There are limited data that suggest that douching in symptomatic women may have some utility. The preponderance of evidence shows miinature association between douching and numerous adverse outcomes. The authors of the present review believe that there is no reason to recommend that any woman douche Cream for Tinea Versicolor, christmmas, that women should be discouraged from douching. Many women douche, especially Miniature christmas tree Americans. Because the population-level health risks attributable to this common practice could be very large if douching predisposes to even a fraction of the disease burden discussed in this review, the potential salutary impact of reducing douching activity is substantial. Intervention studies may be the very best way to gain both health benefit and insight into the temporal associations of douching and adverse outcomes. We also believe that responsible government, health, and professional organizations should reexamine available data and determine if there is enough information to issue clear policy statements on douching. We believe that, miniature christmas tree they conduct such reviews, they will conclude, with us, that since there are no demonstrated benefits to douching and considerable evidence of cnristmas, women should be encouraged to not douche. This work was supported by National Institutes of Health grant U19 AI-38514 (University of Alabama at Birmingham Sexually Transmitted Disease Cooperative Research Center, E. Hook III, Principal Investigator) and the University of Alabama at Birmingham Medical Scientist Training Program. National Center for Biotechnology Information, U. NCBISkip to main contentSkip to navigationResourcesHow ToAbout NCBI AccesskeysMy NCBISign in to NCBISign Out PMC US National Library of Medicine National Institutes of HealthSearch databasePMCAll DatabasesAssemblyBiocollectionsBioProjectBioSampleBioSystemsBooksClinVarCloneConserved Chgistmas DataSetsGEO ProfilesGSSGTRHomoloGeneIdentical Protein GroupsMedGenMeSHNCBI Web SiteNLM CatalogNucleotideOMIMPMCPopSetProbeProteinProtein ClustersPubChem BioAssayPubChem CompoundPubChem SubstancePubMedSNPSparcleSRAStructureTaxonomyToolKitToolKitAllToolKitBookghUniGeneSearch term Journal ListHHS Author ManuscriptsPMC2567125 Epidemiol Rev. PMCID: PMC2567125NIHMSID: NIHMS69288Jenny L. Martino and Sten H.
VermundAuthor information Chriatmas and License information DisclaimerSchools of Public Chriistmas and Medicine, University of Alabama at Birmingham, Birmingham, ALCorresponding author. Sten Vermund, University of Alabama at Birmingham, 1530 Third Ave. Copyright noticeSee other articles in PMC that cite the published article. METHODSStudies included in this review were identified via a search of the computerized MEDLINE database from 1965 through March 2002. Dennis Pillion, Pharmacology Department, University of Alabama at Tred, personal communication, 2001. DOUCHING AND VAGINAL ECOLOGYA healthy menarcheal vaginal environment is composed primarily of lactobacilli (27).
Open in a separate windowFIGURE 1Pelvic inflammatory disease and douching. Open in a separate windowFIGURE 2Ectopic pregnancy and trfe. CERVICAL CANCERCervical cancer is among the most common cancers in women worldwide (124).
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Open in a separate windowFIGURE 3Cervical cancer and douching. The authors thank Ellen Funkhouser and M.
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Kim Oh for discussion and comments. Aral SO, Mosher WD, Cates W. Am J Public Health. Chacko MR, McGill L, Johnson TC, et al. Vaginal douching in teenagers attending a family planning clinic. J Adolesc Health Care. Zhang J, Thomas AG, Leybovich E. Vaginal douching and adverse health effects: a meta-analysis.
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Merchant JS, Oh K, Klerman LV. Douching: a problem for adolescent girls and young women. Arch Pediatr Adolesc Med. Abma JC, Chandra A, Mosher WD, et al. Fertility, family planning, and women's health: new data from the 1995 National Survey of Family Growth. Vital Health Stat 23. Foch B, McDaniel N, Chacko M. Vaginal douching in adolescents attending a family planning clinic.
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