Preliminary study on use of female condoms in anal sex among men who have sex with men
Objective To analyze the clinical efficacy and safety of female condom use in men who have sex with men(MSM)and the willingness among MSM to use female condoms.Methods MSM were recruited by convenient sampling and a basic questionnaire was completed.Each participant was given 5 male condoms and 5 female condoms.The clinical efficacy and safety information surrounding female condoms were recorded by diary.Results A total of 100 MSM participants with a median age of 27(24,33)years completed the two-stage condom use and questionnaire survey.A total of 500 female condoms were distributed,72.0%were used throughout a single sex act,22.2%were used incompletely during a single sex act,and 5.8%were not used.There were no reports of female condom slipping,misinsertion or condom rupture failure.However,4.0%(4/100)of the participants reported that the outer ring of the female condom was pushed in.There were no redness,swelling,or allergic adverse events related to the use of female condoms.In contrast,9.0%of the participants felt pain,16.0%reported distension,42.0%thought the female condom was lubricated,75.0%thought it was the right size,61.0%thought it was comfortable,and 90.0%had no difficulty inserting the penis.Approximately 65.0%of MSM were willing to continue using female condoms in the future,while 35.0%were not.The main reasons reported for willing to use female condoms were the need for disease prevention,comfortable use,and good effectiveness.The main reasons for unwillingness to use condoms included complex operation,dislike of sexual partners,sense of estrangement,uncomfortable,and insufficient lubrication.Conclusions In this study,the incidence of clinical failure and safety events of using female condom in MSM anal sex was low,and the feeling of using female condoms during MSM anal sex is relatively good.The intention to use female condoms in MSM anal sex was relatively high,so the disease prevention effect of female condoms in MSM anal sex can be further studied.
men who have sex with men(MSM)AIDSfemale condomsanal sex