Dutch researchers from the Amsterdam Health Services have found that Gay men who “lost it” when using condoms are more prone to engage in unsafe sex the next time they have sex. The syndrome has been coined, COndom Induced Erectile Dysfunction or COINED.

In a study of 435 Gay men in Amsterdam, 10% frequently experienced COINED with a casual partner and 7% with a steady partner. As a consequence, the rate of unprotected anal intercourse (UAI) reached 18% with casual partners and 17% with steady partners

The important point here is that unsafe sex was a deliberated choice because of COINED rather than an unpremeditated act.

“COINED most likely influences the intentions to use condoms in advance and, therefore, traditional motivation-based prevention strategies that increase risk perceptions or increase intention to use condoms will probably not be able to do the job”, concluded the researchers.

Interestingly, they also suggest the prescription of erectile medication like Viagra as alternative prevention strategies, despite the fact that Viagra use is in itself a strong independent predictor of unsafe sex. Gus Cairns from Aidsmap reports that the researchers remarked that “men who use Viagra to achieve five or six orgasms a night” might not be the same as men who need it simply to be “tops”, though careful questioning would be needed to distinguish this.

Indeed careful questioning would be needed…

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