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We Should Have a Better Condom by Now

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91–100 of 143 posts

Re: We Should Have a Better Condom by Now

#91

I would also add that the reason that nobody has developed a better condom is that there is no profit in doing so. At a minimum you are looking at a couple of million in research, more if you want to go crazy with material science. Then you have the cost of testing, approval etc. After that you have marketing. It's a great project that will save many lives but the cost/risk analysis alone would put off any for profit…

The "no profit" statement made me curious. First link I found

http://www.companiesandmarkets.com/MarketInsight/Consumer-Go...

claims that "The global condom industry has been forecast to hit a market value of US$5.4 billion by 2018". If you have the material science worked out you're mass producing a few grams of latex, selling to non-price sensitive customers, and can even market it as an "entertainment product" as the article states.

Re: We Should Have a Better Condom by Now

#92
post #82

Earlier quoted context omitted.

Pretty sure it was clear. Government is lazy and callus about updating regulations regarding to development and testing of prophylactics. Innovative and better alternatives were taken off the market due to said regulations. The commentary was spot on. The point of the original comment was to provide bullets without lengthy justification and citation and it was upvoted. Then this "lazy" bullet was added and all the su…

Totally agree with your statement regarding the HN pro-gov't bias, unfortunately. Such is life. Without the FDA and its outmoded regulations, there would be a flourishing of condoms for people to choose from, instead of just the three entrenched companies that can afford to deal with the gov't. If nothing else, the article details the fact that there are a LOT of people who care deeply about and are trying to solve t…

Pro-government bias in the community? I don't see it. In fact, I see the claims of private industry fixing everything being made on the daily due to HN's bias towards startups making a difference.

What I do see is HN not taking lightly claims that someone just makes out of hand without evidence as if they are obviously the truth, no further proof needed.

I dont think anyone would make the claim that any government is beyond reproach. If you have been paying attention to the recent snowden or schwartz or any of the recent police action related articles posted on here, you would see criticism of the government hitting very high levels of (well deserved) vitriol.

Re: We Should Have a Better Condom by Now

#93
post #5

I'd probably worry less about this if PrEP were cheap enough to get without insurance (or wealth). The odds of finding a monogomous (or at least polyfidelitous) partner around here is slim, and I'm not too keen on taking my chances with Grindr. A better condom would alleviate a lot of worries.

Doesn't PrEP have serious side-effects?

Some yes.

Kidney failure in a small set of patients. Typically urine/blood samples are taken for the first few months to check for this. There's some evidence of bone degradation in long term use (think 10+ years) but its mitigated with regular strength exercises. Beyond that not much else the formula has been altered a few times to make it pretty safe to take regularly.

Some people experience gastrointestinal distress from it but that usually passes after a month. If it doesn't they usually just stop taking it.

All of the side effects stop if you stop taking it.

Re: We Should Have a Better Condom by Now

#94
post #42
post #36

Orthogonal to the article: condoms are not one size fit all. A lot of people think they are, and this causes problems. Too small, and condoms break. Too large, and they slip off. Either way feels far less comfortable than with a properly fitting condom. This ultimately leads to less usage. Condom boxes have something called "nominal width" on the side. To fit properly, you or your partner need to take a precise measu…

Not orthogonal: the article discusses the role of size in breakage and comfort. It also discusses how the FDA forced TheyFit to discontinue their custom-fit condoms due to unreasonable ASTM testing requirements.

In spite of their niche popularity [...] the FDA challenged the acceptability of TheyFit condoms [...] having noticed [...] that some of the sizes did not meet ASTM dimensional requirements. The smaller sizes, in particular, didn’t hold the requisite volume of air and water in the air-burst test and the water-leak test, because they were, well, smaller. Glickman [...] was given 30 days to remove his condom from the market, and, after consulting with an attorney, complied.

Wow. So they were forced to take these off the market because they didn't conform to a completely irrelevant FDA standard....

Re: We Should Have a Better Condom by Now

#95
This thread practically demands a NSFW link for classic 4-panel comic strip. If you are at work, think at least twice before clicking the following link:

[NSFW] http://thinhline.tumblr.com/post/5370750268/thl-7-nothing-i-...

