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=== Birth control === {{See also|Comparison of birth control methods#Effectiveness of various methods|l1=Comparison of birth control methods: Effectiveness of various methods}} The effectiveness of condoms, as of most forms of [[contraception]], can be assessed two ways. ''Perfect use'' or ''method'' effectiveness rates only include people who use condoms properly and consistently. ''Actual use'', or ''typical use'' effectiveness rates are of all condom users, including those who use condoms incorrectly or do not use condoms at every act of intercourse. Rates are generally presented for the first year of use.<ref name="hatcher">{{cite book |first1=RA |last1=Hatcher |last2=Trussel |first2= J |last3=Nelson |first3= AL |year=2007 |title=Contraceptive Technology |edition=19th |publisher=Ardent Media |location=New York |isbn=978-1-59708-001-9 |url=http://www.contraceptivetechnology.com/table.html |access-date=26 July 2009|archive-url = https://web.archive.org/web/20080531095926/http://www.contraceptivetechnology.com/table.html |archive-date = 31 May 2008 |url-status=dead|display-authors=etal}}</ref> Most commonly the [[Pearl Index]] is used to calculate effectiveness rates, but some studies use [[decrement table]]s.<ref name="kippley">{{cite book |first1=John |last1=Kippley |last2=Kippley |first2= Sheila |year=1996 |title=The Art of Natural Family Planning |edition=4th addition |publisher=The Couple to Couple League |location=Cincinnati, OH |isbn=978-0-926412-13-2}}</ref>{{Rp|141}} The typical use pregnancy rate among condom users varies depending on the population being studied, ranging from 10 to 18% per year.<ref name="Kippley1996">{{cite book |first=John |last=Kippley |author2=Sheila Kippley |year=1996 |title=The Art of Natural Family Planning |edition=4th addition |publisher=The Couple to Couple League |location=Cincinnati, OH |page=146 |isbn=978-0-926412-13-2}}, which cites: :{{cite journal |last=Guttmacher Institute |title=Choice of Contraceptives |journal=The Medical Letter on Drugs and Therapeutics |volume=34 |pages=111β114 |year=1992 |pmid=1448019 |issue=885}}</ref> The perfect use pregnancy rate of condoms is 2% per year.<ref name="hatcher" /> Condoms may be combined with other forms of contraception (such as [[spermicide]]) for greater protection.<ref name="simultaneous">{{cite journal |doi=10.2307/2135759 |jstor=2135759 |title=Efficacy of the Simultaneous Use of Condoms and Spermicides |journal=Family Planning Perspectives |volume=23 |issue=5 |pages=226β232 |last1=Kestelman |first1=Philip |last2=Trussell |first2=James |year=1991 |pmid=1743276 |issn = 0014-7354}}</ref>
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