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Condom Anal Sex
There Are Finally Condoms Authorized for Anal Sex

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The FDA green-lit a condom to be used for anal sex, the first authorization of its kind. When coupled with a condom-compatible lubricant, the condoms have a 1% failure rate when used for anal sex. The move could help protect against HIV and other STIs among people who have anal sex.

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For the first time, regulators permitted a company to label its condoms for use during anal sex. Advocates said the move could encourage condom use and help prevent the spread of sexually transmitted infections (STIs).


Last week, the Food and Drug Administration (FDA) authorized the ONE condoms by Global Protection Corp to be marketed for use during anal sex. The condom was also authorized for vaginal sex.


The decision came after the FDA reviewed data submitted by researchers from Emory University on the condom’s high effectiveness. Based on the study, the condoms had a failure rate of less than 1% when used for anal sex. 1


While health authorities have long recommended the use of condoms for anal sex, the FDA has only allowed condom manufacturers to label their products as safe and effective for use during vaginal sex, until now.


“The FDA’s authorization of a condom that is specifically indicated, evaluated and labeled for anal intercourse may improve the likelihood of condom use during anal intercourse,” Courtney Lias, PhD, director of the FDA’s Office of GastroRenal, ObGyn, General Hospital, and Urology Devices, said in a statement . “Furthermore, this authorization helps us accomplish our priority to advance health equity through the development of safe and effective products that meet the needs of diverse populations.” 


Aaron Siegler, PhD, MHS , associate professor of epidemiology at Emory University and lead author on the study, said the FDA decision could have significant public health implications.


“There have been over 300 condoms approved with vaginal sex data, and there’s never been a condom approved for anal sex by FDA,” Siegler told Verywell. “We know that two-thirds of HIV transmission in the United States is linked to anal sex. So, it’s critical to have condoms tested and approved for this use.”


Siegler said that condoms have long been used for anal sex. Establishing data on how well they hold up during anal sex could increase confidence and encourage people to use them more often.


“This is a long-established intervention, but I don’t think there was a general understanding that condoms would have such a low failure level for anal sex,” Siegler said.


The study followed 252 men who have sex with men and 252 men who have sex with women for a year. The research team sought to understand if different kinds of condoms performed differently during anal sex. They tested three kinds—thin, regular, and fitted. The fitted version used in the research was produced in 56 sizes. The version now available for sale is available in 60 sizes.


They found that the condoms failed in 0.7% cases of anal sex. Failure during vaginal sex was higher, at 1.9%.


There was no significant difference in how condoms of different types held up during sex.


The research was funded by the NIH through a small business research grant to test the effectiveness of a condom by a company later acquired by Global Protection Corp. The Emory team and Global Protection Corp together sought the FDA label.


“People put their health and trust in our hands, and deserve to know the products we provide are safe and effective. It’s a responsibility we take very seriously,” Davin Wedel, president and founder of Global Protection Corp, parent company of ONE Condoms, told Verywell in an email. “We hope the FDA clearance enhances trust, leads to increased condom and lubricant use, and reduces the number of new cases of sexually transmitted infections.”


Smaller studies have found the clinical failure rate to be higher than the 5% threshold needed for FDA authorization. Siegler said his team designed their study to minimize biases, through steps like decoupling incentives to participants from condom use and using electronic reporting system to minimize mistakes and lags in reporting outcomes.


The researchers analyzed failure rates by a variety of demographic factors. Failure rates stayed low, at about 1% for all groups.


Siegler said he hopes other condom manufacturers will undertake similar studies and seek FDA authorization for their products.


Risk of failure may be lower among men who had sex with men due to the common use of lubricant in this group. More than 98% of anal sex acts involved condom-compatible lubricant, while less than 42% of vaginal sex acts did. When researchers compared only sex acts that used lubricant, the risk of failure dropped by more than half and they found there was no risk difference between the groups.


Water- and silicone-based lubricants help reduce friction during sex, minimizing the risk of the condom breaking during use. 


Oil-based lubricant, on the other hand, can degrade the latex used to make most condoms, making them more susceptible to breakage. In the study, condoms failed in 2 out of 16 cases when non-condom compatible lubricant was used.


“Condoms and condom compatible lubricants should be going hand in hand and should be provided together to optimize condom performance,” Siegler said. “It really is kind of an essential part of condom use for anal sex.”


Pre-exposure prophylaxis (PrEP) is a preventative medicine for people at high risk of getting HIV. PrEP use has more than doubled in the U.S. in the last five years.


