Erection loss in association with condom use among young men attending a public STI clinic: potential correlates and implications for risk behaviour

Graham, Cynthia A.; Crosby, Richard A.; Yarber, William L.; Sanders, Stephanie A.; McBride, Kimberly R.; Milhausen, Robin R.; Arno, Janet N.

doi:10.1071/sh06026

Cited by 54 publications

(62 citation statements)

References 17 publications

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“…Regarding early removal of condoms, we know that issues related to arousal and pleasure and erectile difficulties can be the impetus for taking off condoms before sex is over. 19,22,54 Condom-associated erection difficulties have been surprisingly under-researched. Yet what evidence we have suggests that they may be of crucial importance in terms of their relationship to slippage, 54,57 and possibly to attitudes towards condoms and future use.…”

Section: Discussionmentioning

confidence: 99%

“…19,22,54 Condom-associated erection difficulties have been surprisingly under-researched. Yet what evidence we have suggests that they may be of crucial importance in terms of their relationship to slippage, 54,57 and possibly to attitudes towards condoms and future use. We also have evidence that despite assumptions to the contrary, phosphodiesterase type 5 inhibitors do not fully overcome condom-associated erection problems.…”

Section: Discussionmentioning

confidence: 99%

“…Condom-associated erection problems during application ranged from 14.3% to 28.1% of participants in four studies, 13-15,54 and 5.3% and 9.4% of events in two others. 20,21 Condom-associated erection problems during intercourse were reported by 9.9% to 20.2% of participants across four studies [13][14][15]54 and in 6.0% and 20.0% of events in two studies. 20,22 Problems with fit and feel ranged from 7.0% to 29.9% of participants across three studies [54][55][56] and from 9.0% to 44.7% of events across three studies, 20,22,23 depending on the specific aspect assessed.…”

Section: 455253mentioning

confidence: 99%

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Condom use errors and problems: a global view

et al. 2012

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Abstract. Background: Significantly more research attention has been devoted to the consistency of condom use, with far fewer studies investigating condom use errors and problems. The purpose of this review was to present the frequency of various condom use errors and problems reported worldwide. Methods: A systematic literature search was conducted for peer-reviewed articles, published in English-language journals between 1995 and 2011. Results: Fifty articles representing 14 countries met criteria for inclusion. The most common errors included not using condoms throughout sex, not leaving space at the tip, not squeezing air from the tip, putting the condom on upside down, not using water-based lubricants and incorrect withdrawal. Frequent problems included breakage, slippage, leakage, condom-associated erection problems, and difficulties with fit and feel. Prevalence estimates showed great variation across studies. Prevalence varied as a function of the population studied and the period assessed. Conclusion: Condom use errors and problems are common worldwide, occurring across a wide spectrum of populations. Although breakage and slippage were most commonly investigated, the prevalence of other condom use errors and problems found in this review were substantially higher. As a framework for understanding the role of condom errors and problems in inadequate protection, we put forward a new model: the Condom Use Experience model. This model can be used to generate testable hypotheses for future research. Addressing condom use errors and problems in research and interventions is crucial to closing the gap between the perfect use and typical use of condoms.Additional keywords: condom breakage, condom slippage, sexual behaviour, sexually transmissible infections.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: 455253mentioning

confidence: 99%

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Condom use errors and problems: a global view

et al. 2012

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“…loss of erection, loss of sensation or inability to ejaculate). [55][56][57][58] Two intentional user practices that have received increased attention of late -putting condoms on after starting intercourse or removing condoms before ejaculation 20,55,[59][60][61][62][63] -illustrate well the challenges of achieving effective use. And although the rate of any of single condom problem generally is low (less than 5-10% of coital acts), 55,59 the fraction of users reporting one or more problems often exceeds 40-50% even over brief periods of time.…”

Section: Correct Usementioning

confidence: 99%

Condom use around the globe: how can we fulfil the prevention potential of male condoms?

2012

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“…loss of pleasure, difficulty reaching orgasm, genital irritation, erection loss and drying of the vagina. To date, with the exception of erection loss, 6,19,20 research documenting the prevalence of these problems and the correlates to condom use has been scant.…”

Section: Introductionmentioning

confidence: 99%

Problems with condoms may be reduced for men taking ample time to apply them

et al. 2010

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Abstract. Background: One potentially important antecedent of experiencing problems with condom use during penilevaginal sex is the amount of time that men (and perhaps women) allow for condom application. To examine whether men reporting that ample time was available to apply a male condom (the last time a condom was used for penile-vaginal sex) were also less likely to report problems with condom use such as breakage, slippage and erection difficulties during that sexual event. Methods: A convenience sample of men (n = 440) was recruited via advertisements in newspapers (two urban and one small town) and a blog on the website of a condom sales company. Men completed a questionnaire posted on the website of The Kinsey Institute for Research in Sex, Gender, and Reproduction. Inclusion criteria were that participants were: at least 18 years old; used condoms for penile-vaginal intercourse in the past 3 months; and able to read English. Results: In controlled, event-specific analyses, men reporting that they did not have sufficient time for condom application were~three times more likely to report breakage and~2.4 times more likely to report slippage. In addition, men who reported that they lacked time for condom application were~2.4 times more likely to experience any of nine sexual problems, 3.4 times more likely to report difficulty with erection, 2.1 times more likely to report reduced sexual pleasure, 2.2 times more likely to report reduced sexual pleasure of their female partner and 2.6 times more likely to report that the condom irritated their partner's vagina. Conclusions: This is the first study using an event-specific analysis to examine the effect of not having enough time for condom application on condom breakage, slippage and several outcomes related to sexual pleasure. Sexually transmissible infections and pregnancy prevention messages should include recommendations to men to take their time applying condoms.

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Erection loss in association with condom use among young men attending a public STI clinic: potential correlates and implications for risk behaviour

Cited by 54 publications

References 17 publications

Condom use errors and problems: a global view

Condom use errors and problems: a global view

Condom use around the globe: how can we fulfil the prevention potential of male condoms?

Problems with condoms may be reduced for men taking ample time to apply them

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