On the basis of the evidence epithelial that is documenting mucosal damage and/or discomfort [32,34,35], the WHO advisory recommends a systematic article on lubricant security, and offers interim tips for procurement agencies in order to prevent items with a high osmolality and services and products containing polyquaternary substances. Additional pH specifications for lubricants meant for genital or sex that is anal provided [47]. The whom document relists some commercial lubricants with their osmolality and pH from a single regarding the current studies [35], but just like the PEPFAR guidance stops short of declaring particular items as “safe” for procurement.