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A typical day at the inbox Today, I received 374 emails total. A pretty light day considering some days I get more than 1,000. To clarify what they were35 were for business, 4 were personal in nature, 11 were from groups I asked to get information from like Neiman Marcus and Urban Outfitters, VH1, and a PR Newsletter. The balance of 324 was unsolicited (UCEunsolicited commercial email)in other words spam. If I extrapolate the UCE I’ve gotten in the last six hours alone, I find I must be missing something about myself on some spiritual level.. I am a balding, fat man with a small penis that doesn’t work. I am in debt. I am looking for a lower interest rate on my mortgage while at the same time making thousands of dollars with no effort on my part in the privacy of my own home—filling out surveys, stuffing envelopes and not selling something that miraculously sells itself. Even better, I can be a travel agent without wrinkles; obtain a college degree while waiting for my 1500 advance to show up in my bank account; I can restore my credit rating legally while watching my free satellite TV and munching on my drugs sent courtesy of an offshore pharmacy that has a doctor who will write me a prescription… HMMM…definitely something to consider. NOT. I’ve also discovered that I am a prime candidate to help an African Prince transfer funds into the US. He trusts me. All I have to do is give him my bank account information. The problem is that I am a woman who doesn’t suffer those ills. Someone thinks I do…There is something wrong with this picture. The future of bulk email and why it is likely to remain dead Now, you might be asking why I, who was dubbed the “Spam Queen” in the “Wall Street Journal” three years ago, am even bothering to say anything about email? Just to set the record straight, I have never advocated spam or sending spam. One reporter said to me, "Some people consider all bulk email as spam. What do you have to say about that?" to which I replied, "Then I guess you'd call me the spam queen," as a joke. In our sound byte media world, one editor turned this little quip into a buzzword and I became known almost instantly, all over the world, as representing what everyone, including myself, hates about email. The media as usual emphasized sensationalism and missed the point. I am not complaining because my marketing business skyrocketed as a result. At that time I advocated email as a very effective medium for small business, which because of its low cost lets small businesses level the playing field against big corporations. At no small personal risk, I visited the Federal Trade Commission in Washington, DC, and spoke my peace about small businesses and not throwing out the baby with the bathwater before even the very term spam could be legally agreed upon and defined to the satisfaction of marketers, ISPs and the government jointly. Small businesses are the lifeblood of the US economy, and entrepreneurs with their dreams are what have made the US the economic powerhouse it still is today. Email that is sent to people who WANT to receive it, and that is in accordance with their preferences, still gets a high response. It allows many small businesses to get ahead. I didn't want to see big corporations or the government take over email and bar entry, filter, and extort everyone else while still sending their own advertising messages freely. And then came the CanSpam act, which I and many other legitimate marketers welcomed, because it had a great promise of getting rid of the noise while keeping the signal. As it turned out, the opposite happened. Email filters from ISP's now block a large amount of legitimate messages, which they call "false positives". Marketers can't send the text they would like to send to their subscribers, so they have to resort to filter tricking tactics such as spelling the word spam as sp@@@M so that they can get past the filters that were intended for another purpose entirely. In a climate like this, legitimate companies that had been diligently following best practices, and keeping their lists clean for years, suddenly did not want to stay in business with ambiguities in the law and the potential litigation that might ensue even if all the rules WERE followed, so many companies just folded. However the people that continue to send email illegally did not fold. Often times sending from outside the US borders, they stepped up their operations even more, to the point that there is almost no truly legitimate bulk email left. In other words, the signal has become lost in the noise. The simplicity is this — bulk commercial email has gotten to the point where it isn’t effective. We just don’t do it anymore. What’s the point? It doesn’t get a response, and we found people are overloaded with advertising messages and no longer