The Human Microbiota and Chronic Disease 2016
DOI: 10.1002/9781118982907.ch16
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The vaginal microbiota in health and disease

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“…32% of women in the United States reported vaginal douching within the previous year [6] . The estimated lifetime prevalence of vaginal douching among African American women varies markedly across studies ranging from 56%-69% [5] .…”
Section: Introductionmentioning
confidence: 99%
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“…32% of women in the United States reported vaginal douching within the previous year [6] . The estimated lifetime prevalence of vaginal douching among African American women varies markedly across studies ranging from 56%-69% [5] .…”
Section: Introductionmentioning
confidence: 99%
“…It may also provide a pressurized fluid vehicle for pathogen transport, helping lower genital infections ascend through the cervix into the uterus, fallopian tubes, or abdominal cavity. Douching around the time of ovulation, when the cervical os gapes open and the mucus thins in response to the changing serum estrogen level, has been associated with a higher risk of ascending infection [5,8] . Moreover, douching in the immediate postcoital period may be particularly risky because the douching solution may propel and facilitate the entry of pathogens from the upper vagina into the endocervical canal [15,16] .…”
Section: Introductionmentioning
confidence: 99%