Department of Obstetrics and Gynecology, Ergani State Hospital, Diyarbakir, Turkey.
Arch Gynecol Obstet. 2011 Nov;284(5):1153-6. doi: 10.1007/s00404-010-1805-6. Epub 2010 Dec 14.
To investigate vaginal douching habits and associated factors among women living in rural Turkey.
This study was performed in the gynecology department of a government hospital in a rural area of Turkey, from February to March 2010. The study included 393 women admitted to the gynecology clinic. The age, marital status, education, socioeconomic status, reason for vaginal douching, douching frequency, symptoms, and previous treatments were investigated. All of the subjects were asked about the use of, frequency, and reason for vaginal douching. Significant risk factors in the vaginal douching group and odds coefficients were found using binary logistic regression.
The major symptoms of the subjects were itching and vaginal discharge. Of the 393 women, 317 (80.66%) performed vaginal douching and all of them had recurrent or treatment-resistant mixed agent vulvovaginitis. The majority of the women douched for ritual cleansing or washing before prayer (n = 278; 91.6%). The majority of the cases (n = 354; 90.1%) were of lower socioeconomic and educational status. The odds ratios and 95% confidence interval (CI) of the risk variables vaginal douching frequency, cervical motion tenderness, dyspareunia, and vaginal itching were 9.39 (2.07-42.48), 7.31 (2.08-25.64), 6.52 (2.26-18.78), and 1.46 (1.22-1.74), respectively.
In our region, vaginal douching is a common practice among women, especially those of lower socioeconomic and educational status. Clinicians should inform patients about the risks of vaginal douching to minimize the risks associated with this behavior.
调查土耳其农村妇女的阴道冲洗习惯及其相关因素。
本研究于 2010 年 2 月至 3 月在土耳其农村地区的一家政府医院的妇科进行。研究纳入了 393 名就诊于妇科诊所的女性。调查了年龄、婚姻状况、教育程度、社会经济地位、阴道冲洗原因、冲洗频率、症状和既往治疗情况。所有患者均询问了阴道冲洗的使用情况、频率和原因。使用二项逻辑回归分析发现阴道冲洗组的显著危险因素和优势比。
患者的主要症状是瘙痒和阴道分泌物。393 名女性中，317 名（80.66%）进行了阴道冲洗，所有患者均患有复发性或治疗抵抗性混合剂外阴阴道炎。大多数女性为了祈祷前的仪式清洁或清洗而冲洗阴道（n=278；91.6%）。大多数病例（n=354；90.1%）的社会经济和教育程度较低。阴道冲洗频率、宫颈活动触痛、性交痛和阴道瘙痒的风险变量的比值比和 95%置信区间（CI）分别为 9.39（2.07-42.48）、7.31（2.08-25.64）、6.52（2.26-18.78）和 1.46（1.22-1.74）。
在我们地区，阴道冲洗是妇女中一种常见的做法，尤其是社会经济和教育程度较低的妇女。临床医生应告知患者阴道冲洗的风险，以最大程度地降低这种行为的相关风险。
