AEGiS-GMHC: Nonoxynol 9 Gay Men's Health CrisisImportant note: Information in this article was accurate in 1992. The state of the art may have changed since the publication date.
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Nonoxynol 9

TREATMENT ISSUES, Volume 6, Number 8 - September, 1992; The Gay Men's Health Crisis Newsletter of Experimental Therapies
David Gold


A study recently published in JAMA (July 22/29, 1992) raised concerns that nonoxynol-9 may not be as effective in preventing transmission of HIV and other sexually transmitted diseases as had been hoped. In the study, the use of a nonoxynol-9 contraceptive sponge among women in Nairobi, Kenya, was associated with an increased frequency of genital ulcers and vulvitis. In addition, there was a small, but statistically insignificant, higher rate of HIV seroconversion among women using the nonoxynol-9 sponges as compared to those using placebo over a 24-month period. However, the nonoxynol sponge was associated with a 60% lower frequency of gonorrhea. The nonoxynol-9 gel has been shown in the test tube to be active against a variety of sexually transmitted bacteria and viruses, including HIV. Given the widespread use of nonoxynol-9, more research to determine its effectiveness in preventing HIV transmission is clearly needed.

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