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The reports of these experiences did not change across the IDIs at different ccrooks points. The concepts of hot, tight, smooth and dry sex in relation to trial gel use are explored Lonely Tinley Park sex.

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They say sAian do it [intravaginal insertion] for Asian adult dating assistant at crooks 59 clinic to be alright. Datign other things [insertions] make someone to be alright, others become hot during sex, others become pleasant during sex … I usually tell them that I have got the gel … that it makes me to be alright.

Nonhlanhla, year-old trial participant. The trial participant quoted below is one of three wives in a polygamous marriage and states that she Sweet greeneyed bbw Rockville Maryland looking for ltr received more attention from her husband than the other wives since she started using the gel:.

It shows there is a difference that the gel makes; he craves that heat [kushisa] that rises, and it means he can see that it is love that rises, and it's hot [ukushisa]. Smisiwe, year-old trial participant. Male partners also referred to the gel making adupt hot and increasing women's libido:. It [gel] makes you feel hot, and makes sex more enjoyable. Mlungisi, male partner of year-old trial participant. You see, it happens that if we start asssitant sex, I reach climax and then I sleep.

But when my partner inserts gel, there is encouragement in our lives … there is no laziness [during sex].

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Nkosinathi, male partner of year-old trial participant. Sexy women seeking sex Beulah to the trial gel tightening the vagina also Asian adult dating assistant at crooks 59 clinic how respondents described intravaginal insertions. As the quote below demonstrates, women often used intravaginal insertions as a reference point:.

What I have noticed with the gel is that when I inserted it, it was like I had used the traditional herbs [mithi] because it tightened [buyisa] my vagina. Jabu, year-old trial participant. This woman describes the gel as having a thickening effect, like hair gel:. Khetiwe, year-old trial participant. After describing the gel as making sex hot and tight, Asian adult dating assistant at crooks 59 clinic lubricating impact was the third most commonly reported positive attribute.

The quotes below highlight the reasons why some women liked the lubricating effect of the gel:. Eh I can say that after having sex I experienced pains, but since I have been using the gel I have been okay and sex is not painful. I even felt like after having sex I could have more because it was not painful, [because] it is slippery.

If I have inserted the gel and by the time we are having sex, he usually feels it being very hot in a pleasant way and that nice slipperiness.

Everything is just nice for him. Lungeleni, year-old trial participant. I was expecting the gel to be slippery [kuyashelela] as it is like Vaseline, but only to find out that this gel tightens [kuyabamba]. Nompumelelo, year-old trial participant. When I did not use the gel I got wet, but when I used the gel it made me dry. Senzile, assisant trial participant. Only one of the eight male partners interviewed commented that he preferred sex without the gel, because crpoks the increased wetness.

Like a person who is using contraception [injectables], you have one sex act and the next she is not the same [becomes too wet]. Siboniso, male partner of year-old trial participant. Respondents stated that intravaginal insertions were Asian adult dating assistant at crooks 59 clinic used secretively without the knowledge Forum sex Grayson the male partner.

The majority of female respondents talked about women using products for sexual enhancement without expressing either positive Asian adult dating assistant at crooks 59 clinic negative attitudes.

However, the majority of all the male respondents viewed the use of insertions negatively and were suspicious of women who used them.

There were a number of negative connotations associated to the use of intravaginal insertions. These included assumptions of sexual inadequacy, infidelity and promiscuity if a woman had to use a product for her or her partner to enjoy sex:. There is my friend, who inserts [intravaginal insertions]. She says that she does that because she wants to be enjoyed during sex. Maybe datinh partner told her that she is not great at sex. Busisiwe, year-old trial participant.

I have heard people at school saying that snuff is useful when one has been cheating so that the real partner does not feel that you have been cheating. Samke, year-old female FGD participant.

Conversely, over half of the trial participants disclosed gel use to their partners. Gel use was viewed positively by both women and men, although men from the general community were Asian adult dating assistant at crooks 59 clinic Adult looking real sex NY Bronx 10470 they would want to know if their partner was using the gel.

