Female Condom Sex

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Global information and education on HIV and AIDS
Global information and education on HIV and AIDS
Female condoms (also known as internal condoms or Femidons) prevent sexually transmitted infections (STIs) including HIV and pregnancy during vaginal sex. They can also be used inside the anus to protect from STIs. You might also want to take a look at our male (external) condom page for information on how to use those.
A female condom is worn inside the vagina or anus to create a barrier to stop bodily fluids and semen from entering the body. They are made from a soft plastic material called nitrile.
Though these are called female condoms, they can be used by people of any gender for protection during anal sex.
You can often get female condoms free from sexual health clinics or healthcare professionals, and they are sold in some shops and pharmacies. If you can’t find these condoms locally, they are available online. There are different types of female condoms, common brands include Femidom, Dominique, Femy, Myfemy, Protectiv, Elegance, Della and Care.
When used correctly, condoms provide excellent protection against HIV, pregnancy and most STIs. In fact, they are the only type of contraception that also stops you getting or giving STIs (including HIV).
If you use a condom, you can relax and enjoy sex knowing that you and your partner are protected.
Though they may seem daunting at first, female condoms are easy to use with a bit of practice.
There are instructions in the packet and you can get advice on how to insert a condom from a sexual health professional. These are the steps:
Female condoms can be used by a person of any gender to protect against STIs, including HIV, during anal sex. If you’re using the condom for anal sex you wear it like a male condom. Put lubricant inside the condom and place it on the penis, put plenty more lube on the outside of the condom and around the anus before inserting the penis gradually. You can also place the condom in the anus before sex, as you do for vaginal sex. To do this follow these steps:
Make sure you use plenty of lubricant during sex, because the anus doesn’t create its own. Lube also help to reduce the chance of passing on STIs and HIV.
Both types of condoms are just as effective as long as they are used correctly. It is good to understand both options. You could experiment with both, you may be surprised which you prefer. Here are a few things to think about:
Male condoms need to be put on just before sex, when the penis is erect, but a female condom can be inserted earlier (up to eight hours before sex). So, with female condoms there are no interruptions in the heat of the moment and the penis can be put into or near the vagina or anus before it’s fully erect.
Most male condoms are made of latex and some people are sensitive to this. Female condoms are made from nitrile. This is hypoallergenic, so it doesn’t irritate sensitive genital skin.
If you find a male condom doesn’t feel comfortable during sex, then a female condom might be the answer. Female condoms are larger and don’t fit snugly around the penis. This means they give the penis more breathing room. Some men prefer them as they find them more comfortable and can make it easier to keep an erection.
Using female condoms can make sex more pleasurable for men and women. During vaginal sex, the female condom’s inner ring may stimulate the tip of the penis, and the external ring can rub against the vulva and clitoris - this can feel great for both of you. 
Unlike a male condom, a female condom does not need an erection to stay in place, so your partner does not have to withdraw straight after ejaculation. You can relax after sex and remove the female condom when it suits you both.
You might choose to include the condom in your foreplay letting your partner put it in for you. Or you may prefer being in control yourself and feel more relaxed if you are responsible for inserting the condom. However awkward it may feel at first, you will become more comfortable and will learn what works best for you.
It’s very rare for a condom to break when used properly but if it does split or break or something else goes wrong like the outer ring moves up inside the vagina / anus, there are some simple things you can do: 
Visit a health facility. They will probably advise you to have a sexual health test around 10 days after exposure (or earlier if you’re worried about any symptoms) and then again around three months later. This is because different STIs become detectable at different times after infection.
If your partner is on regular treatment and their viral load has been undetectable for at least the last six months, there is no risk of HIV transmission (but this should not stop you both from getting tested for other STIs).
If your partner is not on regular treatment or is unsure how well they are responding to treatment, you need to visit a sexual health professional as soon as possible. You may be offered post-exposure prophylaxis (PEP) treatment. This involves taking antiretroviral drugs (ARVs) for a month to reduce the chance of becoming HIV-positive. PEP has a high success rate, but it is not a replacement for condoms, it is a powerful drug with side effects and is not appropriate for everyone.
If you’re in a relationship with someone who is living with HIV, you might consider using pre-exposure prophylaxis (PrEP) to protect you from HIV transmission, but don’t forget, this will not protect you from other STIs or pregnancy. 
Whether you've had lower surgery or not, the best way to protect yourself and your partner against STIs and HIV is to use a condom (either female or male) with water-based lube. Not all trans women can use female condoms, it depends on the depth of your vagina.
If you’ve recently had surgery, you should be extra careful. Your skin may not have healed and can bleed easily, making it easier for you to acquire or pass on HIV.
You may feel embarrassed to talk about using condoms, especially at the beginning of a relationship, but don’t let that stand in the way of protecting yourself against STIs, HIV and pregnancy. Talking to your partner about condoms isn’t a sign that you don’t trust them – it’s a way of showing you care and want to protect you both.
If your partner refuses to use a condom don’t feel pressured into having unprotected sex – remember you always have the right to decide whether or not to have sex.
Try and have the conversation beforehand rather than in the heat of the moment, then you can feel safe to relax and enjoy sex.
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Photo credit: ©flickr/PATH Global Health
 
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