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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 spiral inserted into the uterus, can also cause inflammation.
“The danger of developing pelvic inflammatory disease is especially high in the first three months after birth control,” says Dr. Hitchcock. At this time, changes occur in the body, it adapts to a foreign object. The normal environment of the vagina changes, its protective properties decrease, and the reproductive system easily becomes infected. However, if the intrauterine device is inserted correctly and both partners are monogamous, the risk of contracting pelvic inflammatory disease does not increase. ”
Inflammation can also be caused by douching. Research in San Francisco showed that women who douched three or more times a month were at least three times more likely to get pelvic inflammatory disease compared to douches once a month. The doctors who conducted the studies were not able to 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 environment of the vagina in such a way that it ceases to be a reliable defense against pathogenic microorganisms that can cause inflammation. It is also suggested that during douching, pathogenic microorganisms 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 when taking a bath if hygiene is not followed.” Although doctors don’t know how infectious agents enter these organs, they suggest that cervical defense is compromised and pathogens gain access to the uterus and fallopian tubes. ”