Abstract
Background. The Woman's Condom, a second-generation female condom designed for acceptability, is poised for introduction in China. Method. This single-arm study was conducted among 60 couples in China in 2010 to assess acceptability of the Woman's Condom. Results. Male participants reported that ease of handling, inserting, and removing the device improved significantly from first to fourth use. Female and male participants reported that comfort during insertion, feel of lubricant during insertion, comfort/fit of outer ring during use, and overall comfort improved significantly from first to fourth use. Further, at fourth use, female participants reported significant improvement in the comfort of the feel of the condom material and lubricant. Female and male participants reported that satisfaction with stability and sensation during sex and ability to achieve orgasm improved significantly from first to fourth use. At fourth use, female participants reported statistically significant improvement in sensation compared to using nothing. A majority of participants (78%) stated that they would use the Woman's Condom in the future, primarily due to its dual protection profile. Conclusion. This study has shown that, in China, the Woman's Condom appears to be acceptable to married couples. User experience contributes to improvement in many aspects of device acceptability.
Highlights
Female condoms offer dual protection against unintended pregnancy and sexually transmitted infections (STIs) including HIV
The insertion capsule is made from dissolvable polyvinyl alcohol (PVA) and is similar to the PVA used in contraceptive C-Film (Apothecus Pharmaceutical Corporation, New York, NY)
Almost half of the female participants (46%) had completed college/university or above while 32% of the male participants had completed the same level of education
Summary
Female condoms offer dual protection against unintended pregnancy and sexually transmitted infections (STIs) including HIV. The Woman’s Condom is designed to protect women and couples from unintended pregnancy and STIs including HIV/AIDS and be highly pleasurable and acceptable. Male participants reported that ease of handling, inserting, and removing the device improved significantly from first to fourth use. Female and male participants reported that comfort during insertion, feel of lubricant during insertion, comfort/fit of outer ring during use, and overall comfort improved significantly from first to fourth use. At fourth use, female participants reported significant improvement in the comfort of the feel of the condom material and lubricant. Female and male participants reported that satisfaction with stability and sensation during sex and ability to achieve orgasm improved significantly from first to fourth use. User experience contributes to improvement in many aspects of device acceptability
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