Over the counter vaginal cleansing products are part of a growing market. In the United States, for example, consumers spend over two billion dollars a year on douches, deodorant sprays, washes, personal wipes, and powders [1]. Advertising for these types of products tends to construct vaginal cleansing as both desirable and trendy for women [2]. Perhaps more concerning, the advertising of vaginal cleansing products often suggests to women that they are necessary for vaginal hygiene. This messaging is typically conveyed using terms like 'clean' and 'fresh' in product names and descriptions. For example, products like Vagisil Clean Scent Feminine Wash, RepHresh Clean Balance Douche, Summer's Eve Fresh Scent Douche, and Femfresh Freshness Deodorant all demonstrate the use of this 'clean and fresh' marketing [3]. The implied association in this branding between product use and vaginal cleanliness/freshness capitalizes on cultural messages that women's bodies are problematic, unclean, inadequate, and require intervention through the use of cosmetic products to improve their bodies [4-6]. These messages are not new and are linked to a long history of vaginal douches first being commercialized and marketed to women in the United States during the 20 th century as a form of vaginal deodorization, freshness, and cleanliness [7]. There has been accumulating evidence to suggest that many vaginal cleansing products have adverse health effects. The harms of douching, in particular, have been documented since the 1980's [e.g. 8]. Some of these early medical studies connected adverse health outcomes to the added antibacterial ingredient hexachlorophene in douches which can cause nausea, vomiting, spasms, coma, and even death [7]. While the Food and Drug Administration (FDA) banned the use of hexachlorophene in cosmetics in the USA in 1971, over-the-counter douches today continue to be linked to adverse health effects; yet they are widely sold throughout Canada, the United States and internationally [7,9]. Adverse health effects include bacterial vaginosis, cervical cancer related to increased risks of contracting human papillomavirus infection (HPV), upper genital tract infections which can result in tubal factor infertility and ectopic pregnancy among others [10-14] As most research in this context has focused on douches, much less is known about the health effects of other vaginal cleansing products despite the fact that products like vaginal wipes and sprays are used very commonly by women. For example,