Merchant J S, Oh K, Klerman L V
School of Public Health, University of Alabama at Birmingham, 35233, USA.
Arch Pediatr Adolesc Med. 1999 Aug;153(8):834-7. doi: 10.1001/archpedi.153.8.834.
To compile available published data on the prevalence of douching practices in adolescent girls and young women and the effects of douching on gynecologic health, including studies of gynecologic changes due to douching in adolescent girls and young women, surveys that demonstrated the prevalence of douching in the populations, and policy statements or lack thereof from professional and medical organizations with regard to the practice of douching.
We did Internet searches, including a MEDLINE search, a literature review, and used the telephone, mail, and e-mail to contact professional organizations.
Douching has been found to be strongly associated with increased risk for pelvic inflammatory disease, bacterial vaginosis, and ectopic pregnancy, the former of which is especially prevalent in adolescent girls and young women. Douching is practiced by 15.5% of adolescent girls and young women in the United States, with significantly higher prevalences in certain groups in the population. We have not found any official position of professional and medical organizations on the practice of douching.
Because vaginal douching has been shown to be associated with bacterial vaginosis, pelvic inflammatory disease, and ectopic pregnancy, and because no benefits are conferred on those who practice it, douching should be discouraged among adolescent girls and young women. There is a great need for further studies, particularly prospective ones, to determine if there is evidence of a direct causative influence of douching on pelvic inflammatory disease, ectopic pregnancy, and/or bacterial vaginosis, and to determine why adolescent girls and young women douche.
汇编已发表的关于少女和年轻女性阴道灌洗行为的患病率以及阴道灌洗对妇科健康影响的数据，包括少女和年轻女性因阴道灌洗导致的妇科变化研究、表明人群中阴道灌洗患病率的调查，以及专业和医学组织关于阴道灌洗行为的政策声明（或缺乏此类声明）。
我们进行了互联网搜索，包括医学文献数据库检索、文献综述，并通过电话、邮件和电子邮件联系专业组织。
已发现阴道灌洗与盆腔炎、细菌性阴道病和异位妊娠风险增加密切相关，其中盆腔炎在少女和年轻女性中尤为普遍。美国15.5%的少女和年轻女性有阴道灌洗行为，特定人群中的患病率明显更高。我们未发现专业和医学组织对阴道灌洗行为有任何官方立场。
由于阴道灌洗已被证明与细菌性阴道病、盆腔炎和异位妊娠有关，且对进行阴道灌洗的人没有任何益处，应劝阻少女和年轻女性进行阴道灌洗。非常需要进一步研究，尤其是前瞻性研究，以确定是否有证据表明阴道灌洗对盆腔炎、异位妊娠和/或细菌性阴道病有直接因果影响，并确定少女和年轻女性进行阴道灌洗的原因。
