Aim: This study was conducted to investigate the prevalence of the practice of vaginal douching among Turkish married women and associations between their douching status, predisposing factors, and effects on their health. Methods: This cross-sectional survey of women between 17 and 61 years of age was conducted between February 1, 2007, and May 18, 2007, in the Maternity-Gynecology and Children’s Hospital in Ordu, Turkey. The sample of this study included 427 women. A confidential and anonymous self-reported questionnaire was collected in a convenient sample of the women. Results: Of the 427 women in the study, 165 women (38.6%) had douched at some time. Housewives [odds ratio (OR) 2.660, 95% confidence interval (CI) 1.162–6.090], women who had experienced a spontaneous abortion (OR 4.676, 95% CI 1.606–13.618), or had beliefs about positive health effects of vaginal douching (OR 29.603, 95% CI 14.090–62.192) also had risk factors associated with vaginal douching practices. Conclusion: In conclusion, this study found that vaginal douching is a common practice among women. Many of the women who practiced vaginal douching believed in its health benefits. The results may enhance healthcare practitioners’ knowledge and efforts to educate their patients.

1.
Aral SO, Mosher WD, Cates W: Vaginal douching among women of reproductive age in the United States: 1988. Am J Public Health 1992;82:210–214.
2.
Gazmararian JA, Bruce FC, Kendrick JS, Grace CC, Winn S: Why do women douche? Results from a qualitative study. Matern Child Health J 2001;5:153–160.
3.
Holzman C, Leventhal JM, Qiu H, Jones NM, Wang J: BV Study Group: Factors linked to bacterial vaginosis in nonpregnant women. Am J Public Health 2001;9:1664–1670.
4.
Ege E, Timur S, Zincir H, Eğri M, Reeder BS: Women’s douching practices and related attitudes in eastern Turkey. J Obstet Gynaecol Res 2007;33:353–359.
5.
Karaer A, Avşar AF, Özkan Ö, Bayır B, Sayan K: Vaginal douching practice in Turkish women: who is douching, and why? Aust NZ J Obstet Gynaecol 2005;45:522–525.
6.
Şen E, Mete S: Vaginal douching practices of women in Turkey. DEUHYO ED 2009;2:3–15.
7.
Ness RB, Hillier SL, Richter HE, Soper DE, Stamm C, Bass DC, Sweet RL, Rice P, Downs J, Aral S: Why women douche and why they may or may not stop. Sex Transm Dis 2003;30:71–74.
8.
Ness RB, Hillier SL, Richter HE, Soper DE, Stamm C, McGregor J, Bass DC, Swett RL, Rice P: Douching in relation to bacterial vaginosis, lactobacilli, and facultative bacteria in the vagina. Obstet Gynecol 2002;100:765–772.
9.
Çalışkan D, Subaşı N, Sarışen Ö: Vaginal douching and associated factors among married women attending a family planning clinic or a gynecology clinic. Eur J Obstet Gynecol Reprod Biol 2006;127:244–251.
10.
Grimley D, Oh MK, Desmond RA, Hook WE, Vermund SH: An intervention to reduce vaginal douching among adolescent and young adult women: a randomized, controlled trial. Sex Transm Dis 2005;32:752–758.
11.
Forrest KA, Washington AE, Daling JR, Sweet RL: Vaginal douching as a possible risk factor for pelvic inflammatory disease. J Natl Med Assoc 1989;8:159–165.
12.
Kendrick JS, Atrash HK, Strauss LT, Gargiullo PM, Ahn YW: Vaginal douching and the risk of ectopic pregnancy among black women. Am J Obstet Gynecol 1997;176:991–997.
13.
Onderdonk AB, Delaney ML, Hinkson PL, DuBois AM: Quantitative and qualitative effects of douche preparations on vaginal microflora. Obstst Gynecol 1992;80:333–338.
14.
Bruce FC, Kendrick JS, Kieke BA Jr, Jagielski S, Joshi R, Tolsma DD: Is vaginal douching associated with preterm delivery? Epidemiology 2002;13:328–333.
15.
Fiscella K, Franks P, Kendrick JS, Meldrum S, Kieke BA Jr: Risk of preterm birth that is associated with vaginal douching. Am J Obstet Gynecol 2002;186:1345–1350.
16.
Baird DD, Weinberg CR, Voigt LF, Daling JR: Vaginal douching and reduced fertility. Am J Public Health 1996;86:844–850.
17.
Gardner JW, Schuman KI, Slattery ML, Sanborn JS, Abbott TM, Overall JC Jr: Is vaginal douching related to cervical carcinoma? Am J Epidemiol 1991;133:368–375.
18.
Ness RB, Soper DE, Holley RL, Peipert J, Randall H, Sweet RL, et al: Douching and endometritis: results from the PID evaluation and clinical health (PEACH) study. Sex Transm Dis 2001;28:240–245.
19.
Spinillo A, Pizzoli G, Colonna L, Nicola S, De Seta F, Guaschino S: Epidemiologic characteristics of women with idiopathic recurrent vulvovaginal candidiasis. Obstet Gynecol 1993;81:721–727.
20.
Foxman B, Aral SO, Holmes KK: Interrelationships among douching practices, risky sexual practices, and history of self-reported sexually transmitted diseases in an urban population. Sex Transm Dis 1998;25:90–99.
21.
Abama JC, Chandra A, Mosher WD, Peterson LS, Piccinino LJ: Fertility, family planning, and women’s health: new data from the 1995 National Survey of Family Growth. National Center for Health Statistics. Vital Health Stat 1997;23:1–114.
22.
Çalışkan D, Çöl M, Akdur R, Yavuzdemir S, Yavuz Y: Vaginal douching in the area of park health centre. J Ankara Univ Fac Med 1996;49:73–80.
23.
Braunstein S, De Wijgert J: Cultural Norms and Behavior Regarding Vaginal Lubrication during Sex: Implications for the Acceptability of Vaginal Microbicides for the Prevention of HIV/STDs. New York, Population Council, 2003, pp 1–44.
24.
Kirchner JT: Prevalence of vaginal douching despite its adverse effects. Am Fam Physician 2000;61:849–851.
25.
Cottrell BH: Vaginal douching practices of women in eight Florida panhandle counties. J Obstet Gynecol Neonatal Nurs 2006;35:24–33.
26.
Hacıalioğlu N, Nazik E, Kılıç M: A descriptive study of douching practices in Turkish women. Int J Nurs Pract 2009;15:57–64.
27.
Joesoef MR, Sumampouw H, Linnan M, Schmid S, Idajadi A, St Louis ME: Douching and sexually transmitted diseases in pregnant women in Surabaya, Indonesia. Am J Obstet Gynecol 1996;174:115–119.
28.
Grimley DM, Annang L, Foushee HR, Bruce FC, Kendrick JS: Vaginal douches and other feminine hygiene products: women’s practices and perceptions of product safety. Matern Child Health J 2006;10:303–310.
29.
Rosenberg MJ, Philips RS, Holmes MD: Vaginal douching. Who and why? J Reprod Med 1991;36:753–758.
30.
Martino JL, Vermund SH: Vaginal douching: evidence for risks or benefits to women’s health. Epidemiol Rev 2002;24:109–124.
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