title: The impact of lubricants on latex condoms during vaginal intercourse.
abstract: The objective was to evaluate the impact of additional lubricant on condom breakage and slippage. Two hundred and sixty-eight couples used 6 new and 6 aged condoms during vaginal intercourse and were instructed to use 2 of each type with either water-based lubricant, oil-based lubricant or no additional lubricant. The use of either oil-based or water-based lubricant increased slippage rates of new and aged condoms, although only one pairwise comparison (oil-based lubricant vs. no additional lubricant) was statistically significant (8.5% vs. 3.8%, P = 0.004). The use of oil-based lubricant increased breakage, although not statistically significantly, in both new and aged condoms. Water-based lubricant did not impact the breakage rate of the new condoms and decreased the breakage rate of the aged condoms (no additional lubricant 4.5% vs. water-based lubricant 2.1%, P = 0.029). From a functional perspective, this study suggests that condom users should be told not to use oil-based lubricants. The negative impact of water-based lubricant on slippage may be outweighted by the protective influence on breakage, especially for aged condoms. Over three-quarters of the couples (76%) had at least some incorrect knowledge, according to current condom instructions, of the type of lubricant that should be used with condoms.
authors.affiliation: Contraceptive Use and Epidemiology Division, Family Health International, Research Triangle Park, NC 27709.
authors.forename: M
authors.initials: M
authors.lastname: Steiner
authors.forename: C
authors.initials: C
authors.lastname: Piedrahita
authors.forename: L
authors.initials: L
authors.lastname: Glover
authors.forename: C
authors.initials: C
authors.lastname: Joanis
authors.forename: A
authors.initials: A
authors.lastname: Spruyt
authors.forename: R
authors.initials: R
authors.lastname: Foldesy
mesh_terms: D000328:Adult; D003075:Coitus; D017280:Condoms / Q000592:standards*; D005260:Female; D006801:Humans; D007840:Latex; D008153:Lubrication; D008297:Male
chemical_list: D007840:Latex