Dermatologist: There's Nothing Wrong With Your Vulva and Vagina
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Dermatologist: There's Nothing Wrong With Your Vulva and Vagina
The skincare industry has spent decades convincing women their genitals need constant intervention. They don't.
If you've been living in Western society over the past five or six decades, you'd think vulvas and vaginas have a categorical health problem requiring ongoing intervention — intimate washes, scrubs, moisturizers, douches, hair removal protocols. This goes well beyond any old-fashioned view of sex being "dirty." This is a whole new level of problematizing a perfectly healthy body and selling fixes for problems that don't exist. Here's what actually matters — and what doesn't.
What the Industry Sells — and What's Actually True
Intimate Washes and Cleansers
There is no clinical basis for routine cleansing of the vulva with soap, intimate wash, or any detergent-based product. Do not use any cleansing product on the vulva — and absolutely never inside the vagina. The vagina is self-cleaning. Introducing soap or washes disrupts the natural microbiome, upsets the pH balance, and causes the irritation and odor problems they claim to prevent. Lukewarm water only — gentle rinsing, never strong streams. That is the full cleansing protocol.
Scrubbing and Exfoliation
Never exfoliate or scrub the vulva. Ever. For any reason. The vulvar skin and mucosal tissue is among the most sensitive skin on the body. Abrasion disrupts the barrier, causes micro-injuries, opens the door to infection, and creates the very dryness, irritation, and sensitivity it claims to address. There is no scenario in which scrubbing the vulva is appropriate.
Vaginal Moisturizers — Lotions, Creams, Gels
Dry vulvar skin is most commonly caused by cleansing, scrubbing, and hair removal. The fix is to stop those things first. If dryness persists, moisturize as needed with a thick oil-based occlusive — Butter Oasis or Butter Blossom. Tiny amounts go a very long way — be careful with quantities. Never use water-based lotions, creams, or gels — the preservatives, emulsifiers, and additives in those products can cause significant irritation on the vulvar mucosa.
Hair Removal
Not recommended. Pubic hair provides cushioning, reduces friction during intercourse, and likely helps reduce the risk of infection — bacterial through cuts and abrasion, and viral, specifically genital warts. If you choose to remove hair, use the least irritating method available: laser hair removal or a sharp razor with generous shaving foam. Never wax or shave and then exfoliate. Always follow hair removal with a small amount of Butter Oasis or Butter Blossom immediately after to allow the skin to recover.
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Proper Vulvar Care in a Nutshell
- Cleanse with lukewarm water only. No soap, no intimate wash, no product of any kind on the vulva or inside the vagina.
- Never exfoliate or scrub. Not ever. For any reason.
- If dry, moisturize sparingly with Butter Oasis or Butter Blossom — tiny amounts only. Stop whatever was causing the dryness first.
- Hair removal is optional — if you do it, use the least abrasive method and follow immediately with a small amount of occlusive balm. Never exfoliate before or after.
🩺 The Bottom Line
The vulva and vagina take care of themselves when you stop interfering with them. Lukewarm water. No cleansers. No scrubbing. A tiny amount of oil-based balm when needed. That is the complete protocol. Everything else is the matrix selling you a problem that doesn't exist.
✨ Gentle Enough for Your Most Sensitive Skin
Butter Oasis and Butter Blossom — oil-based, fragrance-free, minimal ingredients. Safe for vulvar skin. A little goes a very long way.
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Subscribe to Newsletter Get "Sick Skin" on AmazonDr. Yuval Bibi, MD/PhD
Board Certified Dermatologist
Thanks for reading and God bless.