An Updated Review of of Evidence to Discourage Douching

  title={An Updated Review of of Evidence to Discourage Douching},
  author={Barbara Hansen Cottrell},
  journal={MCN, The American Journal of Maternal/Child Nursing},
  • B. Cottrell
  • Published 1 March 2010
  • Medicine
  • MCN, The American Journal of Maternal/Child Nursing
Purpose:To review current studies on vaginal douching.Data Sources: MEDLINE PubMed, CINAHL, and Cochrane databases from 2002 to 2008 using MeSh terms "vaginal AND irrigation or vaginal and douching" from 2002 to 2003 and "vaginal douching" and "vaginal douching and adverse effects" from 2004 to 2008.Study Selection: MEDLINE PubMed included 156 records, CINAHL 15, and Cochrane 10. Articles in English were reviewed, and those pertaining to vaginal douching and reproductive and gynecologic… 

Vaginal douching in Zambia: a risk or benefit to women in the fight against cervical cancer: a retrospective cohort study

There is an association between douching with a solution and a woman’s age, educational attainment, occupation and condom use, and the use of either vinegar, ginger, lemon, salt or sugar solution was associated with increased risk for abnormal cervical lesions.

Understanding Women’s Vaginal Douching Behaviors and Practices for Consideration in the Development of a Potential Future Vaginal Microbicide Douche for HIV Prevention: A Systematic Review of the Literature

A systematic review of the literature found little empirical agreement between vaginal douche use and most vaginal health outcomes, and future studies of PrEP vaginal douches should be well controlled and prioritize safety to ensure positive vagina health outcomes.

Vaginal Douching Cessation in Rural Turkish Women with Vaginitis

The results indicate that vaginal douching cessation education proved douching ceasing and douche ceasing reduces the risk of vaginal inflammation.

Vaginal douching practice in Eskisehir in Turkey

The vaginal douching practice is a widespread conventional attitude among women and should be given the necessary importance and special importance should be attached to the health education of the primary health care profession concerning the vaginal lavage.

Pattern of Vaginal Discharge and Associated Demographic Characteristics among Female Patients Seen at a Gynaecology Clinic in Northern Nigeria

Patients with additional symptoms were more likely to present with whitish vaginal discharge, candidiasis and recurrence of symptoms, when compared to those with no symptoms.

Evaluation of the use of vaginal tampons and vaginal douche practices among women Kadınların vajinal tampon ve vajinal duş uygulama durumlarının değerlendirmesi

A significant proportion of women were practicing vaginal douche and even more striking is that they have no awareness that this practice may be harmful, which will be important for the health professionals to give importance on this issue in their education and counseling programs for women.

The Prevalence of Vaginal Douching and Associated Factors in Married Women and the Role of Education in Stopping Vaginal Douching ?

The rate of vaginal douche among women in this study is lower than many other studies, however, it was found that approximately two of every 10 women practice vaginal doucher, which is an important public health problem.

Recurrent vulvovaginal candidosis among young women in south eastern Nigeria: the role of lifestyle and health-care practices

The association between lifestyle, health-care practices and incidence of recurrent vulvovaginal candidosis among young women in south eastern Nigeria supported the association between some of the hypothesized risk factors and the occurrence of RVVC.

Douching Practices among Hausa-Fulani Pregnant Women With and Without Bacterial Vaginosis in Zaria, Northwest Nigeria

The practice of douching was common among the Hausa-Fulani ethnic group in Nigeria and was more prevalent among subjects aged Bacterial vaginosis positive women aged 30-34 years and those aged 35-39 years respectively.

College Men’s Knowledge of Vaginal Douching

College males may not believe they have a role in discussions about vaginal douching and may not have the knowledge of douching needed to have such discussions, according to this study.



Vaginal douching.

  • B. Cottrell
  • Medicine
    Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
  • 2003
Nursing assessment of women should include information on vaginal douching practices and beliefs to discourage women of all ages from using vaginal douches as part of routine feminine hygiene because of the associated risks.

Vaginal douching and adverse health effects: a meta-analysis.

Current literature suggests that frequent douching increases the risk of pelvic inflammatory disease, ectopic pregnancy, and, possibly, cervical cancer.

Risk of preterm birth that is associated with vaginal douching.

Vaginal douching does not appear to be a strong risk factor for preterm birth, and further study is needed to confirm the risk that is associated with frequent or long-term douching.

Douching and Endometritis: Results From the PID Evaluation and Clinical Health (PEACH) Study

Among a predominantly black group of women with clinical PID, frequent and recent douching was associated with endometritis and upper genital tract infection.

Vaginal douching: evidence for risks or benefits to women's health.

The evidence of the impact of douching on women’s health is reviewed to reflect a broad consensus that douching should be avoided during pregnancy and less agreement regarding douching for hygiene and relief of vaginitis symptoms.

A longitudinal study of vaginal douching and bacterial vaginosis--a marginal structural modeling analysis.

It is indicated that douching confers increased risk of disruption of vaginal flora, and in the absence of a large randomized trial, these findings provide the best evidence to date for a risk of bacterial vaginosis associated with douching.

Frequency of Douching and Risk of Bacterial Vaginosis in African-American Women

Douching less than once per week, particularly with a water-vinegar douche, is not associated with bacterial vaginosis in this African-American population.

Vaginal douching and risk of preterm birth among African American women.