Condoms: facts and fairytales (1)

I believe that Fr Alfred Micallef (The Sunday Times, January 14) raised an important point when arguing about the need to give holistic information about sexual health.

Indeed it is also the policy of the Health Promotion Department to give equal attention to all four aspects in the ABCD model as is also put forward by the World Health Organisation. Quoting the WHO (2005): "The best approach to preventing Sexually Transmitted Infections (STI) is to avoid exposure. At this first level of prevention, the likelihood of being exposed to STI can be reduced by: delaying sexual activity; decreasing the number of sex partners; and using condoms correctly and consistently".

The document also explains that: "Condoms are the most reliable method available for situations where people want to protect themselves or their partner from any risk of STI. Used correctly, they form a barrier that keeps out even the smallest bacteria and viruses. Male condoms made of latex are widely available, inexpensive and highly effective. Because they are easy to carry, protection can be available at any time" (WHO, 2005: www.who.int/reproductivehealth/publications/rtis_gep/importance.htm).

Thus, while acknowledging that condoms have their limitations, we need to be able to look at this matter from every angle. The glass is not half-full or half-empty - it's both! A condom is as useful as a helmet is to a motorcyclist. It is not a guarantee of invulnerability but an essential precautionary measure. A condom is not more reliable than complete abstinence - but note - engaging in oral sex does not mean you are being abstinent. STIs can be transmitted through oral sex as well.

The male condom is also not a pair of cycling pants. It will not cover those areas outside the penis. STIs, such as genital warts, may still be transmitted if present outside the protected area. Condoms do not get easily torn, slip out or get lost inside a woman's vagina - used as indicated in the leaflet accompanying every box of condoms, this barrier method is reliable.

Finally, a word of recommendation. Condoms will only help in minimising risk of infections and pregnancy. They will not protect you from a guilty conscience. If you do not wish to be sexually active, stand up for your sexual rights, be assertive with your partners and communicate your decision. If you do plan to engage in sexual activity, be aware of the risks involved and act responsibly. Planning for condom protection could go a long way to minimise those risks.