Introduction: This study aimed to assess acceptability and preferences for the SILCS diaphragm for vaginal gel delivery compared to a prefilled applicator.
Methods: A randomized crossover study among 115 women in South Africa, using both methods during five sex acts.
Results: We found no significant differences in acceptability between the two products. Experience of gel leakage after sex was greater when inserted via applicator. More women were interested in SILCS/gel for multipurpose protection (68%) than in either SILCS alone (17%) or microbicide gel alone (14%).
Conclusions: A SILCS gel delivery system for multipurpose prevention seems feasible and acceptable.
Keywords: Barrier methods; Diaphragm; Gel; MPT; Multipurpose technology; Vaginal applicator.