Free Standard AU & NZ Shipping For All Book Orders Over $80!
Register      Login
Sexual Health Sexual Health Society
Publishing on sexual health from the widest perspective
RESEARCH ARTICLE

Online purchases of an expanded range of condom sizes in comparison to current dimensional requirements allowable by US national standards

Michael Cecil A D , Lee Warner B and Aaron J. Siegler C
+ Author Affiliations
- Author Affiliations

A TheyFit, Covington, GA 30014, USA.

B Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA.

C Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA 30031, USA.

D Corresponding author. Email: drmichael@drmichael.com

Sexual Health 10(5) 408-413 https://doi.org/10.1071/SH13049
Submitted: 25 September 2012  Accepted: 25 May 2013   Published: 15 July 2013

Abstract

Background: Across studies, 35–50% of men describe condoms as fitting poorly. Rates of condom use may be inhibited in part due to the inaccessibility of appropriately sized condoms. As regulated medical devices, condom sizes conform to national standards such as those developed by the American Society for Testing and Materials (ASTM) or international standards such as those developed by the International Organisation for Standardisation (ISO). We describe the initial online sales experience of an expanded range of condom sizes and assess uptake in relation to the current required standard dimensions of condoms. Methods: Data regarding the initial 1000 sales of an expanded range of condom sizes in the United Kingdom were collected from late 2011 through to early 2012. Ninety-five condom sizes, comprising 14 lengths (83–238 mm) and 12 widths (41–69 mm), were available. Results: For the first 1000 condom six-pack units that were sold, a total of 83 of the 95 unique sizes were purchased, including all 14 lengths and 12 widths, and both the smallest and largest condoms. Initial condom purchases were made by 572 individuals from 26 countries. Only 13.4% of consumer sales were in the ASTM’s allowable range of sizes. Conclusions: These initial sales data suggest consumer interest in an expanded choice of condom sizes that fall outside the range currently allowable by national and international standards organisations.

Additional keywords: AIDS, American Society for Testing and Materials, condom fit, safer sex, sexually transmissible infections.


References

[1]  Warner L, Steiner MJ. Male condoms. In Hatcher RA, Trussell J, Nelson AL, Cates W Jr., Stewart FH, Kowal D, editors. Contraceptive technology, 19th revised edition. New York: Ardent Media, Inc.; 2007. pp. 297–316.

[2]  UNAIDS. Condoms and HIV prevention: position statement by UNAIDS, UNFPA and WHO. Geneva: UNAIDS; 2009. Accessed online at: http://www.unaids.org/en/Resources/PressCentre/Featurestories/2009/March/20090319preventionposition/ [verified January 2012].

[3]  Warner L, Gallo M, Macaluso M. Condom use around the globe: how can we fulfill the prevention potential of male condoms? Sex Health 2012; 9 4–9.
Condom use around the globe: how can we fulfill the prevention potential of male condoms?Crossref | GoogleScholarGoogle Scholar | 22348627PubMed |

[4]  Steiner MJ, Cates W, Warner L. The real problem with male condoms is nonuse. Sex Transm Dis 1999; 26 459–62.
The real problem with male condoms is nonuse.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1MvitlWhug%3D%3D&md5=b0b957451655db0ce408e713dc7b5c75CAS | 10494937PubMed |

[5]  Crosby R, Milhausen R. Yarber WL, Sanders SA, Graham CA. Condom ‘turn offs’ among adults: an exploratory study. Int J STD AIDS 2008; 19 590–4.
Yarber WL, Sanders SA, Graham CA. Condom ‘turn offs’ among adults: an exploratory study.Crossref | GoogleScholarGoogle Scholar | 18725548PubMed |

[6]  Carballo-Diéguez A, Ventuneac A, Dowsett GW, Balan I, Bauermeister J, Remien RH, et al Sexual pleasure and intimacy among men who engage in “bareback sex”. AIDS Behav 2011; 15 S57–65.
Sexual pleasure and intimacy among men who engage in “bareback sex”.Crossref | GoogleScholarGoogle Scholar | 21380496PubMed |

[7]  Hensel DJ, Rosenberger JG, Novak DS, Reece M. Sexual event-level characteristics of condom use during anal intercourse among HIV-negative men who have sex with men. Sex Transm Dis 2012; 39 550–5.
Sexual event-level characteristics of condom use during anal intercourse among HIV-negative men who have sex with men.Crossref | GoogleScholarGoogle Scholar | 22706218PubMed |

[8]  Scott-Sheldon LA, Marsh KL, Johnson BT, Glasford DE. Condoms + pleasure = safer sex? A missing addend in the safer sex message. AIDS Care 2006; 18 750–4.
Condoms + pleasure = safer sex? A missing addend in the safer sex message.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD28rksFemtg%3D%3D&md5=05df8ff1b9ec80508a5ef938df83db9fCAS | 16971284PubMed |

