Topical microbicide use by adolescent girls: concerns about timing, efficacy, and safety

Abstract

Background and objectives: Adolescent girls could benefit from topical microbicide use if the product is acceptable to them.

Goal: The goal was to evaluate girls', mothers', experienced healthcare providers', and medical students' views on timing of use, efficacy, and safety of topical microbicide use by adolescents.

Study design: Focus groups were conducted with girls, mothers, healthcare providers, and medical students. All groups were videotaped, transcribed, and coded for relevant themes.

Results: A delay between insertion and coitus presented a problem, and pre- and postcoital use had advantages depending on the group. Efficacy was evaluated by timing of use, smell, ability to feel the product, and confidence that it would spread sufficiently. There were concerns about physical side effects and the impact on normal vaginal flora.

Conclusion: This study demonstrated the importance of understanding the unique needs and perspectives of adolescent girls and the adults who have an influence on their use.