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April 7, 1962

Household Detergents as Douches-Reply

Author Affiliations

Medical College of Georgia, Augusta, Ga.

JAMA. 1962;180(1):86-87. doi:10.1001/jama.1962.03050140088025

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To the Editor:—  The criticism, based on a statement taken out of context, is wholly unwarranted for it refers not to the main theme but to the supposition. It would appear that the protestor is looking for a forum to express his views and is attacking the wrong premise. A perusal of my reply will reveal these concluding statements: "Whether the continuous use of such a detergent would eventually interfere with the normal bacterial flora is unknown. Until such clinical studies are done and found, both harmless and beneficial, however, such detergents should not be used." Obviously, this consultant was not recommending or condoning the use of detergents as douching agents. A warning was sounded in my reply that, "The vaginal mucosa is subject to trauma, infections, and iatrogenic inflammatory reactions chemically induced from jellies, medicated suppositories, and strong douches." However, my awareness of the experience of a highly qualified

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