willing to receive more, especially in their inbox, unless they specifically asked for it. As a marketing professional, the only thing that should count for you at the end of the day is effectiveness. Bulk commercial email has turned into the above, a bunch of unprofessional, ineffective scams. In other words, Spam is a fourletter word. Legitimate marketers are staying away in droves and it’s easy to see why. First of all let’s look at some facts. In the United States, it is legal to send unsolicited commercial email. The CAN SPAM act allows for this. You have to provide a way to optout and not hide who you are, and a few more simple but ethical rules. Although it is legal, there isn’t an internet service provider in the United States who will allow you to send unsolicited commercial email. Larger mailers have optin information from lists they purchase which imply consent but those lists aren’t originated from the mailer, but from other submailers—you get a free thing or access to a particular site and the user checks a box that it is okay to get information from their “affiliates and partners.” The “affiliates and partners” they are referring to are those who pay for the email addresses and optin information. These guys are sending you mail legally, but the fact is, they are not getting into your email box for the most part. Blocking, filtering, and doing it the “legal” way bulk wise, is just not working. Not to mention, there is no way to prove that the recipients opted in or are willing to get the message since they opted in at someone else’s site, not yours. The response rate is pathetic and when that mail does get through, you have many disgruntled individuals who never remember opting in, so in their view, the mail is unsolicited. The only way to get email into inboxes en masse is by not following the rules, so the only messages getting through are the scams, including the pornographic, illegal, and objectionable. It is ironic that the very thing people want to rail against, they are getting more of in the aftermath of CanSpam. So where does that leave us? What can a small businessperson do to get their message out, and not break their bank? How to market effectively in the new internet wave If you are a small businessperson, there are 3 alternatives that you should consider, which are described in this next section: What is effective you might ask? (Ask away, it’s kind of the point here..) 1) First party offers that impart some value added (a tip; some information, something the consumer is interested in.) Lets say John Q. Consumer gave his email address for a newsletter, or for more information on a particular subject, or to play a game. Chances are he probably would not be angered to get an email from your company especially since he asked for you to contact him. He would recognize your domain name since he spent enough time on your site to actually ask the info. Additionally, your internet service provider would not shut you down for violations and you’d start to build a small but effective list of people who are actually interested in what you, as a business owner, have to say. This has been effective since the beginning of the internet. The only problem is, how do you reach people the first time, to get them to your site? How do you find a target market for your products that is likely to be interested in what you have to offer and sign up for your newsletter, visit your site, and hopefully buy your stuff? Is there anything less costly than television, radio, and (ugh!) banner ads? Yes there is. Drum roll please…..Search Engine Marketing. If you write good ads, and compete with the right keywords, people who are already searching for an answer to a question, doing research, comparison shopping will go to a search engine and type in their parameters. If you know how to market well, only people who are interested will go to your site. If you have a web site that is compelling and you are offering a value added, they will ask for more information or sign up for your newsletter, or get your free download. Now, getting to this point can sometimes take a little time, but if you are persistent, and know how to interpret your statistics, you can do this. If you want the result without the learning curve, hire a Search Engine Marketing Firm. So the new tools for small businesspeople to stampede traffic to their websites in 2005 and beyond are going to be: 1) Search Engine Marketing 2) Publicity, including press releases that provide meaningful news 3) Providing quality content and expert commentary for radio, TV, and internet hubs in your field You can be successful on the internet and these tools help to establish you as an expert in your field, as well as attract the very people who are looking for your product or service at the same time. These are the tools of a new form of marketing, which people are calling "In Touch" Marketing, or "intelligent marketing" and is one way to cut through and actually get you the most possible business, at the lowest possible cost, with laser precise targeting. In future articles I will teach you how to use them with deadly precision. This is the new way for small businesses and entrepreneurs to succeed in 2005 and beyond. 