One male partner of a trial participant reported clonic the only thing he did not like about the gel was that Asian adult dating assistant at crooks 59 clinic could not tell if his partner had been unfaithful:. I can say if you are having sex with someone there is a difference between if you had sex with her many days ago or if you had sex with cgooks yesterday.

There is a difference that feels like this person has been having sex with another person.

The difference is [when using gel] you cannot differentiate whether she has been with another person. Nkule, male partner of year-old Asian adult dating assistant at crooks 59 clinic participant. One woman was forced to stop using the trial gel due to her partner hearing rumours in a bar that women were using the gel to hide infidelity.

Ladies seeking sex tonight Sorento Illinois 62086 this topic was probed, it was often difficult to distinguish between a woman being sexually satisfied versus her being satisfied that she had sexually satisfied her partner. This discussion was infused with the expectation that a woman was supposed to Asian adult dating assistant at crooks 59 clinic her partner and failure to do so could result in the partner taking an additional girlfriend or the complete dissolution of the relationship.

However, the discussion relating to gel use and sexual pleasure was far less ambiguous. One third of the women who reported that croooks increased sexual pleasure claimed that the increased pleasure was predominantly experienced by the men Assian another third claimed it was assishant experienced by the women. In these discussions there was a far stronger emphasis on female sexual desire and pleasure. This often related to the lubrication of the gel reducing pain Adian sex, as well as increasing sexual stimulation and consequently, female satisfaction:.

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I was feeling pain before I used gel, assistan now because it [gel] softens [lubricates], now I am enjoying sex as a woman. Nompilo, year-old trial participant.

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Whilst many women reported experiencing pain during sex, it was clear that pain was not a necessary aspect of sex and was not desired by women. This differs from recent findings in Mozambique where good sex was expected to be painful and involve friction Bagnol and Mariano The quotes below also demonstrate the impact that women felt gel use had on their sexual pleasure:.

I Aian sex because we take longer before we orgasm if we use the gel. Nobuhle, year-old trial participant.

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It didn't happen that I lag behind when we are having sex [with gel]. Caba, year-old trial participant.

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In this paper, we set out to examine whether the use of intravaginal insertions could be assiistant conflict with the introduction of microbicide gels in a predominantly rural part of KwaZulu-Natal, South Africa.

We have described the types of intravaginal insertions used in the community and their desired effects. We found that the experience of using trial flinic -which made sex hot, tight and dry - precisely matched the desired outcomes of Asian adult dating assistant at crooks 59 clinic insertion. Our study provides evidence that vaginal microbicide gels may be more acceptable in communities where intravaginal insertion is practiced than previously thought.

These findings also support the WHO study in arguing that intravaginal insertions are Asian adult dating assistant at crooks 59 clinic exclusively associated with a desire for dry sex. There are two reasons why the association between intravaginal insertion and dry sex may have been previously overstated.

Firstly, there has been research into intravaginal insertion for almost six decades with insertions being reported to tighten, dry and warm the vagina. However the advent of the HIV epidemic reignited interest in intravaginal insertion and raised concern about a Asixn between the drying effect of various vaginal practices and HIV infection Dallabetta et al.

Consequently researchers focused on dry sex and often phrased questions about vaginal practices to explicitly ask about the use of vaginal drying agents. Conversely, it is not unusual for women in Western countries to desire a tight vagina Braun and Kitzingerevidenced by a growing demand for vaginal laser treatment and cosmetic surgery to tighten the vagina and vulvar structures.

The idea of heat stimulation is also not uncommon in Western countries: The main strength of this study is our ability to investigate in depth the concept of dry sex among a cohort of Asia using lubricant-based vaginal gels.

When respondents discussed the use of insertions to dry the vagina, it might have been assumed that vaginal secretions were crpoks removed to reduce lubrication and increase friction. However, Asian adult dating assistant at crooks 59 clinic same respondents described the lubricating gel as drying the vagina. These trial participants could have been using one of three vaginal gels: Consequently it will be important to evaluate whether reports of the gel drying the vagina, or Lonely women want nsa Renton fact making sex hot or tight, differ by gel group in future analyses.

A limitation of this study is that only a minority of the respondents reported using intravaginal insertions themselves and only the women enrolled in the Asian adult dating assistant at crooks 59 clinic and their male partners had used the trial gels.

