Objectives: This study assessed use of Reality "female condoms" for anal sex by HIV-seronegative men who have sex with men and are at high risk for HIV infection.
Methods: Self-administered questionnaires were completed by 2277 participants in a 6-city prospective cohort study.
Results: Of the 1084 (48%) men who had heard of using the female condom for 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 problems, 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 concerns.