The article touches the issue of sensitivity and the need to develop a condom that makes sex more enjoyable. So does the comic at the link above, if in a slightly different way.

In case of markets and products, one can rely on cynicism and economics. In case of sex, we should be able to rely on hedonism.

(Are there any other SL fans?)

Re: We Should Have a Better Condom by Now

#96
post #35
post #13

Earlier quoted context omitted.

Probably not. The FDA controls all drugs and medical devices sold in the US, not just manufactured here.

What ARE the best condoms in the world? Does anyone know of a country with more superior condoms?

I am not sure about best, but special needs can require special items, without any notion of superiority or inferiority in the general case.

Re: We Should Have a Better Condom by Now

#97
post #26

Earlier quoted context omitted.

That doesn't explain why the innovation didn't happen in, say Somalia, where there are no government regulations to speak of.

The situation in Somalia can be readily explained by low incomes and decades of violence.

But if there's no government intervention, then why are incomes so low, and why is there so much violence?

Re: We Should Have a Better Condom by Now

#98
Many reasons that hinder condom usage can never be fixed, even with free, plentiful, good feeling condoms:

The ability to go from foreplay to sex without stopping

The ability to switch between oral and penetrative sex

Re: We Should Have a Better Condom by Now

#99
post #25

Earlier quoted context omitted.

> Yeesh what an overwritten article. So often, it seems that's what is meant by "long-form article."

Sadly true. Information that could be conveyed directly in a paragraph or two is dragged out to create a long and often dull narrative, usually without any points of reference. Condom designs don't change every year? Neither do penises. Medical gloves (whose technology derives from condom manufacturing) haven't changed much for decades either. Infection risks are mitigated with antimicrobial coatings and double-glovi…

> Condom designs don't change every year? Neither do penises.

This misses the point by a mile. Particularly for someone complaining about the article having too much unnecessary information, it's bizarre that you missed the ~3 paragraphs following this that describe _why_ it's a problem that they haven't changed: low rates of satisfaction and usage for something that has considerable public health implications (particularly in the developing world).

> Medical gloves (whose technology derives from condom manufacturing) haven't changed much for decades either.

....and if more than 50% of doctors weren't using medical gloves (regulation aside) due to evidently significant issues with comfort and convenience, this would be a cause for complaint too.

> The basic problem is that condoms work well enough for most people and so there isn't that much economic incentive to launch different kinds

This is a particularly ignorant claim, even if you hadn't read the article. Low rates of condom use in situations where they're extremely important is something that any informed person is aware of (again, this is most dramatically true for things like AIDS crises in developing countries like many in Sub-Saharan Africa). As the article establishes, usage isn't great even in the developing world:

"5 percent of men and 63 percent of women who’d most recently had sex with a “new acquaintance” hadn’t used a condom. More alarmingly, 75 percent of women who weren’t using a back-up birth control method reported not using a condom the last time they’d had sex. Adults who’d had anal sex in the past year—the highest-risk sexual act with regard to HIV transmission—said they’d used condoms only 20 percent of the time."

It should go without saying that economic incentives aren't a panacea for reaching global optima: Sometimes you end up in local optima, as in this case where the risk of doing research to potentially tap into the vast market of non-condom users may not be worth it. That's not to mention the systematic under-emphasis that economic incentives have on externalities, as in this case where the public health effects of more universal condom usage wouldn't all be captured by condom manufacturers.

Re: We Should Have a Better Condom by Now

#100
post #7

I could only imagine the positive impact a noticeable increase in condom usage would bring to the world. I feel like it would be a silent yet very beneficial change if condom usage went up about 10% globally.

Let's start with making them free. Are the medical/abortion costs really lower than providing everyone with unlimited plastic with a little lotion on it?

If a person cannot find free condoms in the US, there is a serious problem with that person's searching. The government gave out a ton grant money that was to be spent on free condom dispensers (oddly multi-colored from one vendor). States and public health clinics will give them free in various programs.

And let's not forget the machines in a huge number of gas station rest rooms across the country. Most of them are $0.75.

If a person cannot find free or ultra-cheap condoms today, the person really is not trying and probably should be doing other things.

Also, as many of the folks at work discovered, the free contraceptives were accompanied with a larger than cost increase in premiums.

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