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Published on: May 30, 2025
Sexual pleasure and condom use
Mary E Randolph1, Steven D Pinkerton, Laura M Bogart
1Center for AIDS Intervention Research, Department of Psychiatry & Behavioral Medicine, Medical College of Wisconsin, Milwaukee, WI, USA. mary.randolph-frye@stjude.org
Many individuals perceive condoms as reducing sexual pleasure. Men who believe condoms decrease pleasure are less likely to use them, highlighting the need for pleasure-focused condom promotion.
Area of Science:
- Sexual health
- Psychology of sexual behavior
- Public health interventions
Background:
- Condom use is crucial for preventing sexually transmitted infections (STIs) and unintended pregnancies.
- Perceptions of sexual pleasure can significantly influence contraceptive and barrier method adherence.
- Understanding the relationship between perceived pleasure and actual condom use is vital for effective public health campaigns.
Purpose of the Study:
- To investigate the association between pleasure ratings for protected and unprotected vaginal intercourse and actual condom use.
- To explore gender differences in the perception of pleasure during protected and unprotected intercourse.
- To identify how perceived pleasure reduction with condom use relates to behavioral adherence.
Main Methods:
- A questionnaire was administered to college students (80 women, 35 men) reporting recent vaginal intercourse.
- Participants rated the pleasurability of unprotected and condom-protected vaginal intercourse.
- Self-reported sexual behaviors, including condom use, were assessed.
Main Results:
- Both genders rated unprotected intercourse as more pleasurable than protected intercourse.
- Men reported higher pleasure ratings for unprotected intercourse compared to women.
- A significant correlation was found between pleasure ratings for condom-protected intercourse and actual condom use.
- Men reported a greater 'pleasure decrement' with condom use compared to women.
- Men perceiving a larger pleasure decrease with condoms were less likely to use them.
Conclusions:
- The belief that condoms diminish sexual pleasure is prevalent, particularly among men.
- Perceived pleasure reduction is a significant barrier to condom use, especially for men.
- Condom promotion strategies should emphasize potential pleasure-enhancing aspects to improve adherence.
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