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Are you among the millions of people worldwide who are otherwise healthy but who’ve lost interest in sex? Do you find it boring and routine? Are you so tired that you’d rather nap than make love? Do you think TV is more stimulating than your partner? Do you have physical symptoms, like vaginal dryness or difficulty with erection, that make sex unpleasant? As a relationship matures it is common, but definitely not necessary, for sex to become predictable and unexciting. One of the first places to start improving your sex life is to elevate your general mood and increase your energy level. This is good advice not only for improving sex but also for most other things in your life. According to a survey of 153 doctors conducted by Pharmatron Health Products during July and August of 1998: “ Herbal supplements are now entering mainstream medical practice, with one in three primary care doctors recommending them to patients at least weekly, most frequently for people with mood and emotional complaints… About as many doctors recommend herbal supplements for fatigue and lack of energy...Doctors also practice what they preach, with one in four doctors personally consuming herbal supplements.” So, let’s assume you have covered the basics. You pay attention to what you eat and take some nutritional supplements. You follow a regular routine for physical fitness. You are reasonably healthy. There are no organic health problems interfering with your sexual performance, or you have consulted a physician and they are being treated allopathically with drugs. (Note that many prescription drugs are known to interfere with sexual desire and performance. If you are taking any prescription medication, ask your doctor about such side effects. It may be possible to prescribe a different medication that won’t interfere with your sex life. ) If you are not doing these things, you may consider changing your habits before you experiment with aphrodisiacs. Regular exercise, good diet and basic nutritional supplements may be all you need to revitalize you sex life. Ideally we could also assume that you have set aside old beliefs and conditioning about your sexuality. You have moved beyond shame and guilt. You have had help in dealing with any sexual abuse or trauma. You understand and believe that sex is natural, good and wondrous. If you lack sexual skill and technique, and your imagination fails to motivate you to experiment by trying new things, perhaps a workshop or some private coaching is in order. Even if you have done all of these things, perhaps you are still looking for more and wonder if aphrodisiacs might be it. They are definitely worth experimenting with, but be warned, many of them may have side effects for some people. If you want to consume any item mentioned consult your physician first. If you do decide to use them, start out slowly and experiment carefully to see how each of them works for you. Try them one at a time to see what each one does on its own and how your body responds to its use before you consume several at the same time. What are Aphrodisiacs? An aphrodisiac is something that increases your libido. It turns you on and increases your desire to have sex, or it may reduce your usual inhibitions about sex. Aphrodisiacs may also improve your ability to have sex. This means that under the right circumstances, almost anything could have aphrodisiac qualities, but most people think of something to eat or drink when they think of aphrodisiacs. Aphrodisiacs are never an alternative to healthy sexual attitude, doing your inner work to remove psychological barriers to sexual intimacy, or sexual skill mastery, but they can be lots of fun. Aphrodisiacs may also be exactly what is needed when sexual dysfunction is caused by physiological/organic causes, e.g., peripheral vascular disease, hardening of the penile arteries, diabetes mellitus, prostate enlargement, high levels of pituitary gland hormone prolactin, low testosterone, menopause and andropause (the male’s version of menopause). What do you already know about aphrodisiac herbs? Here is a short aphrodisiac quiz. The answers to the questions are at the end of the article. Aphrodisiac Quiz 1. Which aphrodisiac could you say this about? “Occasionally, it causes erections even in the absence of any sexual stimulation.” And, “has a reputation for producing electrifying sexual encounters…” 2. What amino acid will help relax the smooth muscles in your genitals and enable a man to maintain an erection? 