Ms. Choksondik's frightening lessons convince the girls that boys are carriers of deadly diseases. Believing they must wear protection at all times to avoid "the AIDS," the boys begin wearing condoms constantly. This misunderstanding escalates into an all-out "gender war" involving flamethrowers and nail guns.
While the episode uses absurdism for comedy, health organizations like the CDC and Planned Parenthood provide actual safety steps for external condoms:
Stick to water-based or silicone-based lubricants. Oil-based products (like Vaseline or lotion) can weaken latex and cause it to break. Episode 07: Proper Condom Use
The fourth-grade boys are caught "milking" dogs (masturbating them) after Cartman mistakenly labels the act a "trick".
Place the condom on the head of the erect penis and unroll it all the way to the base. This misunderstanding escalates into an all-out "gender war"
Ensure the condom is not expired and the packaging is still air-filled (not punctured).
While the children are terrified of sexual contact, Mr. Mackey and Ms. Choksondik—both originally portrayed as sexually inexperienced—develop a sudden and grotesque romantic relationship. Real-World "Proper Condom Use" Guide Episode 07: Proper Condom Use
Sex education is mandated for the elementary students. Mr. Mackey teaches the boys, while Ms. Choksondik (who despises sex) teaches the girls.