Condom Broke But Pulled Out

Condom Broke But Pulled Out

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Mark Cichocki, RN, is an HIV/AIDS nurse educator at the University of Michigan Health System for more than 20 years.

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Verywell Health's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Ⓒ 2022 Dotdash Media, Inc. — All rights reserved

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Jamin Brahmbhatt, MD, is board-certified in urology. He is an assistant professor at UCF College of Medicine and chief of surgery at Orlando Health South Lake Hospital.

The condom (either external, also known as a "male" condom, or a internal, also referred to as a "female" condom) breaks, and the panic begins. After all, that thin sheath may be the only thing protecting you and your partner from a sexually transmitted infection, a pregnancy, or both. 1

As scary as it can be, dealing with the situation promptly may make it less likely that you'll face a serious outcome. 2 At the very least, it's a good time to take a look at how to choose and use external or internal condoms properly to avoid the problem in the future.

This article explains what to do if an external or internal condom breaks. It also offers some tips on how to prevent external or internal condoms from breaking in the first place.

If an external or internal condom breaks during sex, stop right then. You and your partner will need to consider a few questions:

If the condom broke after ejaculation, it's possible that there was an exchange of semen or other bodily fluids. 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. 3 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. You'll likely be given a rapid HIV test to see if you or your partner have HIV.

Even if your initial tests are negative, your doctor may start you on a 28-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. When you take it to prevent HIV infection, it's called HIV post-exposure prophylaxis therapy (PEP) . 4

The treatment is usually a combination drug containing Truvada or Descovy (emtricitabine and tenofovir), plus Isentress (raltegravir) or Tivicay (dolutegravir).

Ideally, PEP should be started within 24 hours of possible exposure to HIV. It is often still effective if prescribed within 48 (and maybe 72) hours of exposure.

If an external or internal 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. There are several generic versions of Plan B One-Step, including Next Choice One Dose , AfterPill , My Way , and Take Action .

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.

This birth control device is wrapped in copper. It slowly releases tiny amounts of the mineral into your body.

A copper IUD prevents pregnancy by making it harder for sperm to reach an egg. An IUD also changes the lining of the uterus. If it is inserted by a doctor within five days of unprotected (or condomless) sex, ParaGard can lower the risk of pregnancy by 99.9%.

Use these tips to reduce the risk of a torn condom:

If an external or internal condom breaks while you're having sex, you can take steps to prevent a pregnancy and protect yourself from HIV. The first step is to try to remove any body fluids without using harsh chemicals or douches.

The next step is to visit a clinic or the ER to get tested for HIV. If you've been exposed, your healthcare provider might give you medications to combat the virus.

To prevent pregnancy, you can use a one-dose contraceptive pill. Copper IUDs also prevent pregnancies in emergency situations. The most important thing is to act quickly. Some medications only work if they're used in the hours or days right after an external or internal condom breaks.

To protect yourself going forward, store your external or internal condoms in climate-controlled places, make sure you use the right size, and avoid doubling up or using products that can damage the external or internal condoms.

It is easy to tell if there is an obvious rip, but smaller tears may be harder to see. If you are concerned about a broken external condom, check to see if there is any semen leaking out. 6
If you can comfortably reach in with clean fingers and pull out the external condom, it is safe to do so. It will be easier if you first relax your muscles. If you can't reach it, a doctor can use a narrow tool to find and remove it.

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Beksinska M, Wong R, Smit J. Male and female condoms: Their key role in pregnancy and STI/HIV prevention . Best Pract Res Clin Obstet Gynaecol. 2020;66:55-67. doi: 10.1016/j.bpobgyn.2019.12.001
Lehmiller JJ. The Psychology of Human Sexuality . Wiley-Blackwell; 2014: 294.
Centers for Disease Control and Prevention. PrEP | HIV Basics | HIV/AIDS .
Chakraborty D, Maity A, Jha T, Mondal N. Spermicidal and contraceptive potential of desgalactotigonin: A prospective alternative of nonoxynol-9 . PLoS ONE . 2014;9(9):e107164. doi:10.1371/journal.pone.0107164
U.S. Department of Health and Human Services (DHHS). Emergency contraception .
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Communities > HIV Prevention > Condom broke during sex, pulled out immediately

I know many of you are going to judge me for this, and rightfully so, as I am judging myself very harshly and feel horrible and stupid for what I did.  I'll just get straight to it.

