From birth control to that "fresh feeling": a historical perspective on feminine hygiene in medicine and media.

This essay traces the modern history of vaginal douching in the United States from its widespread adoption as the first clinical form of birth control in the nineteenth century, through the marketing success of cosmetic douches in the late twentieth century. Women's changing and often overlapping motivations for douching in the past provide insight into contemporary women's choices about douching. The persistence of the practice today despite its association with adverse health consequences is a troubling phenomenon that can only be fully understood by considering this complex history.