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There are many reasons to get a second opinion. Because the population-level health risks attributable to this common practice could be very large if douching predisposes to even a fraction of the disease burden discussed in this review, the potential salutary impact of reducing douching activity is substantial. Chlamydia has been associated with tubal infertility due to fallopian tube scarring and obstruction 76 - 80 , ectopic pregnancy 81 , and pelvic inflammatory disease In January , various medical organizations were contacted via e-mail and their Web sites were searched for information pertaining to vaginal douching. Monif 34 argues, however, that there is a role for douching among women with symptomatic vaginitis or vaginosis. Their fact sheet on sexually transmitted diseases states that, to prevent sexually transmitted diseases, sexually active women should avoid douching because douching removes some of the normal protective bacteria in the vagina and increases the risk of getting some sexually transmitted diseases
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