Validation of the Accuracy of Prostate-specific Antigen Detection in Vaginal Fluids Obtained by Self-sampling as a Marker of Semen Exposure and Condom Failure
A Council study examined the validity of the use of prostate-specific antigen (PSA) as a sensitive biomarker for semen exposure during sexual intercourse.
Male and female condoms are the only methods known to provide dual protection against unintended pregnancy and HIV and some sexually transmitted infections (STIs). For sexually active individuals, correct and consistent condom use is an important means for reducing the risk of HIV infection and other STIs, such as chlamydia and gonorrhea. While there is good evidence that the female condom is effective in pregnancy prevention and some evidence that it is effective against STI transmission, it is still unclear whether it is as effective as the male latex condom.
Council researchers in Brazil conducted a study to examine the validity of the use of prostate-specific antigen (PSA) as a sensitive biomarker for semen exposure during sexual intercourse. Specifically, this study:
- Assessed the accuracy of PSA detection after intravaginal exposure to known amounts of semen, comparing self-collected samples and samples taken by a trained nurse.
- Assessed the reliability of self-sampling for PSA detection, comparing the results with samples taken by a trained nurse, after intercourse using a male or female condom.
- Assessed the accuracy of PSA detection after intravaginal exposure to known amounts of semen, comparing self-collected samples and samples taken by a trained nurse.
- Assessed the reliability of self-sampling for PSA detection, comparing the results with samples taken by a trained nurse, after intercourse using a male or female condom.
Women aged 18–48 years (n = 200) completed two studies. In one, a nurse exposed each participant to her partner’s semen (10, 100, 1,000µl), and both collected samples, while in the second, each participant sampled before and after using two male condoms and two female condoms during intercourse and a nurse collected another sample afterwards.
The study found that PSA concentration increased with semen exposure, but was lower in nurse-collected samples. Both procedures were sensitive, almost 100% after exposure to 100–1,000µl of semen. PSA decay between sampling times may explain higher values in self-collected samples.
Researchers concluded that PSA is a highly sensitive surrogate endpoint for condom effectiveness studies. Self-collected and nurse-collected samples are equivalent, but sample collection timing is critical.
Prostate-specific antigen in vaginal fluid after exposure to known amounts of semen and after condom use: Comparison of self-collected and nurse-collected samples (abstract)
Bahamondes,Luis; Diaz,Juan; Marchi,Nadia Maria; Castro,Sara; Villarroel,Marina; Macaluso,Maurizio
Human Reproduction 23(11): 2444-2451
Publication date: 2008
Project Stats
Location: Brazil (Campinas, SP)
Program(s):
HIV and AIDS
Topic(s):
HIV prevention
RTIs/STIs
Duration: 7/2006 - 6/2007
Non-Council collaborators:
Luis Bahamondes (Universidade Estadual de Campinas)
Marina Villarroel (Human Reproduction Unit, University of Campinas)
Nadia Maria Marchi (Human Reproduction Unit, University of Campinas)
Sara Castro (Human Reproduction Unit, University of Campinas)
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