Supporters of safe sex are accused of corrupting youth who lacks moral values and those who oppose it are considered fanatics unconcerned scientific fact and impose their orthodoxy to society. We need to look beyond personal interests to focus on clinical science and public health evidence. A fundamental principle of medicine is adherence to scientific fact and to test experimental treatments and to develop programs that enhance and sustain public health. Evidence shows that effective control of STDs (sexually transmitted diseases) unrelated to HIV among citizens should go beyond approaches focusing on condom use. Scope of protection First, condoms can not be a definitive answer to STDs because they provide insufficient protection against transmission of many common diseases. Dermal contact infections, such as human papilloma virus, herpes simplex virus, syphilis, chancroid, lymphogranuloma venereum or are frequently transmitted despite the guardrail. Although condoms prevent contact between the skin of the penis and the vaginal mucosa, usually involving sex contact in the external genital area, and condoms provide limited protection against pathogens found on the outside of the genitals. The clinical and subclinical lesions on the Mount of Venus in women’s vulva or scrotum man, for example, are not covered and can be easily transmitted despite condom use. The most common pathogens sexually transmitted (the human papillomavirus and herpes simplex virus) are dispersed frequently in infected genitals and transmitted through physical contact. The aftermath of these common infections include various cancers, chronic sexual dysfunction or ability to become a source of vertical transmission of these infectious organisms. But the main problem of condoms is that most people, especially young people, do not always use, regardless of knowledge or education. Epidemiological studies continually show that familiarity is taken with condoms and awareness of the risks are not working in real life.
According to a recent study, less than 8 percent of couples discordant for herpes used condoms in every sexual act. Even among the already established adult couples who were discordant HIV and had received extensive and ongoing advice on the risk of contracting the virus, condom use reached only 48. 4 percent of normal. The relentless rise of STDs is unprecedented despite educational efforts and condom promotion, which is ratified by the lack of success of these policies. Numerous studies show that coordinated efforts to promote condom use efforts consistently fail as STD control (even in countries with advanced sex education programs like Canada, Sweden and Switzerland, in the province of Alberta, in Canada, chlamydia and gonorrhea rates have tripled since 1998 despite the ubiquitous education in “safe sex”). Reports with lower rates of STDs as a result of the widespread use of condoms come from countries such as Thailand and Cambodia, which are focusing on condoms as a primary strategy. However, careful scrutiny of the data suggests that changes in sexual behavior (fewer partners, less casual sex and less abuse of sex workers) are being fundamental for reducing infection rates. The World Health Organization estimates that two-thirds of STDs are spread among adolescents and young adults. Research shows that risky sexual activity detected among younger people may be due not to a true sexual need, but socio-cultural problems. The promotion of condoms as a response not to find a solution to these social and emotional needs that are essential in young people. Often they fall into high-risk sexual behavior as a result of different difficult circumstances of their lives. After continuous failures, the supposed “safe sex” needs to be dismantled in favor of credible public health policies. Taken from the British Medical Journal of 04/02/2008, article by Stephen J.
Genuis with Spanish translation www. sinsida. com