I've used them when I top. Really simple to use. I take the inside ring out. I lube my cock and put the condom over my cock. I lube the outside of the condom as it sits over my cock. It goes inside the bottom as I push my cock in him. It's in place and off I go.
It works for me because of my dick size. If I had a longer cock, it might not work as well.
I've had a bottom leave it in place for multiple fucks also.
The big negative of the things is their price.
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