[9]  Calabrese SK, Reisen CA, Zea MC, Poppen PJ, Bianchi FT. The pleasure principle: the effect of perceived pleasure loss associated with condoms on unprotected anal intercourse among immigrant Latino men who have sex with men. AIDS Patient Care STDS 2012; 26 430–5.
| 22663165PubMed |

[10]  Crosby RA, DiClemente RJ, Wingood GM, Salazar LF, Head S, Rose E, et al Sexual agency versus relational factors: a study of condom use antecedents among high-risk young African American women. Sex Health 2008; 5 41–7.
Sexual agency versus relational factors: a study of condom use antecedents among high-risk young African American women.Crossref | GoogleScholarGoogle Scholar | 18361853PubMed |

[11]  Frye V, Williams K, Bond KT, Henny K, Cupid M, Weiss L, et al Condom use and concurrent partnering among heterosexually active, African American men: a qualitative report. J Urban Health 2012;
Condom use and concurrent partnering among heterosexually active, African American men: a qualitative report.Crossref | GoogleScholarGoogle Scholar | 22869516PubMed |

[12]  Higgins JA, Tanner AE, Janssen E. Arousal loss related to safer sex and risk of pregnancy: implications for women’s and men’s sexual health. Perspect Sex Reprod Health 2009; 41 150–7.
Arousal loss related to safer sex and risk of pregnancy: implications for women’s and men’s sexual health.Crossref | GoogleScholarGoogle Scholar | 19740232PubMed |

[13]  Randolph ME, Pinkerton SD, Bogart LM, Cecil H, Abramson PR. Sexual pleasure and condom use. Arch Sex Behav 2007; 36 844–8.
Sexual pleasure and condom use.Crossref | GoogleScholarGoogle Scholar | 17909960PubMed |

[14]  Hensel DJ, Stupiansky NW, Herbenick D, Dodge B, Reece M. Sexual pleasure during condom-protected vaginal sex among heterosexual men. J Sex Med 2012; 9 1272–6.
Sexual pleasure during condom-protected vaginal sex among heterosexual men.Crossref | GoogleScholarGoogle Scholar | 22781082PubMed |

[15]  Crosby RA, Yarber WL, Graham CA, Sanders SA. Does it fit okay? Problems with condom use as a function of self-reported poor fit. Sex Transm Infect 2010; 86 36–8.
Does it fit okay? Problems with condom use as a function of self-reported poor fit.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BC3c7gvVymtg%3D%3D&md5=6da6d6ab939c155a77a8dbbdd3db8cb4CAS | 20157178PubMed |

[16]  Reece M, Dodge B, Herbenick D, Fisher C, Alexander A, Satinsky S. Experiences of condom fit and feel among African-American men who have sex with men. Sex Transm Infect 2007; 83 454–7.
Experiences of condom fit and feel among African-American men who have sex with men.Crossref | GoogleScholarGoogle Scholar | 17699559PubMed |

[17]  Smith AM, Jolley D, Hocking J, Benton K, Gerofi J. Factors affecting men’s liking of condoms they have used. Int J STD AIDS 1999; 10 258–62.
Factors affecting men’s liking of condoms they have used.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD383psF2gtg%3D%3D&md5=fb3045f2482c6cd4df5e48655c687aa2CAS | 12035780PubMed |

[18]  Reece M, Herbenick D, Dodge B. Penile dimensions and men’s perceptions of condom fit and feel. Sex Transm Infect 2009; 85 127–31.
Penile dimensions and men’s perceptions of condom fit and feel.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD1M3is1Oisw%3D%3D&md5=3d52fc0c718021eb1b56ed99b80cad19CAS | 19074183PubMed |

[19]  Potter WD, de Villemeur M. Clinical breakage, slippage and acceptability of a new commercial polyurethane condom a randomized, controlled study. Contraception 2003; 68 39–45.
Clinical breakage, slippage and acceptability of a new commercial polyurethane condom a randomized, controlled study.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3szks1ansA%3D%3D&md5=07a663440050940d449debec031f8d66CAS | 12878286PubMed |

[20]  Reece M, Briggs L, Dodge B, Herbenick D, Glover R. Perceptions of condom fit and feel among men living with HIV. AIDS Patient Care STDS 2010; 24 435–40.
Perceptions of condom fit and feel among men living with HIV.Crossref | GoogleScholarGoogle Scholar | 20578905PubMed |

[21]  International Organisation for Standardisation. International Standard ISO 4074 Natural latex rubber condoms: requirements and test methods. Geneva: International Organisation for Standardisation; 2002.

[22]  ASTM International. ASTM International Designation D 3492–08 standard specifications for rubber contraceptives (male condoms). ASTM International: West Conshohocken; 2008.

