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.
Antiquity 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".
1500s to the 1800s
Renaissance
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 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).
In addition to linen, condoms during the Renaissance were made out of intestines and bladder. Cleaned and prepared intestine for use in glove making had been sold commercially since at least the 13th century. Condoms made from bladder and dating to the 1640s were discovered in an English privy; it is believed they were used by soldiers of King Charles I. Dutch traders introduced condoms made from "fine leather" to Japan. Unlike the horn condoms used previously, these leather condoms covered the entire penis.
The oldest condoms ever excavated were found in a cesspit located in the grounds of Dudley Castle and were made from animal membrane; dating back to as early as 1642.
18th century Written references to condom use became much more common during the 18th century. Not all of the attention was positive: in 1708, John Campbell unsuccessfully asked Parliament to make the devices illegal. Noted English physician Daniel Turner condemned the condom, publishing his arguments against their use in 1717. He disliked condoms because they did not offer full protection against syphilis. He also seems to have argued that belief in the protection condoms encouraged men to engage in sex with unsafe partners, but then, because of the loss of sensation caused by condoms, these same men often neglected to actually use the devices. The French medical professor Jean Astruc wrote his own anti-condom treatise in 1736, citing Turner as the authority in this area. Physicians later in the 18th century also spoke against the condom, but not on medical grounds: rather, they expressed the belief that contraception was immoral.
The condom market grew rapidly, however. 18th-century condoms were available in a variety of qualities and sizes, made from either linen treated with chemicals, or "skin" (bladder or intestine softened by treatment with sulphur and lye). They were sold at pubs, barbershops, chemist shops, open-air markets, and at the theatre throughout Europe and Russia. The first recorded inspection of condom quality is found in the memoirs of Giacomo Casanova (which cover his life until 1774): to test for holes, he would often blow them up before use.
Couples in colonial America relied on female-controlled methods of contraception if they used contraceptives at all. The first known documents describing American condom use were written around 1800, two to three decades after the American Revolutionary War. Also around 1800, linen condoms lost popularity in the market and their production ceased: they were more expensive and were viewed as less comfortable when compared to skin condoms.
Up to the 19th century, condoms were generally used only by the middle and upper classes. Perhaps more importantly, condoms were unaffordable for many: for a typical prostitute, a single condom might cost several months' pay.
Expanded marketing and introduction of rubber The early 19th century saw contraceptives promoted to the poorer classes for the first time: birth control advocates in England included Jeremy Bentham and Richard Carlile, and noted American advocates included Robert Dale Owen and Charles Knowlton. Writers on contraception tended to prefer other methods of birth control, citing both the expense of condoms and their unreliability (they were often riddled with holes, and often fell off or broke), but they discussed condoms as a good option for some, and as the only contraceptive that also protected from disease. One group of British contraceptive advocates distributed condom literature in poor neighborhoods, with instructions on how to make the devices at home; in the 1840s, similar tracts were distributed in both cities and rural areas through the United States.
From the 1820s through the 1870s, popular women and men lecturers traveled around America teaching about physiology and sexual matters. Many of them sold birth control devices, including condoms, after their lectures. They were condemned by many moralists and medical professionals, including America's first female doctor Elizabeth Blackwell. Blackwell accused the lecturers of spreading doctrines of "abortion and prostitution". In the 1840s, advertisements for condoms began to appear in British newspapers, and in 1861 a condom advertisement appeared in The New York Times.
The discovery of the rubber vulcanization process is disputed. Some contest that it was invented by Charles Goodyear in America 1839, and patented in 1844. Other accounts attribute it to Thomas Hancock in Britain in 1843. The first rubber condom was produced in 1855, and by the late 1850s several major rubber companies were mass-producing, among other items, rubber condoms. A main advantage of rubber condoms was their reusability, making them a more economical choice in the long term. Compared to the 19th-century rubber condoms, however, skin condoms were initially cheaper and offered better sensitivity. For these reasons, skin condoms remained more popular than the rubber variety. However, by the end of the 19th century "rubber" had become a euphemism for condoms in countries around the world. For many decades, rubber condoms were manufactured by wrapping strips of raw rubber around penis-shaped moulds, then dipping the wrapped moulds in a chemical solution to cure the rubber. The earliest rubber condoms covered only the glans of the penis; a doctor had to measure each man and order the correct size. Even with the medical fittings, however, glans condoms tended to fall off during use. Rubber manufacturers quickly discovered they could sell more devices by manufacturing full-length one-size-fits-all condoms to be sold in pharmacies.
Increased popularity despite legal impediments