Research reported in this publication was supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) of the National Institutes of Health under Award Number R21 HD 060447, E. Janssen and SA Sanders (PIs). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
General Erectile Functioning among Young, Heterosexual Men Who Do and Do Not Report Condom-Associated Erection Problems (CAEP)
Version of Record online: 17 AUG 2015
© 2015 International Society for Sexual Medicine
The Journal of Sexual Medicine
Volume 12, Issue 9, pages 1897–1904, September 2015
How to Cite
Sanders, S. A., Hill, B. J., Janssen, E., Graham, C. A., Crosby, R. A., Milhausen, R. R. and Yarber, W. L. (2015), General Erectile Functioning among Young, Heterosexual Men Who Do and Do Not Report Condom-Associated Erection Problems (CAEP). Journal of Sexual Medicine, 12: 1897–1904. doi: 10.1111/jsm.12964
- Issue online: 17 SEP 2015
- Version of Record online: 17 AUG 2015
- Condom-Associated Erection Problems;
- Condoms for Penile–Vaginal Intercourse;
- Sexual Arousal;
Condom-associated erection problems (CAEP) are an underestimated factor related to inconsistent or incomplete male condom use. The underlying mechanisms of CAEP are not understood, and whether men who report these difficulties are also likely to experience erectile problems in situations when condoms are not used has not been studied.
The aim of the study was to investigate, in a sample of condom-using young, heterosexual men (aged 18–24 years), whether men who report CAEP are more likely to (i) have erection problems when not using condoms and (ii) meet criteria for erectile dysfunction.
A total of 479 men recruited online completed the International Index of Erectile Function (IIEF-5) and answered questions about erection problems experienced when using and not using condoms during the last 90 days. Demographic, sexual experience, and health status variables were investigated as correlates.
Main Outcome Measures
Self-reported frequency of erection loss during condom application or during penile–vaginal intercourse (PVI) in the past 90 days and IIEF-5 scores.
Of the men, 38.4% were classified in the no CAEP group, 13.8% as having CAEP during condom application, 15.7% as having CAEP during PVI, and 32.2% as having CAEP during both condom application and PVI. Men reporting any form of CAEP were significantly more likely than men reporting no CAEP to also report erection difficulties during sexual activity when not using condoms. Men who reported CAEP during PVI only or during both application and PVI scored significantly lower on the IIEF-5 than men without CAEP.
The findings suggest that men who report CAEP are also more likely to experience more generalized erection difficulties. Clinicians should assess whether men using condoms experience CAEP and where appropriate, refer for psychosexual therapy or provide condom skills education. Sanders SA, Hill BJ, Janssen E, Graham CA, Crosby RA, Milhausen RR, and Yarber WL. General erectile functioning among young, heterosexual men who do and do not report condom-associated erection problems (CAEP). J Sex Med 2015;12:1897–1904.