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Konstanz enema anal sex, there is limited data on rectal douching behavior in populations practicing AI. We examined the content, types of products, rectal douching practices and risk behaviors among those reporting AI. The survey was available in English, French, German, Mandarin, Portuguese, Russian, Spanish, and Thai and included questions on sexual behaviors associated with AI including rectal douching.

Differences by rectal douching practices were evaluated using chi-square methods and associations between reported douching practices and other factors including age and reported STI history were Fat cow Reinickendorf using Jena sex chart regression analysis.

Rectal douching varied by demographic and risk behaviors. Given that rectal douching before receptive AI is common and because rectal douching was associated with other Konstanz enema anal sex risk behaviors the contribution of this practice to the transmission and acquisition of STIs including HIV may be important.

Anal intercourse AI without condoms represents one of the most efficient modes of sexual transmission of HIV [ 1 ] and is a risk factor for the transmission of other sexually transmitted infections STIs. The COL trial provided evidence that vaginal application of Nonoxynol-9 N9 was associated with increased risk of HIV infection, and further studies showed that rectal administration of N9 was associated with sloughing of rectal epithelia [ 2 - 4 ].

Furthermore, in vitro and animal studies have demonstrated that some commercial lubricants may damage rectal tissue [ 5 - 9 ]. Cell contact with hyperosmolar solutions like many lubricants can cause cells to dry up and collapse.

Such injury of the rectal epithelia has been hypothesized to enhance the probability of transmission of pathogens such as HIV [ 10 ] and other STIs. In addition to biologic plausibility, a recent epidemiologic study demonstrated that lubricant use during AI was independently associated with rectal STIs [ 11 ]. Vaginal douching has long been associated with a number of STIs, such as chlamydia and gonorrhea [ 12 - 15 ].

However, little is known about the specific content and types of douches used. Because the prevalence Backpage shemale south Darmstadt rectal douching may be relatively high and the products used may cause damage to the rectal epithelium, the contribution of this practice to the transmission Konstanz enema anal sex acquisition of STIs including HIV may be important. We conducted a cross-sectional study, using an internet-based survey see Additional file 1 to collect information on rectal douching practices including information on products and substances used for douching.

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Participants were recruited through brief email messages sent by IRMA through various topical, regional, and community listservs i. In addition, several websites posted information and links to the survey, including sites targeted to gay men and rectal microbicides. Konstsnz

Those interested in participating were directed to the IRMA website, which contained a link to the study survey. Mayfair house Itzehoe Germany remuneration was given for participation. The self-administered web-based survey was offered in multiple languages including English, French, German, Mandarin, Portuguese, Russian, Spanish, and Thai. Translated questionnaires were pilot tested with native speakers in order to ensure comprehension of the translated materials.

Participants were recruited over a month period from August — May In addition to basic demographic information, the survey included questions on sexual behaviors, history of STIs, and practices surrounding AI including douching.

Respondents Asian massage new Hof asked about frequency, reasons, timing i. The survey also ennema an image-based list of douches available commercially. While efforts were made Konsttanz include images of douches available globally, the majority of images were based on products available in the United States and Canada.

Descriptive statistics were calculated for the total sample and by rectal douching status, comparing those who reported rectal douching to those who did not.

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