This limited our ability to directly compare the experience of using intravaginal insertions Asian adult dating assistant at crooks 59 clinic the use of microbicide gels. In addition, given that the use of intravaginal insertion was prohibited when using the microbicide trial gels, it is probable that women who regularly use insertions were discouraged from joining the trial and possible that women in the trial underreported intravaginal insertion.

Finally, in this paper we focused exclusively on intravaginal insertions. However, intravaginal cleansing, external application and oral ingestion of products are also associated with increasing sexual pleasure in KwaZulu-Natal. It will be important to also investigate the desired effects of these practices in order to evaluate a possible conflict Lonely lady looking hot sex El Paso microbicide gel use.

Our findings also highlight issues that need to be considered before the introduction of an effective microbicide. There were some reports of negative associations with intravaginal insertion relating to sexual inadequacy and promiscuity. In this study, trial participants often explained their use of gel in terms of their knowledge of intravaginal insertion. Given this Horny women in Niota, IL of language, the cliniv risk of these limited negative connotations being transferred to an effective microbicide gel need to be considered in the development of future microbicide marketing strategies.

A major difference between intravaginal insertion and gel Asian adult dating assistant at crooks 59 clinic was the focus on female sexual pleasure in relation to the gel. This stronger emphasis on female sexual pleasure may be the result of the gel itself. However, it is important to note that women enrolled in the microbicide trial were encouraged to talk about their sexual experiences regularly.

Therefore, women enrolled in assisyant trial may have been more forthcoming in discussing sexuality and pleasure in terms of gel use. Vating findings do not negate the gender imbalances of sexual encounters in this population, but they do present an image of female sexual desire and sexual awsistant that has often been absent in discussions about intravaginal insertion.

Women were eager to Asian adult dating assistant at crooks 59 clinic a product that could reduce pain and discomfort during sex and increase sexual pleasure for both themselves and their partners.

The trial Sweet wives wants nsa Barcelona offered both relief and satisfaction.

Local familiarity with the ckinic of physically inserting products vaginally appeared to demystify the assisant insertion of a microbicide gel. In addition, the discourse surrounding intravaginal insertion provided clear terms of reference for women to explain their use of a novel vaginal product.

This not only Naughty woman want nsa Peachtree City the fear that microbicide gels may be less acceptable in communities where intravaginal insertions are Asuan for sexual enhancement, but sssistant that local knowledge, language and understanding of using products vaginally may actually facilitate the introduction of microbicide gels.

Regardless of whether or not an effective microbicide is eventually formulated in a lubricant gel or another formulation applied vaginally, marketing strategies will have to take account of local xdult Asian adult dating assistant at crooks 59 clinic intravaginal insertion as well as sexual practices, preferences and expectations.

There is evidence to date that microbicide gels are acceptable among trial cohorts. In this paper we have demonstrated assiatant a desire for dry sex does not preclude a desire for lubrication. This finding provides optimism regarding the acceptability of a lubricant-based microbicide in the broader community if a microbicide gel is found to be effective against HIV.

We would like crolks thank the people of the Umkhanyakude District for their support. We especially thank all the women and men who participated in the Africa Centre Microbicides Development Programme feasibility study, pilot study and MDP clinical trial.

We also thank all the Africa Centre microbicide study staff for their commitment and dedication. This paper is dedicated to five staff members who have died since the start of the Africa Datign Microbicide Study: National Center for Biotechnology InformationU.

Cult Health Sex. Published online Aug Author information Article notes Copyright Asjan License information Disclaimer.

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Received Aug 5; Revised Jul 8. This article has been cited by other articles in PMC. Introduction Microbicides are experimental products Asixn evaluated to find out if they reduce the risk of HIV infection for women during sexual intercourse.

Table 1.

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Description of the in-depth interview IDI sample. Open in a separate window. Table 2. Description of the focus group discussion FGD sample.

The majority of all Only if you need a date and male respondents said this was an age-old practice as articulated by Nozipho who had experience of selling and using intravaginal insertions: Nozipho, year-old female FGD participant Respondents said they were aware of a number of products that were used as intravaginal insertions to increase sexual pleasure.

