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Sex Transm Dis. 2001 Apr;28(4):240-5.

Douching and endometritis: results from the PID evaluation and clinical health (PEACH) study.

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  • 1University of Pittsburgh, Graduate School of Public Health, Pennsylvania 15261, USA. repro+@pitt.edu

Abstract

BACKGROUND:

Douching has been related to risk of pelvic inflammatory disease (PID).

GOAL:

To examine the association between douching and PID in a large, multicenter, clinical trial of PID after adjustment for race/ethnicity.

STUDY DESIGN:

Interviews were conducted with 654 women who had signs and symptoms of PID. Vaginal Gram stains and upper genital tract pathology/cultures were obtained from all the women. Women with evidence of plasma cell endometritis and/or gonococcal or chlamydial upper genital tract infections were compared with women who had neither endometritis nor upper genital tract infection.

RESULTS:

Women with endometritis or upper genital tract infection were more likely to have douched more than once a month or within 6 days of enrollment than women who never douched. These associations remained after adjustment for confounding factors, after analysis of black women only; and among women with normal or intermediate vaginal flora but not bacterial vaginosis.

CONCLUSION:

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

PMID:
11318257
[PubMed - indexed for MEDLINE]
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