While the episode uses absurdism for comedy, health organizations like the CDC and Planned Parenthood provide actual safety steps for external condoms:
The fourth-grade boys are caught "milking" dogs (masturbating them) after Cartman mistakenly labels the act a "trick". Episode 07: Proper Condom Use
Place the condom on the head of the erect penis and unroll it all the way to the base. While the episode uses absurdism for comedy, health
Ensure the condom is not expired and the packaging is still air-filled (not punctured). Episode 07: Proper Condom Use
Stick to water-based or silicone-based lubricants. Oil-based products (like Vaseline or lotion) can weaken latex and cause it to break.
Sex education is mandated for the elementary students. Mr. Mackey teaches the boys, while Ms. Choksondik (who despises sex) teaches the girls.