Editing Condom (section)

=== Spermicide ===
Some latex condoms are lubricated at the manufacturer with a small amount of a [[nonoxynol-9]], a [[spermicide|spermicidal chemical]]. According to ''[[Consumer Reports]]'', condoms lubricated with spermicide have no additional benefit in preventing pregnancy, have a shorter shelf life, and may cause [[urinary tract infection]]s in women.<ref>{{cite web |title=Condoms: Extra protection |work=ConsumerReports.org |date=February 2005 |url=http://www.consumerreports.org/cro/cu-press-room/pressroom/archive/2005/02/eng0502tcv.htm?resultPageIndex=1&resultIndex=1&searchTerm=condom |access-date=26 July 2009}}{{dead link|date=July 2019|bot=medic}}{{cbignore|bot=medic}}</ref> In contrast, application of separately packaged spermicide ''is'' believed to increase the contraceptive efficacy of condoms.<ref name="simultaneous" />

Nonoxynol-9 was once believed to offer additional protection against STIs (including HIV) but recent studies have shown that, with frequent use, nonoxynol-9 may increase the risk of HIV transmission.<ref>{{cite web |title=Nonoxynol-9 and the Risk of HIV Transmission |work=HIV/AIDS Epi Update |publisher=Health Canada, Centre for Infectious Disease Prevention and Control |date=April 2003 |url=http://www.phac-aspc.gc.ca/publicat/epiu-aepi/hiv-vih/nonoxynol-eng.php |access-date=6 August 2006 |url-status=dead |archive-url=https://web.archive.org/web/20090929172125/http://www.phac-aspc.gc.ca/publicat/epiu-aepi/hiv-vih/nonoxynol-eng.php |archive-date=29 September 2009}}</ref> The [[World Health Organization]] says that spermicidally lubricated condoms should no longer be promoted. However, it recommends using a [[nonoxynol-9]] lubricated condom over no condom at all.<ref>{{cite web |title=Nonoxynol-9 ineffective in preventing HIV infection |work=World Health Organization |year=2006 |url=https://www.who.int/mediacentre/news/notes/release55/en/index.html |access-date=26 July 2009 |url-status=dead |archive-url=https://web.archive.org/web/20110321074537/http://www.who.int/mediacentre/news/notes/release55/en/index.html |archive-date=21 March 2011}}</ref> {{as of|2005}}, nine condom manufacturers have stopped manufacturing condoms with nonoxynol-9 and [[Planned Parenthood]] has discontinued the distribution of condoms so lubricated.<ref>{{cite journal |last=Boonstra |first=Heather |title=Condoms, Contraceptives and Nonoxynol-9: Complex Issues Obscured by Ideology |journal=The Guttmacher Report on Public Policy |volume=8 |issue=2 |date=May 2005 |url=http://www.guttmacher.org/pubs/tgr/08/2/gr080204.html |access-date=8 April 2007 |url-status=live |archive-url=https://web.archive.org/web/20070420165133/http://guttmacher.org/pubs/tgr/08/2/gr080204.html |archive-date=20 April 2007}}</ref>