3. Which hormone precursor did homerun hitting Mark McGwire help make famous? 4. Which Greek Goddess does the name aphrodisiacs come from? 5. What berry provides protection for the prostate gland? 6. Which natural adrenal hormone, available as a nutritional supplement, helps balance all the other hormones in the body, for both men and women, and has dramatic effects on improving memory? 7. What topical cream can be used by menopausal women as part of a natural approach to hormone replacement, to help balance an estrogen dominance, assist in reducing bone loss and to build new bones? 8. Which nutritional supplement can help you to stop worrying and be happy now? Hint: It is commonly misspelled as Wart. 9. Which natural sedative available as a nutritional supplement can help you get a really good night’s sleep with no morning after effects so you’ve got the energy for lovemaking? 10. Which Mexican herb is “reputed to induce erotic dreams when drunk at bedtime?” 11. Which adrenal hormone, available as a nutritional supplement, can increase your energy level, enhance your sex drive, decrease body fat, reduce stress and reduce ill effects of stress, enhance memory function, extend lifespan, and improve your immune function all at the same time? 12. There is an antioxidant that improves circulation and “can help in cases where a man has circulation-related difficulties in getting an erection.” It is also well known for enhancing short-term memory. What is it? 13. Which South American aphrodisiac used in the Amazon and Orinoco basins for centuries, can increase libido, stimulate sensuality, increase sexual pleasure, and is used as a treatment for impotence and frigidity? Selected Aphrodisiacs Here is a brief summary of several aphrodisiacs that can enhance your sexual desire, help you experience more pleasure and perform better as a lover. We explain their general properties, how to use them, and where to get them. They may be worth experimenting with, but be warned, many of the substances mentioned may have side effects for some people. Nothing we say here is intended as medical advice. If you want to consume any item mentioned consult your physician first. Where possible use a product with standardized extract. This means that the product is guaranteed to contain a certain percentage of the active ingredient(s). Consult labels carefully to determine quantities of all ingredients. Follow dosage recommendations on the product label. Don’t let the strange sounding names and exotic places they come from throw you off from considering the use of aphrodisiacs. These items are not any more unusual than many things now part of our regular vocabulary and consumption, for instance, aspirin. Androstenedione Available in capsules and spray Androstenedione is naturally occurring in all meat as well as in the Scotch Pine tree. It is a metabolite of the hormones DHEA and progesterone, and is a direct hormonal precursor to testosterone. Androstenedione is short-acting, elevating blood testosterone levels without inhibiting the body's natural testosterone production. Sexually, Androstenedione will be most helpful for men over 50 and for women in the menopausal cycle, because this is when testosterone levels begin to drop. ”Testosterone is… ‘the hormone of desire,’ the substance that acts on the brain to stimulate sexual interest, sensitivity to sexual stimulation and orgasmic ability in both sexes….The most common complaint associated with declining [testosterone] levels is an otherwise unexplainable loss of sexual enjoyment….” [Source: Testosterone: Not Just For Men, Jane Brody, Pro Health, May/June 1998] The hard-hitting bat of Mark McGwire with 70 home runs in a single season has put the spotlight on Androstenedione. In an August 1998 interview with Sports Illustrated, McGwire said “the company that supplies me says most of its repeat business is coming from wives and girlfriends who are very satisfied.” Androstenedione is available in spray or capsules. Recommended dosage: For men, one to four sprays (25 mg per spray) per day. For women, up to one spray per day. Capsules typically come in 50mg dosages, which may be too high for women. Women may wish to take only one or two capsules a month. Men who find adrostenedione works for them may take it daily, on an empty stomach at bedtime and/or in the morning or 30 minutes prior to sexual activity. Long term studies of the effects of this substance have not been done. It is not available in Canada, but is available over the counter at health food stores in the US. Check with the suppliers listed at the end of this article for mail orders. Yohimbe This powerful aphrodisiac is extracted from West Africa's Corynanthe Yohimbe tree. For centuries, tribes in this region have used a tea made from the inner bark in their