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When May a Couple Stop Using Condoms?

Robert S. Remis, MD, MPH, FRCP(C)
JAMA. 1987;257(17):2289. doi:10.1001/jama.1987.03390170045013.
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To the Editor.—  Sexual contact among both homosexual and heterosexual individuals represents an important mode of transmission of the human immunodeficiency virus (HIV), which is responsible for acquired immunodeficiency syndrome.1 In Quebec, for example, sexual transmission accounts for over 95% of cases of acquired immunodeficiency syndrome.2 Primary interruption of transmission of HIV is currently the only available means of preventing this type of transmission; in this regard, public health authorities have advised individuals at risk to modify their sexual behavior: specifically, such individuals should reduce the number of their sex partners, avoid high-risk sexual practices, and use condoms.1,3 Though the effectiveness of condoms has not yet been conclusively proved, in vitro studies4 and theoretical considerations suggest that their proper use provides a barrier to the sexual transmission of HIV.Nevertheless, the indications for condom use, especially among heterosexuals, have not yet been clearly defined. It is


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