The vulva, the external part of the female genitalia, plays a crucial role in overall health and well-being. Keeping it healthy is essential for comfort and preventing infections. However, the vulval skin is particularly sensitive due to its thin, delicate nature and constant exposure to moisture and friction. As a result, it is prone to irritation, itching, and discomfort.
Many people unknowingly make mistakes in their vulval care routine, leading to skin issues. Common mistakes include using harsh soaps, wearing tight clothing, over-washing, and using fragranced hygiene products. Understanding the best ways to care for this sensitive area can help prevent irritation and promote long-term optimal vulval health.
How to Maintain a Healthy Vulva
Cleansing
- Use water or a soap-free wash like QV Wash or Cetaphil.
- Avoid soaps, bubble baths, douches, and fragranced feminine washes, which can disrupt the natural pH balance and cause irritation.
- Rinse thoroughly and pat dry after washing.
Clothing Choices
- Wear breathable cotton underwear instead of synthetic fabrics, which can trap moisture and cause irritation.
- Avoid G-strings, nylon bike pants, and tight clothing, as these can contribute to friction and discomfort.
Menstrual Care
- Where possible, opt for tampons, menstrual cups, or period underwear instead of pads, which can retain moisture and cause irritation.
- Avoid using panty liners as a daily hygiene measure unless medically advised, as they can also contribute to unnecessary moisture retention.
Drying and Hygiene
- Pat the vulva dry after washing instead of rubbing, which can cause micro-irritations.
- A hairdryer on a low, cool setting can be used to help with drying, especially for those prone to irritation.
- Avoid using wet wipes, as they often contain irritants. If necessary, substitute with a damp cloth or apply sorbolene to toilet paper for gentle cleansing.
- Use a gentle, fragrance-free laundry detergent for underwear and avoid harsh additives like Napisan, Dettol, or Canesten wash.
Managing Moisture & Friction
- Rinse the vulva immediately after sweating or swimming using a bidet or shower to remove potential irritants like chlorine or sweat.
- If you are prone to irritation, consider applying a barrier cream before exercise or swimming to protect the skin from friction and moisture buildup.
If Your Vulva Is Irritated
First Steps to Soothe Irritation
- Stop using anti-fungal creams unless prescribed by a doctor, as they can sometimes worsen irritation when used incorrectly.
- Apply a fragrance-free barrier cream such as Vaseline, Dermeze, QV Sting-Free Ointment, Epaderm, or Sudocrem regularly, including after using the toilet, to create a protective layer on the skin.
- Use 1% hydrocortisone ointment for short-term relief of itching and irritation. However, if symptoms persist or worsen, seek medical advice before continuing use.
- Avoid activities that increase irritation until it settles, such as sexual intercourse, cycling, swimming, and any activity that leads to heavy sweating or friction.
- Try soothing home remedies such as sitz baths, vinegar baths, or applying cool packs to the area for relief.
When to See a Doctor
While vulval skin issues can be often be managed with proper self care and optimal hygiene, there are times when professional medical advice is necessary. Seek medical attention if:
- Symptoms persist despite following proper care practices.
- You experience new and persistent redness, swelling, sores, or unusual discharge.
- You have recurrent infections, itching, or discomfort that does not improve.
- You notice changes in skin color, texture, or the development of lumps that do not go away.
- You suspect an allergic reaction or an underlying skin condition such as lichen sclerosus or eczema.
Conclusion
By following these vulval care practices, you can maintain healthy skin, prevent irritation, and know when to seek medical advice if necessary. Your vulval health is an important part of your overall well-being, and simple, gentle care routines can make a significant difference. If in doubt, always consult a healthcare professional for guidance.
Book an appointment with Women's Health GP Dr Brodie Thorpe at FitRight HQ
Dr Brodie Thorpe (MBBS FRACGP) is a General Practitioner working out of FitRight HQ. Her skill set is specially placed to manage vulval skin disorders, with special interests in primary care dermatology and women’s health.
In addition to holding Fellowship of the Royal Australia College of General Practitioners, she has completed the FPAA Certificate in Reproductive and Sexual Health and the Australian College of Dermatologists Advanced Certificates in Skin Cancer and General Dermatology. As part of her practice she sees many women with vulval dermatological conditions and enjoys managing this often overlooked area of women’s health.