fertility rituals. It may help to stimulate erection and enhance libido and increase physical energy in men and women. “Most of the current medical literature on yohimbe discusses the treatment of male impotence but an impressive body of anecdotal evidence surrounds the use of yohimbe for making good sex even better.” [Source: Better Sex Through Chemistry, John Morgenthaler, Pro Health, May/June 1998] “Occasionally, it causes erections even in the absence of any sexual stimulation.” [Source: Viagra: Is The Stampede Misdirected?, Will Block, Life Enhancement, June 1998] The tincture form is recommended rather than capsules. Take one-half dropper under the tongue and hold for sixty seconds immediately before sexual activity. This is a powerful substance. We do not recommend daily or prolonged use because of possible side effects. Stay clear if you suffer from high blood pressure, heart, kidney or liver disease. Yohimbe is available over the counter at health food stores in the US. Check with the suppliers listed at the end of this article for mail orders. Arginine The amino acid arginine is an immune system enhancer and powerful growth hormone stimulant. It plays a role in many body tasks: wound healing, circulation and sexual function. In response to sexual stimulation, your body releases nitric oxide (NO) in your genitals. This causes the smooth muscles to relax and blood flows into the penis resulting in erection. Both arginine and ginkgo biloba have both been shown to enhance NO levels in your body. “If sufficient NO is not produced, erection or sexual stimulation does not occur. Arginine is absolutely necessary for the production of NO….Some scientists studying these phenomena have concluded that up to 90% of all impotency can be reversed by NO (and by implication, the use of arginine).” [Source: Dr. Whitaker Wellness Institute Guide To Nutrients, Julian Whitaker M.D., Summer 1998] The new drug Viagra from Pfizer increases blood flow into the penis, or into the vaginal area for women, but this drug has many known side effects and there were 69 confirmed deaths attributed to Viagra use by the fall of 1998! Arginine should be taken on an empty stomach. You may use it daily and/or 30 minutes to an hour before sexual activity. Not for use by diabetics, borderline diabetics, pregnant or lactating women, cancer patients or persons who have had ocular or brain herpes. Available in health food stores. Ginkgo Biloba The Ginkgo tree is one of the oldest living species on the planet. It has flourished unchanged for over 150 million years has been used in Chinese medicine for over 5,000 years. The leaves and fruit of the Ginkgo tree contain a variety of phytochemicals that have a wide range of clinically proven benefits. Ginkgo significantly increases blood flow to the brain thereby improving cognitive function, memory, alertness and concentration. It also improves peripheral arterial insufficiency (restriction of blood flow to the legs and other extremities, including the genitals). “Because it improves circulation, it can help in cases where a man has circulation-related difficulties in getting an erection.” [Source: Love Potions, Cynthia Mervis Watson, M.D., Jeremy P. Tarcher/Perigee, 1993] There are no serious side effects with Ginkgo Biloba. It is available at most health food stores. Large doses over a long period of time can result in irritability and headaches, so take no more than 3 grams daily in capsule or tincture form Saw Palmetto For years, berries of the saw palmetto plant have been used to treat bladder and prostate conditions. It helps regulate testosterone levels in both women and men, supports healthy prostate function and is a good source of fatty acids. ”Many herbalists regard saw palmetto berries as safe, mild aphrodisiacs; ten to twelve can be eaten daily for a cumulative effect. Their potency is increased when they are combined with damiana.” [Source: Love Potions, Cynthia Mervis Watson, M.D., Jeremy P. Tarcher/Perigee, 1993] Recommended dosage is 160-320 mg per day of Saw Palmetto. Avoid if pregnant, planning pregnancy or suffering from a disease of the gastrointestinal tract. Available at health food stores. Zinc Zinc is a mineral that may improve sensory and sexual functions as well as boost the immune system, quicken wound healing, and promote skin health. Virtually every man who lives long enough will have a problem with prostate enlargement. A man with prostate irritation will lose most interest in sexual intercourse. Several years ago I began to have prostate discomfort but have completely corrected the problem with a combination of pycnogenol, zinc, and saw palmetto. Recommended dosage: 50 mg. Daily. High doses may lower HDL cholesterol, cause anemia and weaken immune function. Available at health food stores. Damiana This herb from Mexico has been used by both men and women