Vulvar skin care guidelines

The goal is to promote healthy vulvar skin. You can do this if you reduce or get rid of:

• Chemicals
• Moisture
• Rubbing

We suggest these products and actions because of their past success in helping to lessen or relieve vulvar/vaginal burning, irritation, or itching.

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Laundry products

• Use the detergent brand All Free Clear™ on all laundry that goes into your washer:
  • Use it for each load.
  • Do not substitute.
  • Use 1/3 to 1/2 of the suggested amount of detergent per load.
  • Use the smallest amount of detergent with a high efficiency washer.
  • Rinse your clothes 2 times.
• Do not use fabric softeners or dryer sheets.
  • You may use dryer balls.
  • Do not use wool dryer balls.
• Hand wash your underwear if you use a shared washer or dryer (such as a laundromat, apartment, or dorm).
  • Line dry your underwear.

Stain removal products and bleach

• If you have used a stain removal product:
  • Soak and rinse in clear water all underwear and towels on which you have used it.
  • Then wash in your regular washing cycle using All Free Clear™.
  • This removes as much of the product as you can.

Clothing

• Wear white, all cotton underwear. Cotton lets air in and moisture out.
• Do not wear nylon underwear with a cotton crotch.
• Do not wear thongs.
• Do not wear underwear when sleeping at night.
  • Wear loose fitting cotton boxers or cotton pajama bottoms are fine.
• Do not wear pantyhose.
• If you must wear pantyhose:
  • Cut out the diamond crotch.
  • Leave about 1/4 inch of fabric from the seam to keep it from running.
  • Wear thigh high hose.
• Do not wear tight clothing.
• Do not wear clothing made of synthetic fabrics.
• Take off wet clothing as soon as you can.

Bathing

• Do not use bath soaps, lotions, or gels that have perfumes.
  • Even products marked “gentle” or “mild” can have perfumes.
• You and all sexual partners should use these soaps:
  • Dove for Sensitive Skin™
  • Neutrogena™
  • Basis™
  • Aveeno™
  • Pears™
• Do not use soap directly on the vulvar skin.
  • Use warm water.
• Do not use bubble bath, bath salts, and scented oils.
  • You may use an unscented oil or lotion on skin after bathing.
• Do not put lotion on your vulva.
• Do not scrub vulvar skin with a washcloth.
• Pat dry.
  • You may use a hair dryer on a cool setting.

Baking soda soaks

• Do not soak in hot water.
• Use 4 to 5 tablespoons of baking soda for itching and burning.
• Soak 1 to 3 times a day for 10 minutes.
• Use 1 to 2 teaspoons of baking soda if you are using a sitz bath.

Hygiene

• Use white, unscented toilet paper such as:
  • Scott
  • Angel Soft
  • 7th Generation
• Do not use toilet paper with aloe.
• Do not use “ultra-soft” or “ultra-strong” toilet paper.
• Do not douche.
• Do not shave or use hair removal products:
  • You may use scissors to trim the pubic hair.
  • You may have laser hair removal.

Personal product hygiene

• Do not use hygiene sprays, perfumes, adult, or baby wipes.
  • You may use Tucks (witch hazel) hemorrhoid pads.
  • You can use WaterWipes™.
  • You may pour lukewarm water over the vulva while you pee for burning.
• Do not use deodorized pads and tampons.
• Tampons when your blood flow soaks 1 tampon in at least 4 hours.
  • They may cause vaginal infections, more discharge, odor, or rarely, toxic shock syndrome if worn too long or when blood flow is too light.
• Use pads that have a cotton liner that touches your skin.
  • Do not use pads with a nylon mesh weave.
    • Nylon traps moisture.
  • We suggest using:
    • Stayfree™
    • Carefree™
    • 7th Generation™
  • For urine leakage, use a pad designed to collect urine.

Ointments and creams

• Do not use over-the-counter creams or ointments until you ask your health care team.
  • Use ointments that are paraben-free and fragrance-free.
• You may use a skin protectant on your vulva as often as you need. We suggest that you use a thin layer of:
  • Extra virgin olive oil
  • Vegetable oil
  • Coconut oil
  • Zinc oxide ointment
  • White petrolatum (Vaseline™)
• It also helps to lower skin irritation during your period and when you pee.

Staying dry

For people who have problems with chronic dampness:

• Do not wear pads daily.
• Choose cotton fabrics when you can.
• Keep an extra pair of underwear with you and change if you are damp.
• Gold Bond™ or Zeasorb (AF) ™ powder may be used 1 to 2 times per day to help absorb moisture.
• Do not use powders with cornstarch.

Sex

• You may help dryness and irritation during sex by using a lube.
  • Silicone-based lubes such as Uberlube™ work well.
• Use a small amount of a pure vegetable oil (solid, liquid, or extra virgin olive oil).
• Over-the-counter water-based lubricants tend to dry out before sex is over.
  • This may cause small tears in your vagina.
  • They may have chemicals that can irritate.
• Use a:
  • A non-lubricated, non-spermicidal condom
  • Pure extra virgin olive oil or vegetable oil (solid or liquid).

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This will help keep semen off the skin. It will lessen burning and irritation after sex.

Talk about birth control options with your provider.

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