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Review
. 2018 Apr;22(4):1288-1294.
doi: 10.1007/s10461-017-1959-3.

Rectal Douching Associated with Receptive Anal Intercourse: A Literature Review

Alex Carballo-Diéguez  1 , Cody Lentz  2 , Rebecca Giguere  2 , Edward J Fuchs  3 , Craig W Hendrix  3
Affiliations
Review

Rectal Douching Associated with Receptive Anal Intercourse: A Literature Review

Alex Carballo-Diéguez et al. AIDS Behav. 2018 Apr.

Abstract

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.

Keywords: Enema; HIV prevention; Men who have sex with men; Microbicides; Rectal douche.

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Conflict of interest statement

Conflict of Interest: All authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
Literature Review Flowchart
See this image and copyright information in PMC

References

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    1. How to give yourself an enema/douche/clean inside your butt. https://www.youtube.com/watch?v=BugCpKJvkVQ.

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