What type of condoms are recommended for patients with a latex (natural rubber) allergy or sensitivity?

From the Guidelines

For patients with latex allergies or sensitivities, I recommend non-latex condoms made from materials such as polyurethane, polyisoprene, or nitrile. According to the U.S. Medical Eligibility Criteria for Contraceptive Use, 2010 1, individuals with a latex allergy can use plastic condoms, which are a suitable alternative. Polyurethane condoms, such as Trojan Supra or Durex Avanti, are thin, transparent, and conduct heat well, providing good sensation. Polyisoprene condoms, like Skyn by Lifestyles, are stretchier and feel more similar to latex for those who prefer that texture. Nitrile female condoms, such as FC2, are also latex-free and provide an alternative option that can be inserted before intercourse.

• Key characteristics of non-latex condoms include:
  • Equally effective at preventing pregnancy and STIs when used correctly
  • Available in various materials, including polyurethane, polyisoprene, and nitrile
  • May be slightly more expensive than latex condoms
  • Widely available at pharmacies, grocery stores, and online retailers It's essential to note that lambskin condoms, while non-latex, only protect against pregnancy but not STIs, so they aren't recommended for STI prevention 1. Patients should be aware of the potential allergic reactions to latex, which can range from mild skin irritation to severe anaphylaxis, making appropriate condom selection crucial for affected individuals.

From the Research

Alternatives to Latex Condoms

For patients with an allergy or sensitivity to latex, several alternatives can be suggested:

• Synthetic condoms made from materials such as polyurethane, polyisoprene, or nitrile 2
• These materials are latex-free and can provide a similar level of protection against pregnancy and STIs
• It is essential to note that not all synthetic condoms are created equal, and some may have different properties and effectiveness compared to latex condoms

Key Considerations

When recommending condoms to patients with latex allergies, consider the following:

• The risk of allergic reactions to latex can be significant, ranging from contact urticaria to anaphylaxis 2, 3
• Patients with spina bifida, healthcare workers, and others who wear latex gloves are at higher risk for latex allergy 2
• Fruits and foods such as bananas, kiwis, and avocados may also trigger allergic reactions in patients with latex allergies 2

Prevention and Management

To minimize the risk of latex allergy and manage symptoms:

• Allergen avoidance and substitution with latex-safe devices, including synthetic gloves and condoms, are crucial 2
• Accommodations in the workplace, such as using powder-free, low-allergen NRL gloves or synthetic gloves, can also help reduce the prevalence of reported reactions to NRL 2