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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Practice makes perfect: Reduction in female condom failures and user problems with short-term experience in a randomized trial
Contraception, Volume 86, No. 2, Year 2012
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Description
Background: Female condom (FC) failure (breakage, slippage, invagination and misdirection) declines with user experience. Participants in FC performance trials are commonly novice users, and failure rates may be inflated related to inexperience. Study Design: This was a randomized, crossover study assessing preference, safety, acceptability and function of three new FCs (WC, FC2 and V-Amour) among 170 women in Durban, South Africa. FC failure by condom type use period was investigated in women using five FCs of each type. Results: Of the 2411 condoms used during intercourse, 96 failures (breakage, slippage, invagination and misdirection) occurred in 86 condoms (77 condoms had one failure, 8 condoms had two failures, and 1 condom had three failures). Total clinical failure was comparable across FC types. The number of failures in the first condom use period was 58 (7.0%), and this decreased to 21 events (2.6%) in the second and, finally, 17 (2.1%) in the last condom use period. No failures were reported in the last use of the FC in the final condom use period. Conclusions: FC failure rates decreased markedly after use of the first five condoms, regardless of FC type, and stabilized in the second and third use periods. Consideration should be given to the number of condoms used in trials to ensure that failure rates are not inflated by limiting the numbers of condoms used by novice users. © 2012 Elsevier Inc. All rights reserved.
Authors & Co-Authors
Beksinska, Mags E.
South Africa, Johannesburg
University of the Witwatersrand
Smit, Jennifer Ann
South Africa, Johannesburg
University of the Witwatersrand
Joanis, Carol L.
United States, Kennesaw
Joanis Consulting
Hart, Catherine W.
Unknown Affiliation
Statistics
Citations: 23
Authors: 4
Affiliations: 2
Identifiers
Doi:
10.1016/j.contraception.2011.11.071
ISSN:
00107824
e-ISSN:
18790518
Study Locations
South Africa
Participants Gender
Female