[Peter Pointers is here 4 YOU, as a service to LifeLube readers - whatever question you may have regarding sexual health, physical health, mental/emotional and spiritual health - ask him. He will find the answers you are looking 4. helped by a team of experts. Below is a recent Q&A you may be interested to read.]
Question: I have recently read that a study indicates that the most common lubes can cause anal tissue damage, and that the brands that do not cause such damage are PRe and Platinum Wet. So, I am switching to these. However, most condoms come pre-lubed, and there is no information on what they are lubed with. Do you recommend using non-lubed only, and using the safest lubes, or is there so little lube on the lubed condoms for it to be inconsequential?
Also, when I went to get the new (and much more expensive) lube, a clerk steered me to a new type of condom, SKYN by Lifestyle. On their web page they discuss polyisoprene and polyurethane condoms as alternatives to latex. I have gotten myself through the AIDS epidemic without infection thanks to latex, but the clerk says these new non-latex condoms feel better, and I'd like to go with them, but is there research about how they hold up in anal intercourse? What do you think are the best condoms for safety?
Answer: Thank you for your question. I'm happy that you have been so successful with condom use throughout the last few decades. Keep that up - because despite anything we talk about here, that is still your best security against HIV and other infections.
Regarding the recent studies looking at lubricants and anal tissue, the jury is still out. It sounds like you have a good grasp of what the studies found, but there is a lot of information that remains missing. In fact, Beau Gratzer, the Director of HIV/STD prevention at
Howard Brown Health Center states, "we do not have enough info/data to make definitive statements one way or the other about the safety of specific lubes" based on the two recent studies.
And Jim Pickett, Director of Advocacy at the
AIDS Foundation of Chicago and chair of IRMA -
International Rectal Microbicide Advocates, agrees, "We are not sure if the lab findings translate into the real world. And the epidemiological study (which showed a correlation between lube use and rectal sexually transmitted infections among respondents in LA and Baltimore, whether condoms were used or not) did not have enough info on the lubes used to make any conclusions."
There certainly needs to be more investigating!
So what do we know?
-One of the most important messages from both of the above professionals is that, regardless of what lube you use, your history of successfully using condoms has been the most critical protective factor for you. Using condoms with lube is still the gold
standard for protecting oneself because lube prevents condom breakage.
-The finding of the studies, while incomplete, are most important to situations where condoms are used inconsistently, incorrectly, or not at all.
-Definitely, it is important to avoid any lubricants containing Nonoxyl-9 (N-9), which years ago, was found to be damaging to anal linings. Some condom companies (Trojan and Lifestyles) do still have N-9 in their condoms. So, avoid any condoms containing N-9 or other spermicides. Spermicides do not kill HIV or other STDs.
There are many reasons why the research into lubricants is difficult. I have a rather lengthy statement from IRMA, a group that does a lot of advocacy around anal lubricants. I would be happy to share it if you want more information.
Now, regarding condoms that are pre-lubed, I am unable to find much information on the specific lubes that they use. Their product websites may give a little more info, but they do not tell what the specific chemical make-up is or what the specific brand they use is.
About the second part of that question:
The SKYN condom is a -plastic- condom, so it is a little different that latex. Polyurethane and polysoprene condoms were originally developed for people that suffer from a latex allergy. All three of these condoms are effective at preventing HIV/STDs and are approved by the FDA. Polysoprene is a little stretchier than the polyurethane condoms that were the earlier alternative to latex. Non-latex condoms also conduct heat better than latex, so some people prefer them. Feel free to try out the SKYN condom if you'd like. Just like with latex condoms, using lube will reduce the chances that it will break. There is lots of information out there about the differences in these condoms, so feel free to read more
here [sorry for the pregnancy/heterosexist viewpoint] and
here.

Be Well,
Peter
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