Male sex workers

What to do when the condom bursts or slips off?

Here are some possible causes of condom failure:

  • You don’t use enough or any lubricant.
  • You use a lubricant that is not suitable and contains grease or oil, e.g. massage oil.
  • Something goes wrong when you put the condom on: you damage it with your nail, air in the tip or the condom is not unrolled far enough.
  • The condom has dried out after a long fucking session and you haven’t added any extra lubricant.  Use a new condom and lubricant if sex takes longer than fifteen minutes.
  • You use poor quality condoms.
  • The condom is past its expiry date.
  • The condom was not kept correctly, so that the packet is damaged. Just a small hole in the packet is enough to make a condom unusable.

What to do when the condom bursts or slips off?

  • If the client has ejaculated in you, remove the sperm. 
  • Be careful not to cause any wounds. These are entries by which germs can easily penetrate the body.

 In case of anal sex:

  • Try to push out the semen. You can do this by sitting on a toilet or squatting down while pushing. 
  • Don’t use an anal rinsing. The mucous membrane of the intestinal canal is very vulnerable, so you can easily cause wounds by introducing an object in the anus. 
  • Of course washing externally is no problem.

In case of oral sex you have:

  • To spit out the sperm. 
  • You can rinse your mouth softly with clear water, but make sure not to swallow or gargle. The mucous membrane of the throat is very thin and lets germs pass easily. Don’t rinse with mouth water or other products. 
  • We advise not to brush or floss your teeth, as this causes little wounds. 
  • Wait at least one hour before eating or drinking.

Condom failure and preventing STIs and HIV

After a bursted or slipped off condom, get tested on sexual transmittable infections (STI). 

  • At the earliest two weeks after the broken condom, you can get yourself tested on gonnorhoea or chlamydia.
  • At the earliest three months after the broken condom, you can have an hiv, syphilis and hepatitis B test.  
  • With a classical test it takes three months before you can see whether or not you are infected.  In the meantime you may infect others.  
  • It is best to use a condom awaiting the result of the test, both for vaginal sex and for anal sex, and with clients as well as with your partner.

You may have reason to be worried about hiv after condom failure. Perhaps semen from a client or partner who is hiv positive got into your body. 

In that case, you should immediately get in touch with a hospital accident and emergency department or GhaproPasop. You might qualify for treatment with PEP (Post Exposure Prophylaxis). PEP is only given if there is an obvious risk of infection, not after each broken condom or unsafe contact. In order to reduce the risk of infection, you must start to take

PEP as soon as possible (2 to 72 hours after the unprotected contact). 

PEP is not a 100% guarantee to avoid an hiv-infection.  It is still necessary to monitor this closely.


The leaflet