to enhance and regulate the production of sex hormones. It is considered a potent aphrodisiac. “Chemically this plant has been found to contain several alkaloids that directly stimulate the sex organs… Native Mexican women have long drunk an infusion of the herb a couple of hours before retiring to prime themselves for their men. It is reputed to induce erotic dreams when drunk at bedtime.” [Source: Love Potions, Cynthia Mervis Watson, M.D., Jeremy P. Tarcher/Perigee, 1993] Damiana leaves for tea or making tincture, or tincture already prepared, is available at most health food stores. Muira Puama Found in the Amazon and Orinoco basins of South America, Muira Puama has long been used “to stimulate sensuality, as a sexual enhancer, and as a treatment for impotence and frigidity…[it] appears to be milder and without the side effects of [yohimbe].” [Source: Love Potions, Cynthia Mervis Watson, M.D., Jeremy P. Tarcher/Perigee, 1993] It is considered effective in restoring libido and treating erectile dysfunction. For an aphrodisiac drink, mix 2 ounces each of damiana and muira puama tinctures in your favorite adult punch (20 serving size). Muira puama may or may not be available at your local health food store. In the U.S. it is available in tincture and capsule form. Check with the suppliers listed at the end of this article for mail order. Natural Progesterone Cream (For Women) Progesterone plays many roles in the body, one of them is maintaining sex drive. It is particularly important for women in the menopausal cycle. Natural progesterone is identical to what your body produces. It is derived from diosgenin in the wild Mexican yam. Natural progesterones are more biologically active and safer than their unnatural counterparts. Progesterone is a small fat-soluble molecule, which can be easily absorbed through the skin. It is initially absorbed into the fat layers under the skin, then is diffused into the capillaries where it enters the blood stream as needed. This makes transdermal progesterone 100% bioavailable to the body. In contrast, oral supplementation of progesterone has to be taken in very high dosages to compensate for the almost 90% which will be excreted by the liver. Use 1/4 to 3/4 teaspoon in the morning, applied to the softer parts of the body (for better absorption). Rotate the application spot on a daily basis. Because natural progesterone is identical to the body's own progesterone there are no known side effects at 20-40 mg/day. Very large dosages can result in feelings of sleepiness. Available by mail order from suppliers listed. Pregnenolone A supplement derived from diosgenin, the Mexican yam extract, pregnenolone is the building block for all other hormones. Produced by the body’s adrenal glands, Pregnenolone may be one of our most important hormones because it seems to have a balancing effect in bringing the levels of other hormones up or down as needed. Pregnenolone is a direct precursor of both DHEA and progesterone. Pregnenolone levels dramatically drop after age 30. Research indicates that restoration of Pregnenolone to levels of healthy young adults may have dramatic positive effects on memory, mood and energy, and sexual function. Pregnenolone can be taken once daily in the morning on an empty stomach to mimic the body’s normal rhythm. Recommended dosage: 10-100 mg per day. Adjust the dosage to your needs. Safety has been long established—it was used for arthritis treatment back in the 40s at very high doses with no apparent side effects. It is available at most health food stores and can be ordered via mail. DHEA DHEA (de-hydro-epi-andro-sterone) is a hormone naturally produced by your adrenal glands. It is usually the most abundant adrenal hormone in the body, but with age (or certain disease conditions) the levels drop. Lower levels of DHEA are associated with many of the diseases associated with aging and people with naturally higher levels are found to have lower incidence of some of these diseases (cancer, for example). In his Wellness Institute Guide to Nutrients Dr. Julian Whitaker notes “I give DHEA to about 80% of my patients over 40 because of its health-enhancing and anti-aging benefits.” Dosage: most people over 25 can take 25 - 50 mg per day in the morning with food. This amount will bring your DHEA levels back up to the normal range for the average 25-year-old. Check with mail order suppliers. St. John’s Wort This popular supplement has been shown to have antidepressive and antiviral properties. New research shows that St. John’s Wort may actually increase serotonin production. I have a tendency to be a little hyperactive. I have never been diagnosed with adult ADD, but I find that taking St. John’s Wort 3-4 times per week takes the edge off my being speedy very nicely. Look for St. John’s Wort containing 0.3% standardized hypericin extract. Avoid if pregnant