16/11/2020
Douching! Douching! Douching!
A very recurrent question I'm confronted with –as a nurse– is, "What is douching?".
Always, I am careful not to give destructive information to my patients and friends alike.
Wondering why? Read on!
What is douching?
Douching is a term commonly used to refer to the washing out of the va**na with water or other fluid mixtures.
The fluid mixtures may be some type of antiseptic solution or substances termed natural or herbal remedy.
These are usually inserted into the va**na to wash away menstrual blood, unpleasant odours, semen after unprotected in*******se –amongst other reasons.
It is popularly said, that "the va**na is a self-cleansing organ". Yes! True it is! So, whose idea was it to introduce the do**he anyway and what is douching all about?
The go-to excuse is that it cleanses the va**na and this practice has become a habit amongst lots of women. Let it be known, nature is not useless.
That self-care job has been taken care of for you. It’s quite difficult to unlearn habits like smoking, alcoholism, overeating and of course, douching, but you have to (must).
How to take a do**he?
You might not know what the practice entails or not know it by the name. You may have seen people around you try it but not know what it is.
The do**he which "is a round inflatable device is used to introduce a stream of water into the body for medical or hygienic reasons, or the stream of water itself".
The torrent of water is squirted into the va**nal canal using a nozzle. Gently, the nozzle is inserted into the va**na, not more than 3 inches, such that it doesn’t close the va**nal opening completely allowing the solution to flow freely out of the va**na.
It is done with the belief that it washes out va**nal impurities or s***m to prevent pregnancy after unprotected s*x.
Some do**hes are inserted using the fingers and a scoop. These fingers are also, thereafter, used as an improvised sponge to wash the va**na.
Is douching necessary?
From a medical standpoint, va**nal douching is discouraged. It exposes women to the problems they’re trying to prevent. Most women practice douching with their main aim being, to prevent infections.
Ironically, the introduction of disease-causing microbes is facilitated through douching.
Also, given that the va**na's pH is acidic, the introduction of foreign substances into it can upset its pH balance.
Upsetting the pH balance of the va**na leaves women vulnerable to opportunistic pathogens.
The va**na is colonized by the lactobacillus acidophilus bacteria, which aids lactic acid production, bringing the va**na’s pH to about 4.5 (acidic).
The va**na’s acidity helps to keep pathogenic bacteria and other unwanted elements, at bay. The acidity of the va**na gives it its normal sour smell, which isn’t unpleasant.
This is not to say that all va**nal smells are acceptable.
A foul-smelling or fishy-smelling va**na is a sure sign of an infection of the reproductive tract.
Vaginal acids do not always protect from infections, but this doesn’t make douching safe.
Health experts have warned against the use of do**hes in the va**na, as they may tend to worsen the situation of things in that environment.
Clearly, douching is a bad way of irrigating your va**na.
Can douching be used by medical professionals?
Yes!
When there are indications for its use, a Gynaecologist might use a do**he to:
✌🏾Cleanse and irrigate your cervix after cauterization.
✌🏾Reduce the swelling and promote healing after cauterization.
✌🏾Help get rid of foul odours
Mechanically cleanse your va**nal tract and the cervix as in leukorrhea.
✌🏾Wash the va**na as a pre-operative gynaecological procedure.
Can va**nal douching prevent pregnancy and STIs?
The speed of s***m entering the uterus from the va**na takes less than a millisecond. In other words, they are very fast.
So for someone bent on douching to prevent pregnancy, well, you’d have to be faster than light to be able to wash s***m out of yourself.
In actuality, douching aids pregnancy. Check this out: s***m has been released into a woman and she decides to do a washout; the washout becomes a wash in because while introducing do**he solutions into herself, she’s unbalancing va**nal pH (making the acidic environment alkaline and favorable for s***m movement); and also pushing the s***m further into herself.
There’s no guaranty that the entirety of swimming s***m cells will be washed out.
Also, douching has in no time helped prevent s*xually transmitted infections.
Why do do**hes burn?
One of the classic signs of a reproductive tract infection is the burning sensation in the va**na. These burns can result from continuous douching which triggers a gross imbalance in the va**nal environment.
Some solutions used in douching have eroding effects on the va**nal walls, leading to va**nal ulcers.
This further facilitates the spread of infections as the protective va**nal lining is compromised.
Does it matter what we do**he with?
Douching is douching whether with hydrochloric acid (which is greatly advised AGAINST) or with vinegar.
But let’s face facts: some women cannot do without douching. It has been ingrained in them and it makes them feel better.
If you’re going to do**he against medical advice, you might as well do it in a seemingly less risky way.
Some schools of thought believe that it is ideal to rinse the v***a with a solution of apple cider vinegar and water.
Vinegar is added to water and used as a washout fluid for the va**na.
It is acidic and has antimicrobial effects and MAY help keep the va**na pH balance.
If abused however, it may increase the va**na's pH level, making it more acidic than normal.
Either way, more acidic or less acidic, can be detrimental to health.
There are pre-prepared packages containing vinegar that can be bought from stores but if you’re taking the risk to do**he, do it with a solution that is self-prepared, hence, trusted.
The runner up to the ”what is douching?" question is, "how often should I do**he?".
Well, maybe never. Again, without a doubt, it is important to know that the va**na is self-cleansing.
This means it does not require its owner to insert substances into it in the name of cleaning it or washing it out.
To ensure maximum care of the va**na, the following can be more helpful than trying to wash out the va**na:
Good hygiene – keeping yourself clean decreases your chances of coming in contact with disease-causing organisms. Clean the v***a (outside of your va**na) with warm water and a block of mild soap (optional).
Mild soap can cause dryness or irritation for some women.
Always wash after using the loo.
Wipe from front to back
Change sanitary napkins every 4-6 hours
Scented products, washes etc., should not be introduced into the va**na.
Change underwear regularly. Use clean, sun dried, cotton/breathable underwear.
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