. 2001 Oct;91(10):1664–1670. doi: 10.2105/ajph.91.10.1664

TABLE 4—

Associations Between Vaginal Douching, Vaginal Symptoms, and Bacterial Vaginosis (BV) at 3 Sites: Michigan, 1998

Symptom Status at Clinic Visit	Prevalence of Vaginal Douching in Past 2 Months, %
Reported symptoms^a	29
No reported symptoms	23
Symptom Status at Clinic Visit	Use of Vaginal Douche in Past 2 Months, Odds Ratio (95% CI)^b
Symptomatic^a (BV+ vs BV–)	5.8 (2.2, 16.6)
Asymptomatic (BV+ vs BV–)	2.6 (1.3, 5.2)
Reason for Using Vaginal Douches	BV Odds Ratio (95% CI)^b
Douching in past 2 months and reasons for douching include symptoms or infection (vs no douching in past 2 months)	3.1 (1.5, 6.8)
Douching in past 2 months and reasons for douching do not include symptoms or infection (vs no douching in past 2 months)	3.4 (1.4, 8.2)

Note. CI = confidence interval.

^aVaginal discharge, change in color of vaginal discharge, vaginal odor, vaginal odor after intercourse, vaginal itching.

^bAdjusted for ethnicity and education.