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What is the difference?

Condom vs Internal condom

The external condom, worn on the penis, is the one most people picture, while the internal condom is less familiar. Both are barrier methods that protect against pregnancy and many STIs; the difference is where they go and what they are made of.

General information, not medical advice. For advice about your own situation, talk to a clinician, pharmacist or sexual health clinic.

Condom

A condom is a thin sheath worn on the penis during sex that collects semen, helping prevent both pregnancy and many sexually transmitted infections.

Full entry

Internal condom

An internal condom is a soft pouch placed inside the vagina or anus before sex to act as a barrier against pregnancy and infections.

Full entry

Side by side

CondomInternal condom
Where it goesCondomRolled onto an erect penis.Internal condomPlaced inside the vagina or anus.
When it goes onCondomJust before any genital contact.Internal condomCan be inserted up to about eight hours before sex.
Usual materialCondomMostly latex, with polyurethane or polyisoprene options.Internal condomMostly thin, soft plastic or synthetic rubber, so usually latex-free.
Effectiveness against pregnancyCondomAbout 98% with perfect use, around 82% with typical use.Internal condomUp to 95% with perfect use, around 79% with typical use.
AvailabilityCondomSold almost everywhere and often free from sexual health services.Internal condomHarder to find and usually more expensive, though some clinics give them out free.

In short

Use one or the other, never both together, because friction can make them tear. The best choice is the one that fits comfortably and gets used every time.

What they have in common

Both are single-use, need no prescription, reduce the risk of many STIs including HIV, and can be used alongside a hormonal method for dual protection.

Sources

  1. NHSCondoms
  2. NHSInternal (female) condoms
  3. Planned ParenthoodInternal condom

More comparisons

Last reviewed 16 October 2026. Spotted a mistake?