The outcome of two clinical tests had been released this year (during the Overseas Microbicides Conference) which, some may think, phone into question the security of employing lubricants for anal intercourse. Exactly what do these total outcomes reveal? May be the proof adequate to alter our safer sex texting? We do not think therefore — take a good look at the explanation for why we don’t believe our texting about lube use for rectal intercourse should alter.
Lubes and Tissue Harm
For just one for the studies, scientists analyzed various lubricants (lubes) in a lab. They discovered that a number of the lubes had greater levels of dissolved salts and sugars than ordinarily present in a cellular. This is why, a few of the lubes had a toxic impact on the anal tissue examined in a test pipe within the lab. This caused anal tissues to be stripped away. 1 If the products have actually the effect that is same found in individuals, the damaged anal tissue could possibly be more susceptible to HIV along with other sexually transmitted infections (STIs) than it currently is.
The scientists tested six lubes that are being sold over-the-counter. Five had been water-based lubes (Astroglide, Elbow Grease, ID Glide, KY Jelly and Prй genital lubricant) and something ended up being silicone-based (damp Platinum).
The real properties associated with lubes had been calculated and four (Astroglide, Elbow Grease, ID Glide and Jelly that is KY discovered to attract water from the cells lining the anus and in to the rectum it self, damaging the cells. When these four lubes had been tested on anal muscle in a test tube, they certainly were discovered to remove cells within the layer that is outer of muscle. Two for the lubes, Prй and damp Platinum, caused damage that is relatively little.
Lubes and Intimately Sent Infections
The second research discovered that men and women whom reported utilizing lubes for receptive anal intercourse in yesteryear had been around three times more prone to have rectal STI if they had been tested throughout the research compared to those whom failed to report utilizing a lube. This increased risk for the STI ended up being current whether or not a condom had been utilized. 2
Between October 2006 and December 2008, 879 women and men from the rectal microbicide research initiative had been surveyed about their intimate behavior and had been tested for 2 anal STIs (gonorrhea and chlamydia). Somewhat not even half associated with the research individuals (421) reported having receptive rectal intercourse into the year that is past. Regarding the 229 men and 192 ladies who had had anal that is receptive, intimate behavior interviews and anal tests for chlamydia and gonorrhea had been designed for 302 of those research individuals. In this team, about three-quarters (230) stated that they had utilized a lube the past time that they had rectal intercourse. Of these, 67% utilized a lube that is water-based 28% utilized a silicon-based lube, 17% utilized an oil-based lube ( ag e.g., Crisco), and 6% used numbing lubes. These figures total up to a lot more than 100% because some social people utilized more than one form of lube.
Anal gonorrhea or chlamydia had been present in 5.6% of females and 10.2% of males. About one in nine (11.7%) for the individuals who used lube the time that is last had rectal intercourse had an anal STI, in comparison to about one in 22 (4.5%) of this individuals that has perhaps perhaps maybe not utilized lube. Over two-thirds (68%) of individuals clinically determined to have an anal STI had used a lube in comparison to one-third (32%) who’d maybe maybe perhaps not utilized a lube. Once the researchers looked over other facets such as for instance condom usage, amount of lovers, how frequently some one had intercourse, their sex, or HIV status, the analysis indicated that the employment of some lubes for rectal intercourse may raise the threat of finding A sti that is rectal russian brides tours by 3 times.
What Exactly Performs This Suggest?
Definitive conclusions can’t be made predicated on these scholarly studies alone. In the first research, the scientists looked at the results of lube in a test pipe. This doesn’t inform us in regards to the effectation of making use of lube during sexual intercourse. Regardless of if lubes may damage tissue that is anal it might be that their usage results much more good than damage. Employing a lube while having sex causes it to be not as likely that the condom shall break or slip off. This alone decreases the possibility of HIV or STI transmission. Even though condoms aren’t utilized, lube usage might reduce traumatization to anal tissues, reducing the danger for disease with HIV or any other STI. It is impossible for all of us to learn out of this research whether making use of lube during anal intercourse, with or with out a condom, wil dramatically reduce or increase problems for tissue that is anal impact the risk for infection with HIV or any other STI.
The study that is second a correlation involving the usage of lubes and also the transmission of STIs. Nevertheless, correlation and causality are a couple of various things: a analytical correlation does not show a relationship that is causal. The scientists attempted to eliminate other causal facets. But, this sort of analysis cannot rule out all possible causal facets. For instance, individuals who utilize lubes may become more expected to transfer STIs involving the penis and anus with regards to hands if they use lube before having anal intercourse. Also, this research only investigated the connection between lubes and STIs that are certaingonorrhea and chlamydia). This research failed to examine HIV transmission so we can’t draw conclusions concerning the results of lube on HIV transmission.
There isn’t enough proof from both of these studies to state for certain (a) simply how much harm lubes may do towards the rectal muscle whenever utilized for anal sex and (b) whether lube usage make a difference the possibility of getting HIV or any other STI. More research has to be done to see which lubes are safe, which lubes could harm tissue that is rectal if some lubes are far more harmful than the others, and exactly what the consequences of the feasible harm on HIV and STI transmission can be.
Undoubtedly, individuals must not throw in the towel utilizing lubes in combination with condoms, which offer optimal security during rectal intercourse.
Zak Knowles is CATIE’s supervisor of site content. Before arriving at CATIE he worked being an HIV counsellor at straight forward Clinic, a sexual wellness center in downtown Toronto. Zak happens to be coping with HIV for two decades.