The University of Southampton
University of Southampton Institutional Repository

Do phosphodiesterase type 5 inhibitors protect against condom-associated erection loss and condom slippage?

Do phosphodiesterase type 5 inhibitors protect against condom-associated erection loss and condom slippage?
Do phosphodiesterase type 5 inhibitors protect against condom-associated erection loss and condom slippage?
Introduction.? Some physicians prescribe phosphodiesterase type 5 inhibitors (PDE5i) for men who experience condom-associated erection difficulties with a view to increasing condom use and reducing risk of sexually transmitted infections.

Aim.? To examine whether the prevalence of erection-related condom problems differs between men using and not using PDE5i at the last condom-protected penile–vaginal (PVI) or penile–anal intercourse.

Methods.? Seven hundred-five men who had used a male condom during the past 3 months for PVI were selected from a sample recruited through advertisement to an electronic mailing list for a large, internet-based, sexual-enhancement product company. An internet-based questionnaire posted in 2006 assessed condom-use errors and problems.

Main Outcome Measures.? Men who did and did not use PDE5i during the last time a condom was used were compared on: (i) erection loss while applying a condom; (ii) erection loss during sex while using a condom; (iii) condom slipped off during sex; (iv) delayed condom application (penetration of the vagina or anus prior to application of the male condom); (v) early condom removal (condom taken off and intercourse continued without it); (vi) “problem with the way the condom fit”; (vii) “problem with the way the condom felt”; and (viii) condom breakage.

Results.? Controlling for age, marital status (yes/no), and having children (yes/no), PDE5i users, compared with nonusers, were: (i) three times more likely to report erection loss during sex while using a condom (adjusted odds ratio [AOR] = 3.21, 95% confidence interval [CI] = 1.40–7.39, P = 0.006); (ii) almost five times more likely to report the condom slipped off during sex (AOR = 4.75, 95% CI = 1.68–13.44, P = 0.003); and (iii) more than twice as likely to remove condoms before sex was over (AOR = 2.46, 95% CI = 1.09–5.56, P = 0.03).

Conclusions.? Physicians prescribing PDE5i may want to evaluate whether men are experiencing condom-associated erection difficulties and, if they are, consider titrating dosages and/or making referrals for psychosexual therapy and/or condom skills education.
1743-6095
1451-1456
Sanders, Stephanie A.
bb4ce9a1-0d94-4fe9-9113-f2ac41ec7961
Milhausen, Robin R.
34cc6d84-7ab0-49a0-a3ac-054ed9b6129f
Crosby, Richard A.
626c2897-4a0d-447c-8a82-b4068006646c
Graham, Cynthia A.
ac400331-f231-4449-a69b-ec9a477224c8
Yarber, William L.
2bf2b5cc-004a-4c27-9e88-039b532e22cf
Sanders, Stephanie A.
bb4ce9a1-0d94-4fe9-9113-f2ac41ec7961
Milhausen, Robin R.
34cc6d84-7ab0-49a0-a3ac-054ed9b6129f
Crosby, Richard A.
626c2897-4a0d-447c-8a82-b4068006646c
Graham, Cynthia A.
ac400331-f231-4449-a69b-ec9a477224c8
Yarber, William L.
2bf2b5cc-004a-4c27-9e88-039b532e22cf

Sanders, Stephanie A., Milhausen, Robin R., Crosby, Richard A., Graham, Cynthia A. and Yarber, William L. (2009) Do phosphodiesterase type 5 inhibitors protect against condom-associated erection loss and condom slippage? The Journal of Sexual Medicine, 6 (5), 1451-1456. (doi:10.1111/j.1743-6109.2009.01267.x).

Record type: Article

Abstract

Introduction.? Some physicians prescribe phosphodiesterase type 5 inhibitors (PDE5i) for men who experience condom-associated erection difficulties with a view to increasing condom use and reducing risk of sexually transmitted infections.

Aim.? To examine whether the prevalence of erection-related condom problems differs between men using and not using PDE5i at the last condom-protected penile–vaginal (PVI) or penile–anal intercourse.

Methods.? Seven hundred-five men who had used a male condom during the past 3 months for PVI were selected from a sample recruited through advertisement to an electronic mailing list for a large, internet-based, sexual-enhancement product company. An internet-based questionnaire posted in 2006 assessed condom-use errors and problems.

Main Outcome Measures.? Men who did and did not use PDE5i during the last time a condom was used were compared on: (i) erection loss while applying a condom; (ii) erection loss during sex while using a condom; (iii) condom slipped off during sex; (iv) delayed condom application (penetration of the vagina or anus prior to application of the male condom); (v) early condom removal (condom taken off and intercourse continued without it); (vi) “problem with the way the condom fit”; (vii) “problem with the way the condom felt”; and (viii) condom breakage.

Results.? Controlling for age, marital status (yes/no), and having children (yes/no), PDE5i users, compared with nonusers, were: (i) three times more likely to report erection loss during sex while using a condom (adjusted odds ratio [AOR] = 3.21, 95% confidence interval [CI] = 1.40–7.39, P = 0.006); (ii) almost five times more likely to report the condom slipped off during sex (AOR = 4.75, 95% CI = 1.68–13.44, P = 0.003); and (iii) more than twice as likely to remove condoms before sex was over (AOR = 2.46, 95% CI = 1.09–5.56, P = 0.03).

Conclusions.? Physicians prescribing PDE5i may want to evaluate whether men are experiencing condom-associated erection difficulties and, if they are, consider titrating dosages and/or making referrals for psychosexual therapy and/or condom skills education.

Text
PDFJSM24SeptFinal.pdf - Accepted Manuscript
Restricted to Repository staff only
Request a copy

More information

Published date: 2009
Organisations: Psychology

Identifiers

Local EPrints ID: 206731
URI: http://eprints.soton.ac.uk/id/eprint/206731
ISSN: 1743-6095
PURE UUID: 11bc7496-cdd9-426d-a810-95ff172f4526
ORCID for Cynthia A. Graham: ORCID iD orcid.org/0000-0002-7884-599X

Catalogue record

Date deposited: 10 Jan 2012 17:12
Last modified: 21 Mar 2024 02:47

Export record

Altmetrics

Contributors

Author: Stephanie A. Sanders
Author: Robin R. Milhausen
Author: Richard A. Crosby
Author: William L. Yarber

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×