Cervicovaginal secretions protect from human papillomavirus infection: Effects of vaginal douching

Objective: Cervicovaginal secretions (CVSs) are reported to protect against human papillomavirus (HPV) infection. Although vaginal douching is known to clear both viral inoculants and CVSs, its effect on CVSs in women with HPV infection is unknown. Materials and Methods: The in vitro HPV pseudovirus...

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Main Authors: Tang-Yuan Chu, Ying-Cheng Chang, Dah-Ching Ding
Format: Article
Language:English
Published: Elsevier 2013-06-01
Series:Taiwanese Journal of Obstetrics & Gynecology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1028455913000715
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author Tang-Yuan Chu
Ying-Cheng Chang
Dah-Ching Ding
author_facet Tang-Yuan Chu
Ying-Cheng Chang
Dah-Ching Ding
author_sort Tang-Yuan Chu
collection DOAJ
description Objective: Cervicovaginal secretions (CVSs) are reported to protect against human papillomavirus (HPV) infection. Although vaginal douching is known to clear both viral inoculants and CVSs, its effect on CVSs in women with HPV infection is unknown. Materials and Methods: The in vitro HPV pseudovirus infection system was used to test the protective activity of CVSs against HPV infection in samples collected before and after vaginal douching. To simulate different time points of vaginal douching in relation to viral exposure, the cell CVS reconstitute was washed after different viral exposure durations. Results: In the CVSs of premenopausal and postmenopausal women who did not perform douching, the CVSs inhibited HPV infection by 56.7 ± 1.8% and 53.6 ± 2.5%, respectively; in women who had performed douching, the CVSs inhibited HPV infection by only 31.2 ± 7.1%, which was significantly lower (p < 0.01). Cell washing effectively cleared 60–90% of the infectious load with the greatest activity occurring within 30 minutes after inoculation. In the presence of CVSs, a sustained inhibition of HPV infection existed for up to 8 hours after HPV exposure, and cell washing increased the clearance to up to 82–93% of the infectious load. Conclusion: This study confirms the protective activity of CVSs against HPV infection regardless of age. In this in vitro study, the net effect of douching was found to be beneficial.
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spelling doaj.art-084971da9529471ea51344b0baebb02d2022-12-22T01:21:46ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592013-06-0152224124510.1016/j.tjog.2013.04.015Cervicovaginal secretions protect from human papillomavirus infection: Effects of vaginal douchingTang-Yuan Chu0Ying-Cheng Chang1Dah-Ching Ding2Department of Obstetrics and Gynecology, Buddhist Tzu Chi General Hospital, Tzu Chi University, Hualien, TaiwanCervical Cancer Prevention Center, Buddhist Tzu Chi General Hospital, Hualien, TaiwanDepartment of Obstetrics and Gynecology, Buddhist Tzu Chi General Hospital, Tzu Chi University, Hualien, TaiwanObjective: Cervicovaginal secretions (CVSs) are reported to protect against human papillomavirus (HPV) infection. Although vaginal douching is known to clear both viral inoculants and CVSs, its effect on CVSs in women with HPV infection is unknown. Materials and Methods: The in vitro HPV pseudovirus infection system was used to test the protective activity of CVSs against HPV infection in samples collected before and after vaginal douching. To simulate different time points of vaginal douching in relation to viral exposure, the cell CVS reconstitute was washed after different viral exposure durations. Results: In the CVSs of premenopausal and postmenopausal women who did not perform douching, the CVSs inhibited HPV infection by 56.7 ± 1.8% and 53.6 ± 2.5%, respectively; in women who had performed douching, the CVSs inhibited HPV infection by only 31.2 ± 7.1%, which was significantly lower (p < 0.01). Cell washing effectively cleared 60–90% of the infectious load with the greatest activity occurring within 30 minutes after inoculation. In the presence of CVSs, a sustained inhibition of HPV infection existed for up to 8 hours after HPV exposure, and cell washing increased the clearance to up to 82–93% of the infectious load. Conclusion: This study confirms the protective activity of CVSs against HPV infection regardless of age. In this in vitro study, the net effect of douching was found to be beneficial.http://www.sciencedirect.com/science/article/pii/S1028455913000715cervicovaginal secretionhuman papillomavirus infectionvaginal douche
spellingShingle Tang-Yuan Chu
Ying-Cheng Chang
Dah-Ching Ding
Cervicovaginal secretions protect from human papillomavirus infection: Effects of vaginal douching
Taiwanese Journal of Obstetrics & Gynecology
cervicovaginal secretion
human papillomavirus infection
vaginal douche
title Cervicovaginal secretions protect from human papillomavirus infection: Effects of vaginal douching
title_full Cervicovaginal secretions protect from human papillomavirus infection: Effects of vaginal douching
title_fullStr Cervicovaginal secretions protect from human papillomavirus infection: Effects of vaginal douching
title_full_unstemmed Cervicovaginal secretions protect from human papillomavirus infection: Effects of vaginal douching
title_short Cervicovaginal secretions protect from human papillomavirus infection: Effects of vaginal douching
title_sort cervicovaginal secretions protect from human papillomavirus infection effects of vaginal douching
topic cervicovaginal secretion
human papillomavirus infection
vaginal douche
url http://www.sciencedirect.com/science/article/pii/S1028455913000715
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AT dahchingding cervicovaginalsecretionsprotectfromhumanpapillomavirusinfectioneffectsofvaginaldouching