This study showed that douching was more common among women with bacterial vaginosis than among women with normal or intermediate flora, an observation that had been made previously. Surprisingly, the current study found that douching was related to endometritis or UGTI in women with normal or intermediate vaginal flora, but not in women with bacterial vaginosis. Although previous reports examined the issue of chlamydial PID and douching, the current study was the first to examine directly the relation between douching and PID by type of vaginal flora including the bacterial vaginosis type