Normal physiologic vaginal douches

Abstract

From these studies one might conclude that alkaline or weak acid (hypoacidity) douches are contraindicated because there is a resulting hypoacidity and alkalinization (the pH approaching the alkaline side of the pH scale) when there are pathologic changes in the vagina. The correct amount of buffer as well as the correct amount of surface-acting agents (exploding agents), vaginal adhesives and correct pH must be determined by direct studies of the medication in the vagina in the presence of the pathologic secretions, pathogenic microorganisms and all the pathologic changes found within the vaginal walls. This test must not be done in test tubes. The action of the douche presented herein has been studied in the infected vagina over 1,000 times. Most alkaline douches favor the growth of pathogenic vaginal microorganisms. Patients with leukorrhea or vaginal soreness should be instructed at first to use one to two tablespoonfuls of this douche powder in her douche bag until she can get to her physician. One tablespoonful of the powder is used for an ordinary cleansing douche. The patient is instructed to lie down in the bath tub and to hold the lips of the vagina against the nozzle in order that the vagina be distended. The solution should be retained for five to ten minutes or longer, and warm water should be used. The douche can or bag should be hung or set as high as the present day commode tank which is two to three feet high. Even in cases of sterility, soda alkaline douches are contraindicated. No vaginal douche with a pH of 3.0 or higher is advocated. Most women still douche and will continue to douche, even if the physician instructs her not to douche, if they feel that their vagina is not clean. A woman cannot hurt her vagina by using a normal physiologic douche even if she uses it four to eight times daily. If a woman wishes to douche, let her douche, because it produces in her mind the same psychologic feeling as one obtains from bathing or brushing one's teeth. A correctly acidified and correctly buffered, normal physiologic douche powder has been presented.