General erectile functioning among young, heterosexual men who do and do not report condom-associated erection problems (CAEP)
General erectile functioning among young, heterosexual men who do and do not report condom-associated erection problems (CAEP)
Introduction: condom-associated erection problems (CAEP) are an underestimated factor related to inconsistent or incomplete male condom use. The underlying mechanisms of CAEP are not understood, and whether men who report these difficulties are also likely to experience erectile problems in situations when condoms are not used has not been studied.
Aim: the aim of the study was to investigate, in a sample of condom-using young, heterosexual men (aged 18–24 years), whether men who report CAEP are more likely to (i) have erection problems when not using condoms and (ii) meet criteria for erectile dysfunction.
Methods: a total of 479 men recruited online completed the International Index of Erectile Function (IIEF-5) and answered questions about erection problems experienced when using and not using condoms during the last 90 days. Demographic, sexual experience, and health status variables were investigated as correlates.
Main outcome measures: elf-reported frequency of erection loss during condom application or during penile–vaginal intercourse (PVI) in the past 90 days and IIEF-5 scores.
Results: of the men, 38.4% were classified in the no CAEP group, 13.8% as having CAEP during condom application, 15.7% as having CAEP during PVI, and 32.2% as having CAEP during both condom application and PVI. Men reporting any form of CAEP were significantly more likely than men reporting no CAEP to also report erection difficulties during sexual activity when not using condoms. Men who reported CAEP during PVI only or during both application and PVI scored significantly lower on the IIEF-5 than men without CAEP.
Conclusion: the findings suggest that men who report CAEP are also more likely to experience more generalized erection difficulties. Clinicians should assess whether men using condoms experience CAEP and where appropriate, refer for psychosexual therapy or provide condom skills education
1-19
Sanders, Stephanie A.
bb4ce9a1-0d94-4fe9-9113-f2ac41ec7961
Hill, Brandon J.
1928c7e8-bf2f-456a-9040-2efc52c70d88
Janssen, Erick
65bc29b2-0975-4841-842d-22049eb356e6
Graham, Cynthia A.
ac400331-f231-4449-a69b-ec9a477224c8
Crosby, Richard A.
626c2897-4a0d-447c-8a82-b4068006646c
Milhausen, Robin R.
34cc6d84-7ab0-49a0-a3ac-054ed9b6129f
Yarber, William L.
2bf2b5cc-004a-4c27-9e88-039b532e22cf
17 August 2015
Sanders, Stephanie A.
bb4ce9a1-0d94-4fe9-9113-f2ac41ec7961
Hill, Brandon J.
1928c7e8-bf2f-456a-9040-2efc52c70d88
Janssen, Erick
65bc29b2-0975-4841-842d-22049eb356e6
Graham, Cynthia A.
ac400331-f231-4449-a69b-ec9a477224c8
Crosby, Richard A.
626c2897-4a0d-447c-8a82-b4068006646c
Milhausen, Robin R.
34cc6d84-7ab0-49a0-a3ac-054ed9b6129f
Yarber, William L.
2bf2b5cc-004a-4c27-9e88-039b532e22cf
Sanders, Stephanie A., Hill, Brandon J., Janssen, Erick, Graham, Cynthia A., Crosby, Richard A., Milhausen, Robin R. and Yarber, William L.
(2015)
General erectile functioning among young, heterosexual men who do and do not report condom-associated erection problems (CAEP).
The Journal of Sexual Medicine, .
(doi:10.1111/jsm.12964).
Abstract
Introduction: condom-associated erection problems (CAEP) are an underestimated factor related to inconsistent or incomplete male condom use. The underlying mechanisms of CAEP are not understood, and whether men who report these difficulties are also likely to experience erectile problems in situations when condoms are not used has not been studied.
Aim: the aim of the study was to investigate, in a sample of condom-using young, heterosexual men (aged 18–24 years), whether men who report CAEP are more likely to (i) have erection problems when not using condoms and (ii) meet criteria for erectile dysfunction.
Methods: a total of 479 men recruited online completed the International Index of Erectile Function (IIEF-5) and answered questions about erection problems experienced when using and not using condoms during the last 90 days. Demographic, sexual experience, and health status variables were investigated as correlates.
Main outcome measures: elf-reported frequency of erection loss during condom application or during penile–vaginal intercourse (PVI) in the past 90 days and IIEF-5 scores.
Results: of the men, 38.4% were classified in the no CAEP group, 13.8% as having CAEP during condom application, 15.7% as having CAEP during PVI, and 32.2% as having CAEP during both condom application and PVI. Men reporting any form of CAEP were significantly more likely than men reporting no CAEP to also report erection difficulties during sexual activity when not using condoms. Men who reported CAEP during PVI only or during both application and PVI scored significantly lower on the IIEF-5 than men without CAEP.
Conclusion: the findings suggest that men who report CAEP are also more likely to experience more generalized erection difficulties. Clinicians should assess whether men using condoms experience CAEP and where appropriate, refer for psychosexual therapy or provide condom skills education
Text
JSM-05-2014-316.R1 June 27 2015.pdf
- Accepted Manuscript
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Published date: 17 August 2015
Organisations:
Psychology
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Local EPrints ID: 380551
URI: http://eprints.soton.ac.uk/id/eprint/380551
PURE UUID: 036a8a76-b00d-4ae3-81d8-3fb839d849eb
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Date deposited: 10 Sep 2015 08:26
Last modified: 21 Mar 2024 02:47
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Contributors
Author:
Stephanie A. Sanders
Author:
Brandon J. Hill
Author:
Erick Janssen
Author:
Richard A. Crosby
Author:
Robin R. Milhausen
Author:
William L. Yarber
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