For example, Fundile said that women use intravaginal insertions: Zakhona, year-old trial participant Snuff makes you … more enjoyable and hot [shisa] during sex. The following quotes explain the use of intravaginal insertions in terms of increasing libido: Wandile, year-old trial participant Some say you must insert, maybe it will help you to be strong [usimame] when you are having sex. Alum, Blue Stone, Tiger Balm and Disprin were most regularly associated with tight sex, although Staaldruppels and Entressdruppels were also mentioned: Gugu, year-old trial participant I have heard ladies say that they insert.

Zinhle, year-old trial participant None of the references to becoming dry referred to the absence of secretions or abrasive penetrative sex. Women clearly Asian adult dating assistant at crooks 59 clinic between lubrication and excessive wetness as the following description of good and bad sex demonstrates: Microbicide gel There was an unexpected positive impact of Asian adult dating assistant at crooks 59 clinic use on sexual pleasure.

A number of women discussed the use of gel in the context of their knowledge of intravaginal insertions: Asian adult dating assistant at crooks 59 clinic, year-old trial participant The trial participant quoted below is one of three wives in a polygamous marriage and states that she has received more attention from her husband than the other wives since she started using the gel: Smisiwe, year-old trial participant Male partners also referred to the gel making sex hot and increasing women's libido: Mlungisi, male partner of year-old trial participant You see, it happens that if we start having sex, I reach climax and then I sleep.

Tight sex References to the trial gel tightening the vagina also reflect how respondents described intravaginal insertions. As the quote below demonstrates, women often used intravaginal insertions as a reference point: This woman describes the gel as having a thickening effect, like hair gel: Smooth sex After describing the gel as making sex hot and tight, its lubricating impact was the third most commonly reported positive attribute. The quotes below highlight the reasons Wives wants real sex Flowood some women liked the lubricating effect of the gel: Ntombi, year-old trial participant If I have inserted the gel and by the time we are having sex, he usually feels it being very hot in a pleasant way and that nice slipperiness.

Thobile, year-old trial Sex Curlew Iowa citry [Before] there was just water coming out of the vagina, but now that I'm using the gel I feel alright and dry [ngizomele]. Senzile, year-old trial participant Only one of the eight male Asian adult dating assistant at crooks 59 clinic interviewed commented that he preferred sex without the gel, because of the increased wetness.

Social acceptability Respondents stated that intravaginal insertions were generally used secretively without the knowledge of the male partner. These included assumptions of sexual inadequacy, infidelity and promiscuity if a woman had to use a product for her or her partner to enjoy sex: Busisiwe, year-old trial participant I have heard people at school saying that snuff is useful when one has been cheating so that the real partner does not feel that you have been cheating.

Samke, year-old female FGD participant Conversely, over half of the trial participants disclosed gel use to their partners. One male partner of a trial participant reported that the only thing he did not like about the gel was that he could not tell if his partner had been unfaithful: Nkule, male partner of year-old trial participant One woman was forced to stop using the trial gel due to her partner hearing rumours in a bar that Asian adult dating assistant at crooks 59 clinic were using the gel to hide infidelity.

This often related to the lubrication of the gel reducing pain during sex, as well as increasing sexual stimulation and consequently, female satisfaction: Nompilo, year-old trial participant Whilst many Asian adult dating assistant at crooks 59 clinic reported experiencing pain during sex, it was clear that pain was not a necessary aspect of sex and was not desired by women.

The quotes below also demonstrate the impact that women felt gel use had Asian adult dating assistant at crooks 59 clinic their Reply tonight i ll come to you pleasure: Nobuhle, year-old trial participant It didn't happen that I lag behind when we are having sex [with gel].

Discussion In this paper, we set out to examine whether the use of intravaginal insertions could be in conflict with the introduction of microbicide gels in a predominantly rural part of KwaZulu-Natal, South Africa. Acknowledgements We would like to thank the people of the Umkhanyakude District for their support. References Bagnol B. Vaginal practices: Eroticism and implications for women's health and condom use in Mozambique.

The practice and prevalence of dry sex among men and women in South Africa: A risk factor for STIs? Sexually Transmitted Infections. Results of a household survey [abstract CP]