The Area Almost Nobody Talks About: An Honest Guide to Vulvar Health

Itching, redness, changes in the skin of the vulva... these are reasons to see a doctor that many women put off out of embarrassment, even though they are as routine as checking a mole. Knowing your own anatomy and its normal changes is, quite simply, basic self-care.

The most common causes: infections and irritation

Yeast infections are the most common cause of vulvar itching, redness and swelling, especially in women with diabetes or who are taking antibiotics. Another very common and, fortunately, very avoidable cause is contact dermatitis: irritation caused by scented soaps, panty liners, synthetic underwear or intimate hygiene products.

What the evidence says

• Many specialists recommend a regular vulvar self-examination, ideally once a month, just like a breast self-exam, to spot changes early.
• Avoiding scented soaps, panty liners, synthetic underwear and vaginal douching significantly reduces the risk of irritation and disruption of the vulvovaginal microbiota.
• Any persistent spot, lump or colour change on the vulva should be checked. Most causes are benign, but early detection matters.

What to avoid (and why)

• Vaginal douching: it disrupts the microbiota and increases the risk of infection.
• Synthetic or tight underwear, or wet swimsuits worn for hours.
• Scented or dyed toilet paper.
• Talcum powder, intimate deodorants and hygiene sprays: they're not necessary.

When to see a doctor

Persistent itching, changes in skin colour, lumps, unusual bleeding, or any sore that doesn't heal within a reasonable time deserve a gynaecological consultation, without putting it off out of embarrassment.

Dr. Alma García, Vive Tu Balance

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