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Use of lemon or lime juice douches in women in Jos, Nigeria

Use of lemon or lime juice douches in women in Jos, Nigeria,10.1071/SH04055,Sexual Health,Godwin E. Imade,Atiene S. Sagay,Viola A. Onwuliri,Daniel Z.

Use of lemon or lime juice douches in women in Jos, Nigeria   (Citations: 14)
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Objective: To describe the use of lemon/lime juice for douching by female sex workers (FSWs) and family planning clients (FPCs) in Jos, Nigeria. Method: A total of 300 sexually active women comprising 200 FSWs and 100 FPCs were interviewed in June 2004 to determine the mode and rationale for the use of lemon/lime juice for sex. Result: Majority of the women 167/300 (55.7%, 95% CI = 50-61%) i.e. 163/200 (81.5%, 95% CI = 75-87%) FSWs, 4/100 (4%, 95% CI = 1-10%) FPCs used vaginal lemon/lime douches. Lime juice was used by 105/167 (62.8%, 95% CI = 55-70%), lemon juice by 30/167 (18%, 95% CI = 12-25%) or a mixture by 18/167 (10.8%, 95% CI = 7-25%). The juice was used either neat 44/167 (26%, 95% CI = 20-34%) or diluted in water 75/167 (45%, 95% CI = 37-53%) either before or after sex. Nineteen per cent (32/167) found the juice painful. Over half of the women believed that it protected them from pregnancy and/or sexually transmitted infections; they did not know their HIV status. Eighty-six per cent would recommend it to others, and 71% would be willing to take part in a study to evaluate its safety and efficacy. Conclusion: Lemon and lime juice are widely used for douches among women at high risk of HIV transmission. There is an urgent need to determine whether or not this practice promotes or prevents HIV infection.
Journal: Sexual Health - SEX HEALTH , vol. 2, no. 4, 2005
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    • ...For example, lemon and lime juices have historically been introduced into the vagina to prevent pregnancy or sexually transmitted diseases [8-11], The contraceptive properties of lemon and lime juice were scientifically validated since it was shown that the acidic pH in lemon-based drinks decreases sperm motility [12]...
    • ...In June 2004, 56% of 300 sexually active Nigerian women interviewed reported use of vaginal lemon/lime juice douches used neat or diluted in water before or after sex [8]...

    Carol S Lackman-Smithet al. Safety and anti-HIV assessments of natural vaginal cleansing products ...

    • ...A recent survey of female sex workers (FSW) in the city of Jos, Nigeria reported that up to 80% of them regularly used LiJ/LeJ douches either before or after sex, and of those 68.6% used lime, 19.6% lemon and 11.8% used both [11]...
    • ...Whilst the use of LiJ may appear to be acceptable to Nigerian FSW [11], data from clinical studies have already raised questions as to its safe use in areas of high HIV prevalence...
    • ...Nineteen percent of women in the Nigerian cohort reported pain following the use of LiJ/LeJ [11], however no information was acquired about less "serious" but uncomfortable side effects such as vaginal dryness, itching or burning...
    • ...This is emphasized by reports that up to 19% of women found the use of LiJ as a douche painful [11]...

    Patricia S Fletcheret al. Preclinical evaluation of lime juice as a topical microbicide candidat...

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