[23]  Wessells H, Lue TF, McAninch JW. Penile length in the flaccid and erect states: guidelines for penile augmentation. J Urol 1996; 156 995–7.
Penile length in the flaccid and erect states: guidelines for penile augmentation.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK28zitV2msQ%3D%3D&md5=4f650b658b796bc2626fd559ea30fab2CAS | 8709382PubMed |

[24]  Promodu K, Shanmughadas KV, Bhat S, Nair KR. Penile length and circumference: an Indian study. Int J Impot Res 2007; 19 558–63.
Penile length and circumference: an Indian study.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD2snlt1aitQ%3D%3D&md5=8a1e65d3f54bbc34a5890cfbf5aeeabdCAS | 17568760PubMed |

[25]  Chen J, Gefen A, Greenstein A, Matzkin H, Elad D. Predicting penile size during erection. Int J Impot Res 2000; 12 328–33.
Predicting penile size during erection.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3MzltVWltw%3D%3D&md5=90ce9e2da1bfd0b91418b0b34b4b8ad0CAS | 11416836PubMed |

[26]  Sengezer M, Oztürk S, Deveci M. Accurate method for determining functional penile length in Turkish young men. Ann Plast Surg 2002; 48 381–5.
Accurate method for determining functional penile length in Turkish young men.Crossref | GoogleScholarGoogle Scholar | 12068220PubMed |

[27]  Allen P Condoms: one small item, one giant impact. New Internationalist 2008 ;723 .

[28]  Tone A. Devices and desires: a history of contraceptives in America. New York: Hill and Wang 2001.

[29]  International Organisation for Standardisation. Annex P. ISO/FDIS 4074. Geneva: International Organisation for Standardisation; 2013.

[30]  Tovey SJ, Bonell CP. Condoms: a wider range needed. BMJ 1993; 307 987
Condoms: a wider range needed.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK2c%2FmtVylug%3D%3D&md5=2821f69f537759c3ac7aee3e9770b456CAS | 8241912PubMed |

[31]  Cecil M, Nelson AL, Trussell J, Hatcher R. If the condom doesn’t fit, you must resize it. Contraception 2010; 82 489–90.
If the condom doesn’t fit, you must resize it.Crossref | GoogleScholarGoogle Scholar | 21074009PubMed |

[32]  Reece M, Herbenick D, Sanders SA, Monahan P, Temkit M, Yarber WL. Breakage, slippage and acceptability outcomes of a condom fitted to penile dimensions. Sex Transm Infect 2008; 84 143–9.
Breakage, slippage and acceptability outcomes of a condom fitted to penile dimensions.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD1c3htVSrug%3D%3D&md5=b10b426eb778b0fceff77180b0b45863CAS | 17971373PubMed |

[33]  Smith AM, Jolley D, Hocking J, Benton K, Gerofi J. Does penis size influence condom slippage and breakage? Int J STD AIDS 1998; 9 444–7.
Does penis size influence condom slippage and breakage?Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1czmsl2ksQ%3D%3D&md5=285c1b71c2c46bca532bbee5b4f2b371CAS | 9702591PubMed |

[34]  Walford C. No lying, chaps! Company sells custom-made condoms in 95 different sizes. London: Daily Mail; 2011. Accessed online at: http://www.dailymail.co.uk/news/article-2071019/TheyFit-sells-custom-condoms-95-different-sizes.html [verified March 2013].

[35]  Little E. Made to pleasure. Condoms that are custom fit for every size. London: The Sun; 2011. Accessed online at: http://www.thesun.co.uk/sol/homepage/woman/health/health/3982685/Made-to-pleasure.html [verified March 2013].

[36]  Urwin R. Goldman Sex-how Londoners measure up. Evening Standard Limited. Accessed online at: http://www.standard.co.uk/lifestyle/goldman-sex--how-londoners-measure-up-6377003.html

[37]  Wright M. TheyFit condoms on The Wright Stuff 08–12–11. San Bruno: YouTube; 2011. Accessed online at: http://www.youtube.com/watch?v=bOsSk_xX41I&feature=channel_video_title [verified March 2013]

[38]  TheyFit on This Morning 07–12–11. San Bruno: YouTube; 2011. Accessed online at: http://www.youtube.com/watch?v=QoB30dlI1Nw [verified March 2013].

[39]  Richters J, Gerofi J, Donovan B. Are condoms the right size(s)? a method for self-measurement of the erect penis. Venerology 1995; 8 77–81.

[40]  Potter WD, de Villemeur M. Clinical breakage, slippage and acceptability of a new commercial polyurethane condom a randomized, controlled study. Contraception 2003; 68 39–45.
Clinical breakage, slippage and acceptability of a new commercial polyurethane condom a randomized, controlled study.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3szks1ansA%3D%3D&md5=07a663440050940d449debec031f8d66CAS | 12878286PubMed |

[41]  Centers for Disease Control and Prevention (CDC). HIV in the United States: at a glance. Atlanta: CDC; 2012. Accessed online at: http://www.cdc.gov/hiv/resources/factsheets/PDF/HIV_at_a_glance.pdf [verified March 2013].

[42]  Grov C, Wells BE, Parsons JT. Self-reported penis size and experiences with condoms among gay and bisexual men. Arch Sex Behav 2013; 42 313–22.
Self-reported penis size and experiences with condoms among gay and bisexual men.Crossref | GoogleScholarGoogle Scholar | 22552706PubMed |