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Transcripts were translated into English by a bi-lingual staff person and independently assessed for accuracy and consistency. Prior to enrolment, the interview guide was informally pilot tested with three Humsafar staff members who self-identified as men who have sex with men.

To preserve confidentiality, data were de-identified and stored in a secure location at The Humsafar Trust. Data analysis of the 40 interviews was jointly conducted by US and Indian researchers using a descriptive qualitative approach and within- and across-case content analysis to characterise and describe these data at their natural level (Ayres, Kavanaugh and Knafl 2003; Sandelowski 2010).

However, sexual incompatibility between married partners was also reported.

Explanations of bisexual concurrency were discussed in terms of both sexual satisfaction and sexual preference.

Self-perceived HIV risk related to same-sex sexual behaviour motivated many men to use condoms with female partners.

Expectations of unprotected marital sex and perceptions of partner risk were barriers to condom use.

Qualitative interviews were audio recorded, reviewed for identifying information and transcribed verbatim. For this analysis, interview questions specific to female sexual partners included: (1) what types of sexual behaviours do you engage in with your female partners; (2) how do your sexual behaviours stay the same or change with different sex partners; (3) tell me about your condom use with women during sex; and (4) what are the biggest barriers for married men who have sex with men in terms of using condoms/having safe sex with their wives?The primary objective of this study was to explore the sexual practices and relationship dynamics between married and unmarried behaviourally bisexual men and their female sex partners in Mumbai, India.In 2009, semi-structured qualitative interviews were conducted with 32 men who reported sex with men and women.Participants discussed a variety of sexual practices and arrangements with female sex partners.Irrespective of marital status and sexual identity, many said that they had satisfying sexual experiences and feelings of affection for female sex partners.

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HIV-prevention programmes for this population may benefit from tailored risk-reduction counselling that attends to the variations of these sexual and social relationship dynamics.

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