Proper Intimate Hygiene: Water vs. Cleansing Products - Obstetrics and Gynecology

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Intimate area cleansing


Hello, Doctor: I have always wanted to ask this question.
I often hear people say that it's enough to wash the intimate area with just water, but I still use intimate wash products because I feel that the genital area inevitably comes into contact with urine and feces.
Even if I clean it well and rinse with water, I still wonder if it is truly clean.
I've also heard that the external genitalia should be washed with a cleanser while the internal area should only be rinsed with water, which confuses me.
Thank you for your guidance!

En En, 20~29 year old female. Ask Date: 2022/04/11

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the questioner: It is generally advisable to wash the vagina with warm water, ensuring that the cleaning is appropriate, as excessive washing can disrupt the vaginal pH balance and reduce its natural antibacterial function.
Additionally, soaking in a basin or cleaning the external genitalia can help remove any secretions attached to the external reproductive organs, keeping the external genitalia dry and clean.
Thank you! Wishing you peace and health.
Dr.
Chang.

Reply Date: 2022/04/11

More Info


When it comes to intimate hygiene, the debate between using just water versus cleansing products is quite common. It's essential to understand the anatomy of the genital area, the natural flora that resides there, and the potential implications of using various cleansing methods.

Firstly, the external genitalia, or vulva, is designed to maintain a delicate balance of bacteria and pH levels. This balance is crucial for preventing infections and maintaining overall health. The vagina itself is self-cleaning, meaning that it has its own mechanisms to regulate cleanliness and maintain a healthy environment. The natural discharge helps to flush out dead cells and bacteria, which is why many healthcare professionals recommend that the internal vaginal area should not be washed with soaps or cleansers.

Using plain water for washing the external genitalia is generally sufficient for most individuals. Water is gentle and does not disrupt the natural flora or pH balance. However, if you feel that you need to use a cleansing product, it is crucial to choose one that is specifically formulated for intimate hygiene. These products are typically pH-balanced and free from harsh chemicals, fragrances, and irritants that could disrupt the natural balance.

Regarding your concern about cleanliness, it is understandable to feel that simply rinsing with water may not be enough, especially after using the restroom. However, the body has natural mechanisms to help keep the area clean. If you are using toilet paper effectively and maintaining good hygiene practices, rinsing with water should suffice. If you prefer to use a cleansing product, ensure that it is mild and designed for intimate use.

As for the distinction between cleaning the external and internal areas, it is indeed recommended to use water for the internal vaginal area and to be cautious with any products applied to the vulva. The external area can be washed with a gentle cleanser if desired, but it is essential to avoid excessive scrubbing or using products that could cause irritation.

In summary, while using water is generally adequate for maintaining intimate hygiene, using a gentle, pH-balanced cleansing product can be acceptable if you feel more comfortable doing so. Just be mindful of the ingredients and avoid anything that could disrupt your natural balance. If you have specific concerns or experience discomfort, it may be beneficial to consult with a healthcare provider for personalized advice.

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