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Try out PMC Labs and tell us what you think. Learn More. Both women and men rated unprotected vaginal intercourse as more pleasurable than protected vaginal intercourse. Men who perceived a larger decrease in pleasure between unprotected and protected intercourse were less likely to have used condoms in the past 3 months than those who perceived a smaller decrease in pleasure.

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The provide evidence that many people believe that condoms reduce sexual pleasure and that men, in particular, who believe that condoms decrease pleasure are less likely to use them. Condom promotion campaigns should work to emphasize the pleasure-enhancing aspects of condom use. Consequently, any artifice that interferes with the pleasures of sex is likely to be avoided or accepted reluctantly. This is particularly true of latex condoms, the cornerstone of current international efforts to prevent the spread of HIV and other sexually transmitted infections.

Condoms interpose a mechanical barrier between sex partners, limit physical contact, reduce tactile sensation, and attenuate heat transduction, all of which reduce sexual pleasure. Few studies have asked participants to directly rate the pleasurability of protected or unprotected intercourse. Catania et al. Kelly and Kalichman asked gay and bisexual men to rate the pleasure they derived from unprotected insertive and receptive anal intercourse on a 5-point Likert scale.

Higher pleasure ratings were associated with less frequent condom use during anal intercourse. We felt that further research into the relationship between Ladies seeking sex Larsen Wisconsin pleasure and condom use was needed for several reasons. First, two of the four studies reviewed above enrolled adolescents 15—19 years of age Catania et al.

Pleasure and condom use among young adults—the age group most likely to acquire a sexually transmitted infection Institute of Medicine, —remains understudied. Third, a thorough examination of the possible influence of pleasure on condom use requires consideration of both protected and unprotected sex.

Kelly and Kalichman asked about the pleasurability of unprotected anal intercourse, but not its condom-protected counterpart. To establish whether condom use is associated with perceptions that condoms reduce pleasure, rather than a disposition to perceive sex, both protected and unprotected, as highly pleasurable, it is important to examine the difference in pleasure ratings between protected and unprotected sex.

The main objective of the study was to determine whether pleasure ratings would be related to actual condom use, and more specifically, whether perceptions that condoms decrease pleasure would be associated with decreased condom use. We anticipated that unprotected intercourse would be given higher pleasure ratings than condom-protected intercourse; that higher pleasure ratings for protected sex would be positively associated with condom use Catania et al.

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As men more often cite pleasure as a reason for engaging in sexual intercourse and more often perceive condom-protected sexual intercourse as less pleasurable than unprotected intercourse Choi et al. Eligible participants were women and 78 men enrolled in an undergraduate human sexuality course at a large urban university in California Pinkerton et al.

The present study focused on the 80 women and 35 men who engaged in vaginal intercourse in the 3 months.

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The mean age of study participants was The study sample was racially and ethnically diverse Almost all participants were college seniors Over half Of the participants who responded to the sexual orientation question, Participants completed an anonymous questionnaire during a regularly scheduled class period. Participation was voluntary. Participants were asked to rate, on a 5-point Likert scale, the perceived pleasurability of unprotected and condom-protected vaginal intercourse, along with several other sexual activities.

All study participants reported engaging in vaginal intercourse in the three months, though not all had engaged in both unprotected and protected intercourse. Because the main research questions concerned the relationship between perceived pleasure and the use of condoms, the analyses included all participants, regardless of whether or not they had used condoms in the 3 months. Logistic regression was conducted to assess the influence of a perceived decrease in pleasure between unprotected and condom-protected vaginal intercourse on the likelihood of using condoms in the past three months.

Missing pleasure ratings were replaced by sample means 9. Overall, Women and men did not ificantly differ with respect to whether or not they had used condoms. Thus, men who believed that condoms reduced pleasure were less likely to use them. The of this study indicated that both women and men believed that the use of condoms during vaginal intercourse ificantly reduced sexual pleasure. However, men appeared to more highly value unprotected sex and to believe that condoms reduced pleasure more than did women. Higher pleasure ratings for condom-protected vaginal intercourse were associated with the likelihood of condom use for both women and men.

But pleasure ratings for unprotected intercourse were not related to actual condom use. To our knowledge, the present study is the first to simultaneously assess the relationship between perceived pleasure for protected intercourse and condom use, as well as the relationship between perceived pleasure for unprotected intercourse and condom use. Like men, women believed that unprotected intercourse was more pleasurable than protected intercourse.

However, men rated unprotected sex as ificantly more pleasurable than did women. These gender differences were consistent with research reporting that pleasure is a more important factor in the decision to use or not use condoms for men than it is for women Choi et al. Several limitations to this study should be noted. First, this cross-sectional Ladies seeking sex Larsen Wisconsin employed a convenience sample that primarily consisted of Asian and White college students, limiting the generalizability of the.

Second, the sample of women and men who had engaged in vaginal intercourse in the 3 months was relatively small particularly the sample of menwhich may have limited power to detect ificant associations. Third, the cross-sectional de did not permit inferences regarding whether perceived pleasure affects condom use or vice-versa.

Ladies seeking sex Larsen Wisconsin is likely that pleasure ratings reflect past experience and are reinforced or contradicted by subsequent experiences, and that perceived pleasure then influences future condom use decisions. There is no denying that latex condoms reduce tactile sensation. In the end, perceptions that condoms decrease sexual pleasure are a formidable—but not insurmountable—barrier to public health efforts to increase condom use among sexually-active youth. Mary E. Steven D. Laura M. Paul R. National Center for Biotechnology InformationU.

Arch Sex Behav. Author manuscript; available in PMC Jun 4. RandolphSteven D. PinkertonLaura M. BogartHeather Ceciland Paul R. Author information Copyright and information Disclaimer. Corresponding author. Present Address: M. Randolph, St. Lauderdale St. Copyright notice. The publisher's final edited version of this article is available at Arch Sex Behav. See other articles in PMC that cite the published article.

Method Participants Eligible participants were women and 78 men enrolled in an undergraduate human sexuality course at a large urban university in California Pinkerton et al. Procedure Participants completed an anonymous questionnaire during a regularly scheduled class period. Data analysis All study participants reported engaging in vaginal intercourse in the three months, though not all had engaged in both unprotected and protected intercourse. Table 1 Pleasure ratings by gender a. Open in a separate window.

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Pleasure and condom use Overall, Table 2 Pleasure ratings as a function of condom use a. Discussion The of this study indicated that both women and men believed that the use of condoms during vaginal intercourse ificantly reduced sexual pleasure. Contributor Information Mary E. With pleasure: Thoughts on the nature of human sexuality.

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New York: Oxford University Press; Structure of outcome beliefs in condom use. Health Psychology. Predictors of condom use and multiple partnered sex among sexually-active adolescent women: Implications for AIDS-related health interventions. Journal of Sex Research. What heterosexual adults believe about condoms. New England Journal of Medicine. Difference between condom users and condom nonusers in their multidimensional condom attitudes.

Journal of Applied Social Psychology. Frequency and predictors of condom use and reasons for not using condoms among low-income women. Journal of Sex Education and Therapy. American Journal of Public Health. The hidden epidemic. Reliability of retrospective assessments of sexual HIV risk behavior: A comparison of biweekly, three-month, and twelve-month self-reports.

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