From the Research
Douching can increase the risk of vaginal cancer, and it is strongly recommended to avoid this practice due to its potential to disrupt the natural balance of bacteria in the vagina and introduce harmful chemicals to sensitive tissues. The most recent and highest quality study, 1, published in 2010, highlights the association between douching and adverse health outcomes, including an increased risk of cervical cancer, pelvic inflammatory disease, and ectopic pregnancy.
Key Points to Consider
- Douching alters the vaginal flora, predisposing women to develop bacterial vaginosis, which is more prevalent among women who douche 1.
- The practice of douching is associated with serious gynecologic outcomes, including increased risk of cervical cancer, pelvic inflammatory disease, endometritis, and increased risk for sexually transmitted infections, including HIV 1.
- Healthcare providers can influence women to stop douching by educating them about the potential health risks associated with this practice 2.
- Gentle external washing with mild soap and water during regular bathing is sufficient for proper hygiene, and women should be advised against douching as it provides no health benefits and may cause harm 3.
Recommendations for Clinical Practice
- Healthcare providers should ask women about their douching practices and beliefs associated with the practice at every opportunity 1.
- Women who are concerned about vaginal odor or discharge should be advised to consult a healthcare provider rather than attempting to mask symptoms through douching 4.
- Education and awareness about the potential health risks associated with douching can help reduce the prevalence of this practice and promote better vaginal health 2.