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Erschienen in:
02.11.2017 | Substantive Review
Rectal Douching Associated with Receptive Anal Intercourse: A Literature Review
Erschienen in: AIDS and Behavior | Ausgabe 4/2018
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To inform the development of HIV-prevention rectal douches, we reviewed the scientific literature and online instructional videos on rectal douching associated with receptive anal intercourse (RAI). Up to 88% of men who practice RAI ever have douched, while 43–64% have douched recently. Of them, 87–97% douche before RAI and 13–48% afterwards. Water, occasionally mixed with soap or salt, is used most often, although up to 31% of men use commercial products. Douching is more common among individuals reporting substance use, sexually transmitted infections, or being HIV-infected. Scant literature is available on women’s rectal douching practices, but it is apparently less frequent than among men (32 vs. 70%). Videos advise using 2–3 doses of liquid and retaining it for 10–30 s before expelling. These findings can inform the development of a safe and acceptable rectal douche for HIV prevention.