Abstract
Background: Douching has been related to risk of pelvic inflammatory disease (PID). Goal: To examine the association between douching and PID in a large, multicenter, clinical trial of PID after adjustment for race/ethnicity. Study Design: Interviews were conducted with 654 women who had signs and symptoms of PID. Vaginal Gram stains and upper genital tract pathology/cultures were obtained from all the women. Women with evidence of plasma cell endometritis and/or gonococcal or chlamydial upper genital tract infections were compared with women who had neither endometritis nor upper genital tract infection. Results: Women with endometritis or upper genital tract infection were more likely to have douched more than once a month or within 6 days of enrollment than women who never douched. These associations remained after adjustment for confounding factors, after analysis of black women only; and among women with normal or intermediate vaginal flora but not bacterial vaginosis. Conclusion: Among a predominantly black group of women with clinical PID, frequent and recent douching was associated with endometritis and upper genital tract infection.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 240-245 |
| Number of pages | 6 |
| Journal | Sexually Transmitted Diseases |
| Volume | 28 |
| Issue number | 4 |
| State | Published - 2001 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Dermatology
- Public Health, Environmental and Occupational Health
- Microbiology (medical)
Cite this
Douching and endometritis : Results from the PID evaluation and clinical health (PEACH) study. / Ness, Roberta B.; Soper, David E.; Holley, Robert L.; Peipert, Jeffrey; Randall, Hugh; Sweet, Richard L; Sondheimer, Steven J.; Hendrix, Susan L.; Hillier, Sharon L.; Amortegui, Antonio; Trucco, Giuliana; Bass, Debra C.
In: Sexually Transmitted Diseases, Vol. 28, No. 4, 2001, p. 240-245.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Douching and endometritis
T2 - Results from the PID evaluation and clinical health (PEACH) study
AU - Ness, Roberta B.
AU - Soper, David E.
AU - Holley, Robert L.
AU - Peipert, Jeffrey
AU - Randall, Hugh
AU - Sweet, Richard L
AU - Sondheimer, Steven J.
AU - Hendrix, Susan L.
AU - Hillier, Sharon L.
AU - Amortegui, Antonio
AU - Trucco, Giuliana
AU - Bass, Debra C.
PY - 2001
Y1 - 2001
N2 - Background: Douching has been related to risk of pelvic inflammatory disease (PID). Goal: To examine the association between douching and PID in a large, multicenter, clinical trial of PID after adjustment for race/ethnicity. Study Design: Interviews were conducted with 654 women who had signs and symptoms of PID. Vaginal Gram stains and upper genital tract pathology/cultures were obtained from all the women. Women with evidence of plasma cell endometritis and/or gonococcal or chlamydial upper genital tract infections were compared with women who had neither endometritis nor upper genital tract infection. Results: Women with endometritis or upper genital tract infection were more likely to have douched more than once a month or within 6 days of enrollment than women who never douched. These associations remained after adjustment for confounding factors, after analysis of black women only; and among women with normal or intermediate vaginal flora but not bacterial vaginosis. Conclusion: Among a predominantly black group of women with clinical PID, frequent and recent douching was associated with endometritis and upper genital tract infection.
AB - Background: Douching has been related to risk of pelvic inflammatory disease (PID). Goal: To examine the association between douching and PID in a large, multicenter, clinical trial of PID after adjustment for race/ethnicity. Study Design: Interviews were conducted with 654 women who had signs and symptoms of PID. Vaginal Gram stains and upper genital tract pathology/cultures were obtained from all the women. Women with evidence of plasma cell endometritis and/or gonococcal or chlamydial upper genital tract infections were compared with women who had neither endometritis nor upper genital tract infection. Results: Women with endometritis or upper genital tract infection were more likely to have douched more than once a month or within 6 days of enrollment than women who never douched. These associations remained after adjustment for confounding factors, after analysis of black women only; and among women with normal or intermediate vaginal flora but not bacterial vaginosis. Conclusion: Among a predominantly black group of women with clinical PID, frequent and recent douching was associated with endometritis and upper genital tract infection.
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UR - http://www.scopus.com/inward/citedby.url?scp=0035076253&partnerID=8YFLogxK
M3 - Article
C2 - 11318257
AN - SCOPUS:0035076253
VL - 28
SP - 240
EP - 245
JO - Sexually Transmitted Diseases
JF - Sexually Transmitted Diseases
SN - 0148-5717
IS - 4
ER -