Condom use promotes regression of cervical intraepithelial neoplasia and clearance of human papillomavirus: a randomized clinical trial.
Open accessAbstract
Women with persistent HPV infections have increased risk of progressive CIN lesions. Transmission of HPV between sexual partners might maintain viral infection and, consequently, may influence the clinical course of CIN. We investigated the effect of condom use on regression of CIN lesions and on clearance of HPV. Women with CIN and their male sexual partners were randomized for condom use (condom group n = 72 and noncondom group n = 76). They were conservatively managed and followed every 3-6 months by colposcopy, cytology and HPV testing by GP5+/6+ PCR. Baseline cervical biopsy specimens were taken. Median follow-up time for women was 15.2 months (range 3.0-85.4). Outcomes of interest were clinical regression of CIN at colposcopy and clearance of HPV. Outcomes were assessed in 64 women of the condom group and 61 women of the noncondom group. Women in the condom group showed a 2-year cumulative regression rate of 53% vs. 35% in the noncondom group (p = 0.03). The 2-year cumulative rates of HPV clearance were 23% vs. 4%, respectively (p = 0.02). Although lower regression rates were found if women were HPV-positive and had > or =CIN2 lesions at baseline, effects of condom use were found both in women with CIN1 and in women with > or =CIN2 lesions. Condom use promotes regression of CIN lesions and clearance of HPV.
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Consistent and correct use of latex condoms reduces the risk for HPV infection and HPV-associated diseases, genital herpes, syphilis, and chancroid when the infected area or site of potential exposure is covered.
“In addition, consistent and correct use of latex condoms reduces the risk for HPV infection and HPV-associated diseases, genital herpes, syphilis, and chancroid when the infected area or site of potential exposure is covered (23–27).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [26]
The Abstract (page not specified) reports greater regression of cervical intraepithelial neoplasia and clearance of existing HPV infection with condom use; the Study population and design section specifies latex condoms. The paper does not establish reduced risk of acquiring HPV, and it does not address prevention of genital herpes, syphilis, or chancroid or the covered-exposure qualification. (LLM, conf=0.88)
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- Authors
- Hogewoning, C. J. A., Bleeker, M. C. G., van den Brule, A. J. C., Voorhorst, F. J., Snijders, P. J. F., Berkhof, J., Westenend, P. J., & Meijer, C. J. L. M.
- Affiliations
- Albert Schweitzer Ziekenhuis (NL)
- Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
- Corresponding author
- Meijer, Chris J.L.M.
- ORCID
- Venue
- International Journal of Cancer
- Publisher
- Wiley
- Published
- 2003-09-12
- Volume
- 107
- Issue
- 5
- Pages
- 811-816
- ISSN
- 0020-7136 (ISSN-L)
- 1097-0215
- OpenAlex
- W2006826127
- Cited by
- 200
- References
- 23
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 3 · 2022: 9 · 2021: 7 · 2020: 4 · 2019: 4 · 2018: 8 · 2017: 6 · 2016: 3 · 2015: 6 · 2014: 7 · 2013: 11 · 2012: 18
- FWCI
- 9.35
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- International Journal of Cancer (publishedVersion)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion, other-oa)
- Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
- Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
- Health Sciences › Medicine › Surgery › Genital Health and Disease
- Keywords
- condom use, cervical intraepithelial neoplasia, human papillomavirus, HPV clearance, CIN regression, sexually transmitted infections, male sexual partners, conservative treatment, colposcopy, HPV genotyping
- MeSH terms
- Adult, Uterine Cervical Dysplasia, Colposcopy, Female, Follow-Up Studies, Humans, Male, Middle Aged, Netherlands, Sexual Behavior, Time Factors, Tumor Virus Infections, Condoms, Papillomaviridae, Papillomavirus Infections
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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