If a person needs effective contraception and is at increased
risk of STD infection, providers should recommend using two
methods. They should suggest that clients use a primary method
that is highly effective for pregnancy prevention and then add
a condom for STD prevention.
Drawbacks to this approach include additional costs for the
client and the need for the client to be motivated to use two
methods. Research indicates that the more effective the primary
contraceptive method is in preventing pregnancy, the less consistent
is use of the male condom.