Objectives. This study assessed use of Reality "female condoms" for anal se
x by HIV-seronegative men who have sex with men and are at high risk for HI
V infection.
Methods. Self-administered questionnaires were completed by 2277 participan
ts in a 6-city prospective cohort study.
Results. Of the 1084 (48%) men who had heard of using the female condom far
anal sex, 145 (13%) reported using it in the prior 6 months. Users were at
greater risk than nonusers: 47 receptive and 35 insertive users reported p
roblems, including bleeding by the receptive partner (4).
Conclusions. Redesign of the female condom could increase acceptability and
use by men who have sex with men and could address possible safety concern
s.