A pilot study of vaginal flora changes with randomization to cessation of douching

Academic Article


  • OBJECTIVES: The objectives of this study were to determine whether women who douche regularly would enter a randomized trial of douching cessation or continuation, whether they would adhere to the assigned behavior, and whether there was a dramatic impact on vaginal flora. GOAL: The goal of this study was to determine the feasibility of a large, definitive trial of douching cessation. STUDY DESIGN: Women who douched at least weekly and who had either bacterial vaginosis or normal flora by Gram stain were assigned at random either to continue douching or to stop for 8 weeks. Vaginal Gram stains were obtained every 7 days from each woman. RESULTS: Forty-eight women were randomized. Those assigned to continue reported douching during 77% of study weeks; those assigned to stop denied douching in 94% of weeks. No dramatic differences in flora were observed between women in the continue versus stop groups. CONCLUSION: A large randomized trial of douching cessation is feasible. Copyright © 2006, American Sexually Transmitted Diseases Association All rights reserved.
  • Published In

    Digital Object Identifier (doi)

    Author List

  • Klebanoff MA; Andrews WW; Yu KF; Brotman RM; Nansel TR; Zhang J; Cliver SP; Schwebke JR
  • Start Page

  • 610
  • End Page

  • 613
  • Volume

  • 33
  • Issue

  • 10