Care of the Vulva

This information is relevant to anyone suffering from vulval symptoms; whether it be itching, soreness or burning pain. Looking after the vulva is an essential part of management of all vulval conditions.

• Avoid contact with potential irritants
• Do not over-clean the area (once daily is optimal)
• Try not to scratch
• Keep the skin well moisturised
• Apply topical treatments as directed by your specialist
• Use an appropriate vaginal lubricant with intercourse as recommended by your specialist

• Do not use perfumed / soapy products
• Do not use feminine wipes / toilet wipes
• Wear loose clothing rather than tight trousers or jeans
• Wear cotton underwear
• Avoid wearing pyjamas and underwear in bed
• Where possible avoid pantry liners / sanitary towels and, when necessary, choose products without chemicals
• Seek treatment for urinary incontinence

Do not over-clean the area
Many women with vulval conditions feel unclean and have a tendency to over-wash / douche. This practice can actually do more harm than good as it disrupts the skin’s natural bacterial makeup making the area feel more irritated. Best advice is to have a warm bath daily.

Try not to scratch
Easy to say! The problem with scratching is that it leaves the skin more sore and damaged. It is important to keep finger nails short and avoid nail varnish. If scratching at nighttime is an issue, wear cotton gloves in bed. Rather than itching the vulva, try applying some moisturiser that has been kept in the fridge or some ice that is wrapt in a thin cloth.

Keep the skin well moisturised
This will help condition the skin and a moisturiser should be applied at least once daily. Your specialist will advise a good emollient to use.

Apply topical treatments as directed by your specialist
Although it can be tempting to apply a range of treatments to the vulva, often, less is more. Your specialist may prescribe some ointment to use and it is important to follow the advice regarding application. Medication will be reviewed at each visit.

Use an appropriate vaginal lubricant with intercourse
Patients with a vulval condition often find that it also has an impact on their ability to have intercourse. Arousal, in particular, can be affected especially when a woman experiences pain with sex. A natural water based lubricant is ideal and your specialist can discuss this in more detail with you.