Relationship between vaginal douching and bacterial vaginosis, sexually transmitted diseases and HIV infection

systematic review

Authors

  • Rose Luce Amaral Universidade Estadual de Campinas
  • Ana Katherine Gonçalves Universidade Federal do Rio Grande do Norte
  • Paulo César Giraldo Universidade Estadual de Campinas
  • Paulo Henrique Lima Universidade Federal do Rio Grande do Norte
  • Tardelli Lapaz Prudêncio Universidade Federal do Rio Grande do Norte
  • Nathale Santiago Universidade Federal do Rio Grande do Norte
  • José Eleutério Júnior Universidade Federal do Ceará

Keywords:

ducha vaginal, mulheres, DST, vaginose bacteriana, infecção pelo HIV

Abstract

Introduction: Despite of vaginal douching has been strongly condemned by most of health care professionals; this practice remains a very common habit among women for several reasons. Objective: To assess if there is any association between vaginal douching and bacterial vaginoses, STD and HIV Methods: We conducted a systematic review and metanalysis to evaluate the relationship between vaginal douching and bacterial vaginosis, sexually transmitted diseases and HIV infection. The following databases were searched using Mesh terms: PubMed, Embase, Scielo and Google Scholar. Selection criteria: (1) prospective cohort studies of women using vaginal douching; (2) women 12 years or older and (3) studies published from 2000 to October 2011. Studies involving pregnant women were excluded. Methodological quality was assessed using Newcastle-Ottawa scale. Data collection and analysis: Review Manager 5.1 was used for statistical analysis. Results: Seven studies (2 STD, 3 Bacterial Vaginosis and 2 HIV) were included based on the chosen criteria: 9.796 women were enrolled. The global Risk Ratios for Bacterial Vaginosis, STD and HIV acquisition were, 1.24 (95%CI 1.12–1.43), 1.12 (95%CI 0.94–1.32), and 1.36 (95%CI 0.92–2.01) respectively. Conclusion: There are few studies checking the association between vaginal douching and STD, BV and HIV infection. A weak positive correlation was found between vaginal douching and bacterial vaginosis, but not to STD and HIV infection.

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Published

2022-03-28

How to Cite

1.
Amaral RL, Gonçalves AK, Giraldo PC, Lima PH, Prudêncio TL, Santiago N, Eleutério Júnior J. Relationship between vaginal douching and bacterial vaginosis, sexually transmitted diseases and HIV infection: systematic review. DST [Internet]. 2022 Mar. 28 [cited 2024 Feb. 24];25(4):183-9. Available from: https://bjstd.org/revista/article/view/761

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Original Article