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In one of the most highly publicised statements, in October 2003, the President of the Vatican's Pontifical Council for the Family, Cardinal Alfonso Lopez Trujillo, said: "The AIDS virus is roughly 450 times smaller than the spermatozoon.The spermatozoon can easily pass through the 'net' that is formed by the condom.

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Despite this, the use and promotion of condoms continue to be targets for controversy and criticism, and sexual abstinence and monogamy are often promoted as superior alternatives.

While condoms offer useful and vital protection, they have also become associated with promiscuity and infidelity.

In these circumstances, it is easy to see why condoms sometimes fail, even in consistent users.

In addition, however, people are not consistent in their use of condoms, and may not even be consistent when they claim to be, or think they are.

Women in the 1940s apparently got a bit more creative by using a bulky scalp massage machine called the Oster Stim U Lax for Barbers containing a suspended motor.

The strange-looking metal device even included an elastic strap to ease handling.

From there, the designs appear to get smoother, more discreet and sleeker, such as the Hitachi Magic Wand, which is still a big seller today, decades after it was mass marketed in the USA in the 1970s.

Anyone who has watched Sex & the City would recognize Glamour's choice for the 1980s evolution of the vibrator: The Vibratex Rabbit.

One widely quoted remark of this nature came from Ugandan President Yoweri Museveni who, at the Fifteenth International AIDS Conference in Bangkok in 2004, advocated for HIV prevention based on “optimal relationships based on love and trust instead of institutionalised mistrust, which is what the condom is all about…I think of condoms as an improvisation, not a solution”.

(See the text of Museveni’s speech.) Museveni later complained of being misunderstood and signed an article in The Lancet saying that condoms formed a valuable part of HIV prevention.

Consistently used condoms provide significant protection against HIV, pregnancy and sexually transmitted infections (STIs).

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