

9 Multivariate analyses identified that CAEP was associated with sex with more than one partner, problems with fit and feel, lower motivations to use condoms and attempts to put a condom on before having a full erection. (2014) among young, Black men in the Southern United States (US), who are at high risk for contracting STIs, 18% reported CAEP occurring at least once within the past 2 months. The potential relationship between CAEP and STI and HIV prevention is becoming clear. 4 CAEP has been found to be associated with more frequent unprotected vaginal intercourse, 3 less consistent condom use, 3 condom slippage, 5, 6 greater likelihood of removing condoms before sex is over (incomplete use), 3, 7 more problems with ‘fit or feel’ of condoms 8 and lower self-efficacy to use condoms correctly. 3 In a study of college-aged young men, CAEP was reported by 25–32% of the sample reporting on the previous 3 months.

1 A study of young men attending a public STI clinic found 37% of men reported CAEP (during application, during intercourse or both) occurring at least one of the last three times they used a condom. 1, 2 Studies have found that between 14% and 28% of male participants experience erection loss during condom application and 10–20% experience erection loss during intercourse while using a condom. Condom-associated erection problems (CAEP) are common and attenuate condom effectiveness in preventing sexually transmissible infections (STIs), including HIV, and unplanned pregnancy.
