Abstract Introduction While there are numerous options for female contraceptives, male contraception remains relatively limited. Currently, men have access to barrier contraception with condoms, vasectomy and withdrawal methods. Although there are numerous male hormonal contraceptives in development, condoms remain the most accessible and widely used means of birth control and protection against sexually transmitted diseases. Objective To provide a comprehensive overview of the history of male barrier contraception. Methods An extensive literature review was performed to unearth the rich history of male condoms. Results The origins of the condom trace back to 3000 BC when King Minos of Crete employed a goat’s bladder as a protective sheath against his semen, which was believed to contain “scorpions and serpents.” In 1000 BC, ancient Egyptians used linen sheaths secured with ribbons to safeguard their penises from diseases. Interestingly, the early use of condoms was for disease prevention, with contraceptive potential not yet realized. Even the Romans, despite their sophistication, did not recognize condoms as contraceptives but rather tools for public health. The modern history of condoms witnessed a shift towards their contraceptive utility. During the English Civil War, soldiers were provided with animal intestine sheaths to prevent the spread of syphilis, a common cause of mortality. Around the same time, King Charles II, who was troubled with illegitimate offspring, was advised by his doctor, aptly named Colonel Condom, to use animal sheaths for protection. By the 1700s, condom use for contraception was well documented, and England’s fertility rate had significantly reduced due to its widespread adoption. The 1800s brought new developments, including chemical treatments to enhance the comfort of the condom with “skin-like feel.” In the late 1800s, American inventor Charles Goodyear introduced the first rubber condom, revolutionizing the industry with a more malleable, durable, and cost-effective to those made from animal intestines or bladders. The 1900s saw the mass production of condoms and easier access for the general population. Ongoing innovations, such as latex, further improved their durability, flexibility, stretchability, comfort, and pleasure. Conclusions The historical journey of condoms sheds light on the evolution of men's health and reproductive practices. Initially driven by concerns in public health and disease prevention, condoms have played a vital role in influencing societal issues such as gender equitable birth control, religious perspectives on contraceptives, and societal attitudes towards sexuality. Understanding this history is instrumental in shaping the future of male contraception. Disclosure Any of the authors act as a consultant, employee or shareholder of an industry for: Boston Scientific, Halozyme Therapeutics and Endo Pharmaceuticals.
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