Condoms have the additional benefit of reducing the chances of sexually transmitted infections, including syphilis, gonorrhea, and chlamydia. Unlike PrEP, condoms can also greatly reduce the chance of pregnancy after vaginal sex.


Condoms and condom-compatible lubricant, Siegler said, are low-cost public health tools that could have important public health implications. A 2015 survey found that 69% of surveyed men who have sex with men would be more likely to use a condom for anal sex if the FDA labelled it as safe and effective for that use. 2


Broadening access to tools like condoms and PrEP could increase sexual health across the board.


“The FDA clearance provides another layer of confidence for people to know their health is a priority,” Wedel said, “This is a massive moment in public health and one of our most significant company accomplishments.”

The ONE condom is the only product currently labeled for use during anal sex. The CDC and WHO say condoms by other manufacturers may be used off-label. The move may pave the way for other companies to test their products for use during anal sex and seek FDA approval. 
Siegler AJ, Rosenthal EM, Sullivan PS, et al. Levels of clinical condom failure for anal sex: a randomized cross-over trial . EClinicalMedicine . 2019;17:100199. doi:10.1016/j.eclinm.2019.10.012
Siegler AJ, Ahlschlager L, Rosenthal EM, et al. Utility of a US Food and Drug Administration (FDA) label indication for condoms for anal sex . Sex Health . 2020;17(1):91-95. doi:10.1071/SH18152
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Dainis Graveris January 23, 2022 July 6, 2020
Material: Latex Lubrication: Light Length: 7.5”
Nominal Width: 2.12” Price: $1/condom
Extremely strong and stretchy No “condom” smell Almost invisible once in use
Looks odd at first glance Very light on the lube
Material: Natural Rubber Lubrication: Heavy Length: 7”
Nominal Width: 2.08” Price: $1.25/condom
Non-latex, so ideal for anyone with an allergy Great body heat transference Come pre-lubricated with lots of lube
A noticeable smell Relatively expensive
Material: Natural Latex Lubrication: Medium Length: 6.5”
Nominal Width: 2.05” Price: $1.2/condom
Great sensitivity Strong and reliable
Lube dries out quickly Snug fit with a small reservoir tip
Finding the right condom for safe, pleasurable butt sex is trickier than you might think. Luckily for you, we found the 3 best condoms for anal!
Whether you are looking for the best anal dildo or want to experience orgasmic anal sex, being safe is a priority.
Only a very small number of condoms have been officially approved by the FDA 1 (Food and Drug Administration) for anal use, meaning that most condom manufacturers just aren’t allowed to tell you when their condoms are suitable for anal use . 
Confusing, right? Despite this, it’s still important to use a condom when having anal sex.
Not only does using one make cleaning up easier, but it also prevents STIs 2 and urinary tract infections – both of which could really ruin a good time! 
There’s something which is far more important than which condom you choose. It is how you use it.
Improper condom usage makes them way less effective . Whenever you use a condom for anal it’s important to:
Sound good? Great! Let’s take a look at some of…
Lelo claims to have re-engineered the condom with this revolutionary hexagon-based design. And it’s true; the Lelo Hex Original Condom does look rather unique.
Rather than being made from a single sheet of latex, this condom is made from a series of interlocking panels – a bit like scales.
Don’t worry, though – the Hex doesn’t look as weird as it sounds .
In fact the latex is actually a lot clearer than most condoms, meaning that it’s almost invisible once it’s on.
It’s also thinner, which means more sensation, and a better transference of body heat between partners.
Thinner doesn’t mean weaker. In fact the Hex is strong and stretchy – although some users report that this stretchiness means it grips a little too tight for comfort around the base. 
These condoms also aren’t suitable for latex allergy sufferers; unique as they are, they’re still made from latex.
On top of that, Hex condoms come with unscented lube. This is every bit as smooth and slick as normal lube, but minus that “condom” smell.
This neutral scent can really add to the feeling of there being no barrier at all . 
These condoms are suitable for anal, but you will need to add some supplementary lube – the lube included with each rubber is minimal and dries out pretty quick.
SKYN are one of few companies to have made a premium, tasteful, sensitive non-latex condom.
That’s great news for anyone with an allergy, but also for everyone else as well; rubber has much better temperature-conducting properties than latex, and so these condoms feel superb as far as body heat goes. 
These SKYN condoms are generously lubricated.
That makes these condoms suitable for regular sex without any supplementary lube, although for anal you’ll still need to add some extra slippery stuff for a comfortable and safe experience.
On the downside, you may notice an unusual smell to these condoms .
It’s not offensive, and it’s certainly less pungent than the latex scent that comes with most condoms… but it may not be to your tastes. 
