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There are still gaps in evidence relating to the safety of lubricants, but it is likely that petroleum-based products cause irritation to the delicate epithelium of the rectum, reducing tissue integrity and facilitating HIV transmission [ 9112627 ]. They also found that the rates of fecal incontinence were slightly higher among men and women who had anal intercourse in comparison with those who had not. We investigated condom and lubricant use, rectal cleansing and rectal gel use for penile-anal intercourse PAIduring in-depth interviews with women from South Africa, Uganda and Zimbabwe who formerly participated in VOICE, a five-arm HIV prevention trial of two antiretroviral tablets and a vaginal gel. Study participants described condom use for PAI being primarily for hygiene, to avoid penile contact with faecal matter, rather than for protection against HIV and STI infection. We investigated condom and lubricant use, rectal cleansing and rectal gel use for PAI, as part of a qualitative study amongst women from South Africa, Uganda and Zimbabwe, who formerly participated in VOICE, an HIV prevention trial of two antiretroviral oral tablets and a vaginal gel. Scroll to Accept.

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Women expressed the concern that if they engaged in condomless PAI, their male partner would be disgusted if his penis were to come into contact with faeces, and also that she herself would feel embarrassed if this were to happen. It is not always possible to prevent irritating hemorrhoids while having anal sex, but using sufficient lubricant can help minimize the irritation. You will be subject to the destination website's privacy policy when you follow the link. In addition to demographic characteristics of all study participants, the bottom section of Table 1 presents prevalence of condom use, lubricant use, rectal cleansing and rectal gel use as reported by the subset of 20 VOICE-D participants who reported PAI during the IDIs. Yes, if you want to be protected against STIs. We believe knowledge is power.

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