or planning pregnancy. May cause photo-sensitivity so avoid strong sunlight and other sources of ultraviolet light (like "tanning booths") when taking St. John’s Wort. Available in most health food stores. Valerian Getting a good nights sleep does wonders for your sex life! Valeriana officinalis, a natural sedative that may be helpful for insomnia, leaves no morning after effects. Take just before going to bed. Available in tablets or loose tea form at health food stores. High doses may cause paralysis and a weakening of the heartbeat. Like any sedative, may become habit-forming if used for an extended period of time. Avoid if pregnant. Available in most health food stores. INTERNET and MAIL ORDER SOURCES of Products Life Extension Foundation: http://www.lef.org/cgi-local/welcome.cgi/id=151061148 Vitamin Research Products (VRP): http://www.vrp.com/default.asp?vMBR=467976 Quiz Answers 1. 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All methods of contraception are used to prevent pregnancy, but condoms have the added advantage of providing protection against infection and the spread of sexually transmitted diseases (STDs). How effective are condoms at doing these two things? Are they really as effective as other contraceptive methods at preventing pregnancy? And since one of the most common reasons for using a condom is to protect against infection, are they really an effective barrier against being infected by STDs? In this article we look at some of these questions. Does using a condom prevent pregnancy? Condoms are an extremely effective means of preventing pregnancy. Of course, no method of contraception is 100% effective because there will always be instances of incorrect or inconsistent use. This is as true of "the pill" or any other form of contraception as it is of condoms. However clinical studies have shown that high quality condoms, when used consistently and correctly, provide an excellent barrier against pregnancy. These trials have shown that correct and consistent use of condoms can have between 95% and 98% contraceptive efficacy rate. How often do condoms fail? The main reason that condoms "fail" to prevent pregnancy or infection is not because the condom itself has "failed", but because of incorrect of inconsistent use. Latex condoms can be weakened by oil-based lubricants like petroleum jelly. They can also be weakened by exposure to sunlight or by age. Sometimes they are torn by teeth or fingernails. But putting these incorrect uses aside, condoms almost never "fail". How often do condoms break or slip off? In the United States, most studies of breakage caused by fault in the condom itself have shown breakage rate is less than 2 condoms out of every 100 condoms. Studies also indicate that condoms slip off the penis in about 1-5% of acts of vaginal intercourse and slip down (but not off) about 3-13% of the time. Again, these rates are influenced by the care one takes when using a condom. Are condoms effective at preventing infection from HIV or STDs? Studies have shown that if a latex condom is used correctly and consistently (every time you have sex), they are a highly effective barrier against infection. This has been demonstrated most clearly by studies of "discordant" couples in Europe. A "discordant" couple is one in which one partner in infected with HIV and the other one is not. In a study of 123 couples in which condoms were used consistently, none of the infected partners became infected. Do thinner condoms give less protection against pregnancy and STDs? Thinner condoms are equally effective as a protection against both pregnancy and infection by STDs. However they may be more easily damaged by fingernails, teeth, jewelry and other incorrect uses, so extra care should be taken when using a thinner condom. Are all condoms thoroughly tested before being sold? All brand name condoms are subjected to rigorous quality control tests at every stage of the manufacturing process. In the US, each condom is electronically tested for holes and defects. Samples are taken from each lot and visually examined using a water leak test. In this test the samples are filled with 300 ml of water and suspended for 3 minutes. Samples from each lot are also subjected to an Air Inflation Test. This involves filling the test condoms with air until they reach the bursting point. They typically will hold about 40 liters of air -- the equivalent of 9 gallons of water! Other samples are checked for size and thickness, some are tested to destruction for physical strength, and still others are artificially aged by applying high temperatures to ensure that they will retain their quality well beyond their 5 year product life. In all regards, condoms have been shown to be an effective way to prevent pregnancy as well as being a highly effective way of guarding oneself against HIV or STD infection.