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Vaginal douching. Who and why?

M J Rosenberg1, R S Phillips, M D Holmes

  • 1Department of Epidemiology, University of North Carolina, Chapel Hill.

The Journal of Reproductive Medicine
|October 1, 1991
PubMed
Summary
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Vaginal douching is common among U.S. women, particularly those with lower socioeconomic status or symptoms of vaginal infection. The practice may be influenced by cultural factors or perceived infections, potentially sexually transmitted.

Area of Science:

  • Women's Health
  • Public Health
  • Gynecology

Background:

  • Vaginal douching is a widespread practice among U.S. women, with over 67 million estimated users.
  • Despite its prevalence, demographic and motivational factors associated with douching remain poorly understood.

Purpose of the Study:

  • To identify characteristics of women who practice vaginal douching.
  • To explore the reasons behind douching behavior and the types of solutions used.

Main Methods:

  • A study was conducted with 618 women attending urban gynecology practices.
  • Data collected included douching history, reasons for douching, solutions used, socioeconomic status, and presence of sexually transmitted disease risk or infection symptoms.

Main Results:

Keywords:
AmericasBiologyDeveloped CountriesDiseasesGenitaliaGenitalia, FemaleHealthHygieneInfectionsNorth AmericaNorthern AmericaPhysiologyPublic HealthReproductive Tract InfectionsResearch MethodologySampling StudiesSelf CareSexually Transmitted DiseasesSigns And SymptomsStudiesSurveysTreatmentUnited StatesUrogenital SystemVaginaVaginal AbnormalitiesVaginitis

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  • Fifty-nine percent of women reported ever douching, with "hygiene" being the most frequent reason.
  • Douching was associated with lower socioeconomic status, increased risk of sexually transmitted diseases, and symptoms suggestive of vaginal infection.
  • Frequent douching correlated with a higher prevalence of these characteristics.

Conclusions:

  • Vaginal douching appears to have a significant cultural component.
  • The practice may be a response to perceived vaginal infections, potentially linked to sexual contact.