The nurse instructs a sexually active teenager that frequent douching can cause:
a. a sexually transmitted infection.
b. bacterial vaginosis.
c. pelvic inflammatory disease.
d. purulent vaginitis.
B
Bacterial vaginosis is caused when frequent douching changes the pH of the vaginal vault and creates an environment conducive to bacterial invasion. Sexually transmitted infections are not transferred by douching. Pelvic inflammatory disease is a condition that most often results from an untreated infection. Vaginitis is an inflammatory condition that does not result from douching.
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