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Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
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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

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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.

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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.