happen before or after ejaculation? If the condom is still inside of you, make sure you retrieve all of the pieces to prevent irritation or infection. Here are the rates for those problems:. Breakage: In various studies, between 0.
In some studies, the rates of sex with a broken condom were as high as Slippage: Between Leakage: Condoms leaked in between 0. Late application: Between 17 percent and Other studies found that late application happens in 1.
Early removal: Between Other studies found that early removal happens in between 1. Unrolling a condom before putting it on: Between 2. No space at the tip: Failing to leave a reservoir for semen was reported by between Failing to remove air: Almost half Inside-out condoms: Between 4 percent and Try to remove as much semen from the vagina or rectum as possible.
You could try squatting and pushing as if you're trying to have a bowel movement. You can also try sitting on the toilet and bearing down. Afterward, you can gently wash the genital area with soap and water. Do not douche , scrub, or use a harsh cleanser or disinfectant. Douching can strip away protective bacteria from the vagina. It can also harm the tissues. Using a disinfectant can also damage cells.
Harsh chemicals can cause inflammation that may raise your risk of HIV infection. If you think fluids might have been exchanged and you're not sure about your HIV status or your partner's, the best thing to do is go to the nearest clinic or emergency room ER with your partner. This step is even more important if you know that one of you has HIV. Explain to the ER doctor or nurse what has happened. Even if your initial tests are negative, your doctor may start you on a day course of antiretroviral medication.
More detailed HIV testing will be sent that may take a few days to return. With or without a negative test, the medication is started to slow the potential spread of the virus in the body. The treatment is usually a combination drug containing Truvada or Descovy emtricitabine and tenofovir , plus Isentress raltegravir or Tivicay dolutegravir.
It is often still effective if prescribed within 48 and maybe 72 hours of exposure. If a condom breaks and you're not using another contraceptive , pregnancy is another possibility.
If you're in this situation, emergency contraception can prevent pregnancy. There are two main options, including two "morning-after" pills and placement of a copper intrauterine device IUD within five days of the scare. An IUD is a T-shaped device placed in the uterus or womb to keep sperm from fertilizing an egg. Available over the counter, the Plan B One-Step levonorgestrel pill is in a class of drugs called progestins. It works by preventing your body from releasing an egg or keeping an egg from being fertilized by sperm.
It is a single-dose contraceptive to be taken within 72 hours. Another one-dose contraceptive is Ella ulipristal acetate. You'll need a prescription for this medication. It works by delaying or preventing the release of an egg, or by changing the lining of the uterus. It can be taken within five days, but as soon as possible is better.
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