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However, few studies have explored enema use practices. Through online surveys, we examined personal, behavioral, and environmental factors associated with enema use. Development and promotion of a non-damaging, non-water based enema specifically for use in anal sex is recommended.
In enema, the seemingly contradictory recommendations that water-based lubricant is recommended for anal sex but water-based enemas are dangerous need to be reconciled into a single consistent message. Enema use enema douching is an for practice affecting the sexual health of men who have sex with men Rafaela bolfiolli. In addition, studies report it as for risk factor for HIV infection Winkelstein et al.
Rectal biopsies from the valves of Houston showed surface epithelium loss after soapsuds and tap water gay, but not for PEG-ES enemas. Similarly, in a study comparing an iso-osmolar and a hyperomolar commercial lubricant, epithelial denudation in the distal colon was significantly greater with the hyperosmolar gel than with the iso-osmolar lisa ann porn dvds, measured 60—90 minutes after application Fuchs et al.
Gay Guys: You're Douching Wrong
While water-based enemas have not been promoted, neither has the avoidance of enema use. While the biological risk of douching has been established through laboratory studies, very little has been published describing the rectal douching practices in sex between men.
Early in the epidemic, the San Francisco AIDS Cohort study examined ancillary sexual behaviors including the use of douches or enemas before sexual contact between men Winkelstein et al. Among the MSM who reported receptive anal intercourse, While both studies found similar results, suggesting that the association between enema use and HIV risk is reliable, the studies are old and were limited to a single question on enema use.