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A Longitudinal Study of Vaginal Douching and Bacterial Vaginosis-A Marginal Structural Modeling Analysis
American Journal of Epidemiology, 07/07/08

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Brotman RM et al. - Findings indicate that douching confers increased risk of disruption of vaginal flora. In the absence of a large randomized trial, these findings provide the best evidence to date for a risk of bacterial vaginosis associated with douching.

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