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On Feb. 23, the United States Food and Drug Administration (FDA) authorized One condoms to be used for protection against STIs during anal sex, marking the first time that the FDA granted condom approval specifically for anal penetration. The condoms, marketed as One Male Condom and manufactured by Global Protection Corp., had a failure rate (breakage and/or slippage) of less than one percent (0.7) in a clinical study of "252 men who have sex with men and 252 men who have sex with women," the FDA stated.
Lead author of the National Institutes of Health-funded study, Aaron Siegler, PhD, associate professor of epidemiology and assistant director of the Prevention Core in the Emory Center for AIDS Research at Emory University, said in a statement on the One condoms website: "There have been over 300 condoms approved for use with vaginal sex data, and never before has a condom been approved based on anal sex data. This is despite two-thirds of HIV transmission in the United States being linked to anal sex. Having condoms tested and approved for anal sex will allow users to have confidence in using condoms to prevent HIV transmission."
The FDA noted that "unprotected anal intercourse carries the greatest sexual exposure risk of HIV transmission." In fact, the risk of HIV through unprotected "receptive" anal sex is as much 18 times greater than unprotected "receptive" vaginal sex, according to Stanford Health Care.
Courtney Lias, PhD, director of the GastroRenal, ObGyn, General Hospital, and Urology Devices, said in an FDA statement that the FDA's authorization of a condom specifically for anal sex could make it more likely that people will use condoms during anal sex overall. Kenneth Mayer, MD, medical research director for Fenway Health, similarly told The New York Times that this will open doors to increase marketing and "normalize the conversation" around anal sex.
Certified sex therapist Donna Oriowo, PhD, LICSW, acknowledges the "continued judgement and taboos around anal sex," and she tells POPSUGAR that transmission of STIs is among the common worries that her clients express. There is a particular stigma around contracting longer-lasting STIs, she says, and though she thinks these condoms will certainly reduce concerns for some, many of the concerns people have around condoms will likely remain, in her opinion, since condoms alone are not 100 percent effective.
PSA: Our condoms are still approved for vaginal sex. We didn't design a new condom. It's that we can now say ONE Condoms & myONE Condoms are approved for vaginal AND anal sex. #HappyBum (And "ONE Male Condom" = ONE Condoms. ONE Male Condom is just a technical term.) 🥳— ONE® Condoms (@ONECondoms) February 24, 2022
The One Male Condom is also indicated for use to help reduce the risk of pregnancy and STI transmission during vaginal sex — that won't change — but its "intended use" claim will now include anal sex for three different styles: fitted, thin, and standard. The fitted condoms, called myOne custom-fit, are now available in 60 different sizes and have a "paper template." A Global Protection Corp. spokesperson tells POPSUGAR that the adjusted packaging language will launch to the market within about three to six months, but that the condoms listed are still officially FDA-approved for anal sex.
The FDA stated that people should apply lube compatible with condoms when using the One Male Condom for anal sex. You can purchase One condoms at onecondoms.com; via Amazon; and in stores such as Walmart, CVS, and Walgreens.
The FDA said that other companies can apply for approval by demonstrating that their condoms have "substantial equivalence" to One Male Condom products.
Editor's Note: We at POPSUGAR recognize that people of many genders and identities have vaginas, not just those who are women, and the same goes for people who have penises. The aforementioned study implied that researchers classified people with penises as men and people with vaginas as women.