I, for the first time, decided to see an escort last night, and not a high-end one because I couldn't afford it.  We were having protected sex and my penis slipped out.  I went to put it back in, but it was kinda dry and as I was re-entering her vagina, the condom broke and the tip of my penis became exposed and was inside her for about 5 seconds before I pulled it out and re-covered it with a new condom.  The tip of my penis was barely inside her when this happened. I asked her afterwards if I had anything to worry about or if I should get tested since the condom broke, and she said 'No,' but I don't trust her at all and don't know if I should believe her.

I want to know if I was at risk of contracting HIV or any other STD, and if so, what risk level do you think I had?  I know that if she was infected with any STD, even with a condom there was a risk.  I am wondering if any of the doctors believe that the circumstances would have significantly increased my risk factor?  At the time and immediately following the encounter, I wasn't very worried because she said I had nothing to worry about, but now that I have been thinking about it all day, I am getting anxiety about it.  I plan to get tested, but I know I need to wait to do so for an accurate result.  It has been less than 24 hours since the possible exposure, so if there is anything else that I can do that is preventative, please let me know as well.

Thank you all for reading, and thanks in advance for your replies.

I had an encounter with an escort. After blow jobs she just inserted me penis into her vigina and I pulled it out within a second. Can I...

Hello Doctor,

Please clarify as I am really anxious with single encounter with CSW in dubai 3 days ago.

I had touched her body with...

Hello MedHelp members and visitors. I wish you all health and happiness.

I'm a male at my 30s who always practices protected sex (vagi...

Hello to everyone.Sorry for my english if I make some mistakes.Im from ukrain. So I had protected oral and vaginal sex 1 day ago with a C...

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No his case would not suffice at 28 days. MOVE ON.

You were already advised as when to test.

reallystupiddood
Jul 31, 2011

I would really appreciate any other info or advice from anyone.  Thanks again.

reallystupiddood
Jul 28, 2011

I wasn't trying to be rude to rchie, and I appreciate his/her reply.

I asked a few questions in my post...

I want to know if I was at risk of contracting HIV or any other STD, and if so, what risk level do you think I had?

I am wondering if any of the doctors believe that the circumstances would have significantly increased my risk factor?

It has been [about] 24 hours since the possible exposure, so if there is anything else that I can do that is preventative, please let me know as well.

What would you like to know if you already know testing at 3 months is a given.

reallystupiddood
Jul 28, 2011

Thanks for the reply, but that is a given.  Can anyone else please offer any advice or ease my mind or anything at all?

Notify me of new activity on this question

I had an encounter with an escort. After blow jobs she just inserted me penis into her vigina and I pulled it out within a second. Can I...

Hello Doctor,

Please clarify as I am really anxious with single encounter with CSW in dubai 3 days ago.

I had touched her body with...

Hello MedHelp members and visitors. I wish you all health and happiness.

I'm a male at my 30s who always practices protected sex (vagi...

Hello to everyone.Sorry for my english if I make some mistakes.Im from ukrain. So I had protected oral and vaginal sex 1 day ago with a C...

John C Hagan III, MD, FACS, FAAO Jun 08

John C Hagan III, MD, FACS, FAAO 12/20

John C Hagan III, MD, FACS, FAAO 04/18

Didn't find the answer you were looking for?

Condoms are the most effective way to prevent HIV and STDs.

PrEP is used by people with high risk to prevent HIV infection.

Can I get HIV from surfaces, like toilet seats?

Can you get HIV from casual contact, like hugging?

Frequency of HIV testing depends on your risk.

Post-exposure prophylaxis (PEP) may help prevent HIV infection.

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