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Should You Douche?




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The only thing a woman can say for certain about her vagina is

that it is drenched in mystery. And with this mystery comes a

bounty of myths. One myth marring the womans body is the

concept that her vagina is a filthy pit. Frequent marketing of

feminine douches does nothing to arrest this myth. But is the

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vagina dirty and should a woman douche?



A substantial body of medical evidence makes a clear case that

douching is not necessary and in some cases unhealthy.



Researchers from the University of Pittsburgh led by Dr. Roberta

Ness discovered that most women are introduced to the concept of

douching by their mothers, sisters, or girlfriends. Yet this

well-intentioned sisterly advice has left too many women

misinformed about their vaginal health. For instance, a study at

the University of Alabama at Birmingham asked 729 women why they

douched. Twenty-one percent of the participants said that they

believed douching killed infectious germs, while 27% believed

that douching prevented pregnancy. Neither assumption is true.



As writer Mary Ann Innacchinoe explains in an American Journal

of Nursing article, the vagina contains, lactobacilli, "good",

aerobic bacteria that cleanse the vagina and protect it from

infection. Lactobacilli release hydrogen peroxide, a natural

disinfectant. The presence of hydrogen peroxide helps keep

potentially harmful anaerobic bacteria in balance.



Ironically, some women view menstruation as a time when the

vagina most needs a douche. After menstruation, vaginal mucus

returns to its thicker, characteristically non-fertile state,

which makes it more difficult for pathogens to enter and infect

the vagina. Douching could wash this protective coating away and

invite vaginal bacterial imbalances and infections. For example,

a 2004 study published in the medical journal Sexually

Transmitted Diseases linked douching after menses with an

increased risk of bacterial vaginosis.



Bacterial vaginosis, or an excess of harmful bacteria in the

vagina, is one of the most common reasons women visit their

gynecologist. Symptoms of bacterial vaginosis include a gray or

frothy vaginal discharge, a fishy odor after intercourse,

vaginal itching and a vaginal pH greater than 4.5.



While douching can provoke bacterial vaginosis, it may also

encourage the herpes virus. In 2003, researchers from the

Magee-Womens Research Institute in Pittsburgh, Pennsylvania

questioned why women are more susceptible to the herpes simplex

virus type 2 (HSV-2) infection than men. After examining 1207

women aged 18 to 30 from three Pittsburgh health clinics, the

investigators noted that women who douche, smoke, have sex with

uncircumcised partners, or have bacterial vaginosis are at

greater risk for contracting an HSV-2 infection.



Nevertheless, Dr. Christiane Northrup, author of Womens

Bodies, Womens Wisdom, recommends douching in one instance,

after having made love three times in one day. But sperm must

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have been released into the vagina during each round of

intercourse. Northrup cautions that after such an entry of

sperm, the vagina will not return to its normal pH for another

twenty-four hours. Using a vinegar douche, made by adding a

tablespoon of vinegar to a quart of water, may help restore the

vaginal pH balance faster. Note, this douche is by no means

meant to serve as a contraceptive, only as a pH balancer.



The vagina deservingly derived its name for the Latin word

meaning sheath. While the vagina sheathes, or holds many

mysteries, the truth about this enigmatic organ will only come

forth by asking for the truth, not by believing hearsay or

fanciful medical ills crafted by marketers. At least now a woman

can say with certainty when she should and should not douche.



Sources:



Cherpes, Thomas L. et al. Risk Factors for Infection With

Herpes Simplex Virus Type 2: Role of Smoking, Douching,

Uncircumcised Males, and Vaginal Flora, Sexually Transmitted

Diseases, May2003, Vol. 30 Issue 5, p405.



Innacchinoe, Mary Ann. The Vagina Dialogues: Do You Douche?

American Journal of Nursing; Jan2004, Vol. 104 Issue 1, p40.



Martino, Jenny L. & Surasak Youngpairoj, Sten H. Vermund.

Vaginal Douching: Personal Practices and Public Policies,

Journal of Women's Health, Nov2004, Vol. 13 Issue 9, p1048.



Ness, Roberta B. et al. Why Women Douche and Why They May or

May Not Stop, Sexually Transmitted Diseases, Jan2003, Vol. 30

Issue 1, p71.



Oh, M. Kim et al. Early Onset of Vaginal Douching Is Associated

With False Beliefs and High-Risk Behavior, Sexually Transmitted

Diseases, May2003, Vol. 30 Issue 5, p405.



Schwebke, Jane E. &, Renee A.Desmond, M. Kim Oh. Predictors of

Bacterial Vaginosis in Adolescent Women Who Douche, Sexually

Transmitted Diseases, Jul2004, Vol. 31 Issue 7, p433.



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About the author:

Health author and Stanford University graduate Naweko San-Joyz

lovingly writes from her home in San Diego. Her works include

Acne Messages: Crack the code of your zits and say goodbye to

acne (ISBN: 0974912204) and the upcoming work Skinny Fat

Chicks, Why were still not getting this dieting thing (ISBN:

0974912212) for release in June of 2005. For useful acne

self-help articles visit http://www.Noixia.com



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