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Despite limited safety data and the absence of efficacy data, several studies have reported that the female condom is being used for anal sex by men who have sex with men. We conducted semi-structured interviews with 78 health care providers recruited from various health care delivery systems in New York City: a family planning agency, a sexually transmitted disease agency, a hospital-based obstetrics and gynecology clinic, and two community-based AIDS service organizations. Few providers had actually talked with clients about anal use of the female condom, and clients themselves had seldom mentioned nor asked for information about such use. Lacking guidelines regarding the safety and efficacy of female condom use during anal sex, health care providers are left to make their own well-intentioned recommendations or not to potential users.
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Heterosexual Anal Intercourse: A Neglected Risk Factor for HIV?

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Anal sex - Wikipedia

Heterosexual anal intercourse confers a much greater risk of HIV transmission than vaginal intercourse, yet its contribution to heterosexual HIV epidemics has been under researched. In this article we review the current state of knowledge of heterosexual anal intercourse practice worldwide and identify the information required to assess its role in HIV transmission within heterosexual populations, including input measures required to inform mathematical models. We then discuss the evidence relating anal intercourse and HIV with sexual violence. Much effort and research has gone into identifying risk factors for HIV transmission, which have played a substantial role in driving the heterosexual HIV pandemic.
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Anal Use of the Female Condom: Does Uncertainty Justify Provider Inaction?

As HIV is very effectively acquired during condomless receptive anal intercourse AI with serodiscordant and viremic partners, the practice could contribute to the high prevalence among female sex workers FSW in eSwatini formerly known as Swaziland. We estimated the prevalence of AI and AI with inconsistent condom use in the past month with any partner type, and inconsistent condom use during AI and vaginal intercourse VI by partner type. Univariate and multivariable logistic regression models were used to identify behavioural and structural correlates associated with AI and AI with inconsistent condom use. Correlates of AI with inconsistent condom use were similar to those of AI.
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Anal sex or anal intercourse is generally the insertion and thrusting of the erect penis into a person's anus , or anus and rectum , for sexual pleasure. While anal sex is commonly associated with male homosexuality , research shows that not all gay males engage in anal sex and that it is not uncommon in heterosexual relationships. As with most forms of sexual activity, anal sex participants risk contracting sexually transmitted infections STIs. Anal sex is considered a high-risk sexual practice because of the vulnerability of the anus and rectum. The anal and rectal tissues are delicate and do not provide lubrication like the vagina does , so they can easily tear and permit disease transmission, especially if a personal lubricant is not used.
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