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Pelvic inflammatory disease and intrauterine contraceptives

Sexually transmitted infections are the most common cause of pelvic inflammatory disease, but not the only one. An intrauterine contraceptive, such as a helix inserted into the uterus, can also cause inflammation.
“The danger of developing pelvic inflammatory disease is especially great in the first three months after the introduction of a contraceptive, says Dr. Hitchcock. At this time, changes occur in the body, it adapts to an alien object. The normal environment of the vagina changes, its protective properties are reduced, and the reproductive system is easily infected. However, if the intrauterine device is inserted correctly and both partners are monogamous, the danger of getting pelvic inflammatory disease does not increase. ”
Inflammation can also be caused by douching. Studies in San Francisco showed that women who doused three or more times a month were at least three times more likely to get pelvic inflammatory disease compared to those who doused once a month. The doctors who conducted the studies could not state with certainty the reason why douching may make you more vulnerable to pelvic inflammatory disease, but they have a number of assumptions. One possible explanation is that douching can change the vaginal environment in such a way that it ceases to be a reliable defense against pathogens that can cause inflammation. It is also suggested that during douching pathogens from the vagina and cervix enter the uterus, where the infection develops.
"In addition, Dr. Hitchcock continues, reproductive organs can become infected with microorganisms that are usually present in the vagina and enter the vagina during bathing if hygiene rules are not followed." Although doctors do not know how pathogens penetrate into these organs, they suggest that cervical protection is impaired and pathogens gain access to the uterus and fallopian tubes. ”