History of condoms

The history of condoms goes back at least several centuries, and perhaps beyond. For most of their history, condoms have been used both as a method of birth control, and as a protective measure against sexually transmitted infections such as syphilis, gonorrhea, chlamydia, hepatitis B and more recently HIV/AIDS. Condoms have been made from a variety of materials; prior to the 19th century, chemically treated linen and animal tissue (intestine or bladder) are the best documented varieties. Rubber condoms gained popularity in the mid-19th century, and in the early 20th century major advances were made in manufacturing techniques. Prior to the introduction of the combined oral contraceptive pill, condoms were the most popular birth control method in the Western world. In the second half of the 20th century, the low cost of condoms contributed to their importance in family planning programs throughout the developing world. Condoms have also become increasingly important in efforts to fight the AIDS pandemic.

Whether condoms were used in ancient civilizations is debated by archaeologists and historians. Societies in the ancient civilizations of Egypt, Greece, and Rome preferred small families and are known to have practiced a variety of birth control methods. However, these societies viewed birth control as a woman's responsibility, and the only well-documented contraception methods were female-controlled devices (both possibly effective, such as pessaries, and ineffective, such as amulets). The writings of these societies contain subtle references to male-controlled contraceptive methods that might have been condoms, but most historians interpret them as referring to coitus interruptus or anal intercourse.

The loincloths worn by Egyptian and Greek laborers were very sparse, sometimes consisting of little more than a covering for the glans of the penis. Records of these types of loincloths being worn by men in higher classes have made some historians speculate they were worn during intercourse; others, however, are doubtful of such interpretations. Historians may also cite one legend of Minos, related by Antoninus Liberalis in 150 AD, as suggestive of condom use in ancient societies. This legend describes a curse that caused Minos' semen to contain serpents and scorpions. To protect his sexual partner from these animals, Minos used a goat's bladder as an internal condom.

Contraceptives fell out of use in Europe after the decline of the Western Roman Empire in the 5th century; the use of contraceptive pessaries, for example, is not documented again until the 15th century. If condoms were used during the Roman Empire, knowledge of them may have been lost during its decline. In the writings of Muslims and Jews during the Middle Ages, there are some references to attempts at male-controlled contraception, including suggestions to cover the penis in tar or soak it in onion juice. Some of these writings might describe condom use, but they are "oblique", "veiled", and "vague".

Prior to the 15th century, some use of glans condoms (devices covering only the head of the penis) is recorded in Asia. Glans condoms seem to have been used for birth control, and to have been known only by members of the upper classes. In China, glans condoms may have been made of oiled silk paper, or of lamb intestines. In Japan, condoms called Kabuto-gata (甲形) were made of tortoise shell or animal horn. In England, there is evidence that condoms made of animal organs were available in the time of Henry VIII (the mid-1500s).

The first well-documented outbreak of what is now known as syphilis occurred in 1494 among French troops. The disease then swept across Europe. As Jared Diamond describes it, "when syphilis was first definitely recorded in Europe in 1495, its pustules often covered the body from the head to the knees, caused flesh to fall from people's faces, and led to death within a few months." (The disease is less frequently fatal today.) By 1505, the disease had spread to Asia, and within a few decades had "decimated large areas of China".

In 16th-century Italy, Gabriele Falloppio authored the earliest uncontested description of condom use. De Morbo Gallico ("The French Disease", referring to syphilis) was published in 1564, two years after Falloppio's death. In this tract, he recommended use of a device he claimed to have invented: linen sheaths soaked in a chemical solution and allowed to dry before use. The cloths he described were sized to cover the glans of the penis, and were held on with a ribbon. Fallopio claimed to have performed an experimental trial of the linen sheath on 1100 men, and reported that none of them had contracted the dreaded disease.

After the publication of De Morbo Gallico, use of penis coverings to protect from disease is described in a wide variety of literature throughout Europe. The first indication these devices were used for birth control, rather than disease prevention, is the 1605 theological publication De iustitia et iure (On justice and law) by Catholic theologian Leonardus Lessius: he condemned them as immoral. The first explicit description that un petit linge (a small cloth) was used to prevent pregnancy is from 1655: a French novel and play titled L'Escole des Filles (The Philosophy of Girls). In 1666, the English Birth Rate Commission attributed a recent downward fertility rate to use of "condons", the first documented use of that word (or any similar spelling).