These are also slightly more expensive. This is not surprising as non-latex condoms often cost more than latex ones.
It’s up to you to decide if the superb lubrication, natural feel, and safety are worth the extra pennies.
These Trojan Sensitivity Bareskin Thin Condoms are sold on the basis of their thinness and sensitivity .
Trojan, is a US based company that has been appreciated by the customers for the quality of the condoms they produce. 
BareSkin condoms are 40% thinner than the original Trojan’s condoms. If you’re looking to increase the sensation you feel while still staying safe , these might be the condom for you.
One downside to these otherwise-excellent rubbers is their snugness. Not only are they a little tight at the base, they also have a very small reservoir tip.
This can make it tricky to position them correctly , and make them feel odd if you’re used to condoms with a bigger tip.
These condoms are, just like Hex, made from latex. If you’re new to using condoms do exercise caution; some people are allergic to this stretchy material.
When it comes to using these condoms for anal, you’ll need to purchase extra lube. The lube these are supplied with is pleasant and silky, but dries out quickly. 
All of the condoms listed above are strong enough to be used for anal sex.
However, worrying about the possibility of a condom breaking is a distraction you don’t need while you’re trying to get down and dirty!
As such you should pick a brand you trust, and that you’re familiar with .
But that’s not the only thing to consider. The amount of sensation you feel is also important. For that you’ll want to consider the thickness of your condom.
Thin condoms generally offer more sensation, and non-latex condoms are better at conducting temperature, so go for these if you want to feel more.
There’s one thing that’s essential for enjoyable, safe, easy anal sex: lube.
If you don’t use enough of it (or you use the wrong kind) you could end up breaking a condom , or even leaving your partner sore and uncomfortable. 
That’s definitely not what we want!
Here’s the deal: most lubes are water-based. That’s normally a good thing, since water-based lube works with any condom and any toy.
For anal sex, it’s not ideal, though, as it dries out very quickly. If you use ordinary water-based lube you’ll probably have to stop and reapply it throughout. 
Silicone or jelly lubes are much better – in fact, these are often specifically designed for anal (and, unlike condoms, are allowed so say so on the packet).
These are thicker, slicker, and will last for ages, so look for something like Pjur Back Door Silicon Anal Lubricant .
The one thing you definitely want to avoid is oil-based lubes. Why? Well, oil-based lubes aren’t good for condoms 3 of any type and can cause them to degrade and split.
Last but not least, you need a condom that fits you right! The same way you need to stretch properly before doing anal.
That means not so tight that it’s difficult to roll on , or uncomfortable when it’s in place… but not so loose that it moves when in use .
There are so many variations when it comes to size and shape of condoms (and the size and shape of penises) that the best way to find one that fits you is by experimentation.
The right condom will feel secure, without feeling as though it cuts off the blood supply. It’ll be snug at the tip (without excess length hanging off you), and comfortable at the base (no pinching). 
Oh, and it should reach all the way down to the base of your shaft, too – a condom that only goes halfway down is likely to slip off during sex.
Anal sex is a lot more enjoyable when you have the right equipment. For some people that might mean a butt plug or a douche. For others, it’s all about the lube.
But that’s not all. While we’re talking about condoms we’ll also recommend some protection for your hands.
Gloves are great for anal play. They allow you to insert as many fingers as you or your partner like without then having to go wash up before you touch other body parts; just strip off the glove.
They’re also great for applying lube – remove the glove once you’re done with the slippery stuff and you’ll find it much easier to open condoms and do other fiddly things.
Finger cots are like individual little gloves for each of your fingers. They come in big packs and are super inexpensive.
Slip one on before starting and slip it off when you’re done – simple. Finger cots keep everything clean, without having to pull on a full glove.
Condoms aren’t just a way of looking after your sexual health.
When it comes to anal sex or even when learning how to anally masturbate , the best condoms for anal can make you feel more comfortable, and enhance your pleasure .
It’s worth taking the time to experiment and find the right condom for you.
Pair it with the right lube, and you’re on your way to having great, safe anal sex that’ll leave you smiling.
Over last 4 years Dainis have helped millions of people through his advice on this site (200+ guides and 1M+ visits/monthly). His work & advice has appeared on sites like: Healthline, Vice, Cosmopolitan, Men's Health, WomensHealthMag, MindBodyGreen & more. Read More
Got Questions? Ping me on Twitter .
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