
Doctors Shared Crucial Advice On How To Properly Clean "Down There" And It May Not Be What You Think
But misunderstandings about feminine hygiene and how to best clean 'down there' can be harmful and can lead to wasting money on unnecessary products. We asked health experts for the best way to keep vaginas and vulvas clean simply, without spending a fortune.
There's no need to routinely wash inside vaginas because they are 'self-cleaning ovens,' according to Dr. Karyn Eilber, a urogynecologist and co-author of ' A Woman's Guide to Her Pelvic Floor: What the F*@# Is Going On Down There? '
Lactobacilli, a type of natural bacteria that inhabits the vagina, produces lactic acid to keep the vaginal pH in the normal acidic range. This helps keep vaginas clean, explained Dr. Alyssa Dweck, a gynecologist and chief medical officer at Bonafide Health. Washing inside the vagina, which is also called douching, can disrupt the natural microbe and pH levels in the vagina, she said. Once this happens, it's possible to become irritated or develop infections.
That doesn't mean people need to take special precautions to keep cleansing products away from their vaginas completely. If a little soap or body wash gets into the vagina while bathing, it may be uncomfortable, but it's unlikely to be harmful, said Dr. Victoria Scott, a urogynecologist and one of Eilber's co-authors. If someone does accidentally get a cleanser in the vagina, they should gently flush it out with water from the showerhead, said Dr. Christine Greves, an obstetrician-gynecologist.
However, there is a rare exception.
Even though the insides of vaginas shouldn't be cleaned regularly, sometimes they need to be rinsed.
'It can be helpful to get water inside of the vaginal canal a bit when showering to help clean out blood or discharge from a yeast infection,' said Dr. Jennifer Anger, a urogynecologist. Anger explained that one can perform a cleanout as needed 'with a simple finger sweep while showering' by 'placing a wet finger inside to scoop out any blood or discharge.' You should not use soap or cleansers when performing a cleanout.
Do we need to wash around the vulva?
Unlike the inside of the vagina, the outside, called the vulva, is not self-cleaning. 'When you don't wash the vulva, it's like not cleaning other areas with glands and hair, like your armpits,' Eilber said. She recommends washing the vulva whenever someone bathes.
Dweck explained that, because yeast and bacteria tend to thrive in moist, dark environments like the vulva, poor vaginal hygiene can cause health issues. 'Not washing can lead to unpleasant odors, yeast infections, other infections, irritation, inflammation, swelling, and even cysts on hair follicles,' said Dr. Cecilia Zhang, an obstetrician/gynecologist at Atlantic Health System in New Jersey.
Because the vulva is delicate, Dweck emphasized that 'vigorous scrubbing is not needed,' and may be harmful. She recommended cleansing the vulva with hands or a soft washcloth. Both methods are effective, and which one someone uses is solely a matter of personal preference.
Greves recommended washing from front to back to prevent soap from getting into the urethra and to prevent contamination from the rectal area, which can cause urinary tract infections.
After washing, Anger said that it's important to use a towel to pat dry before putting on underwear to avoid excess moisture, which can lead to bacterial and yeast growth. She adds that sleeping without underwear is an ideal way to help keep the vagnial area dry throughout the night, which can help prevent irritation and infection. 'Allowing your vaginal area to breathe is important,' Zhang said.
According to Dweck, even with regular washing, vaginal scents are normal and may vary throughout someone's cycle. However, some vaginal odors may indicate an infection. Unusual odors or 'odor accompanied by unusual discharge, itching, irritation, bleeding, or pain is best evaluated by a health care provider,' she said.
It's not a great idea to reach for regular soap or body wash before cleaning down there. Some products contain ingredients that can disrupt the vulva's microbiome, leading to infection and irritation, so it's important to be thoughtful.
For most people, a simple warm water rinse is sufficient, Zhang said. However, for those who prefer using more than just water to wash, many gentle cleansers are safe, Zhang said. Additionally, water alone may not get rid of smells caused by sweating, so those who sweat a lot may need to use a cleanser, Greves explained.
When looking for a cleanser that is safe for vulvas, Scott recommended using 'gentle, pH-balanced, fragrance-free, hypoallergenic and preservative-free' products.
Specifically, she recommended avoiding products with parabens that can cause hormonal disruption. Scott also advised that one should avoid scented products, harsh detergents such as sodium lauryl sulfate, glycerin and glycol, antibacterial agents such as triclosan, petroleum-based ingredients and alcohol. 'Not only can these substances be abrasive and cause irritation, dryness and pain of the vagina and vulva, but they can alter the pH balance, which may predispose you to developing infections,' she said.
Even if a cleanser seems safe to use, if it causes any irritation, Dweck recommended rinsing the vulva with warm water and avoiding that product in the future. Greves emphasized that you don't need cleansers or soaps that claim to be made just for the vaginal area. Those are likely to cost more without any additional benefit.
When in doubt, Eilber said to keep things simple. 'Less is more when it comes to the vagina. Treat your vulva like delicate skin,' she said.
HuffPost.

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles


UPI
2 days ago
- UPI
Study: AI programs might help ER overcrowding in hospitals
New York researchers said artificial intelligence programs can help doctors and nurses predict hours earlier which ER patients will likely require hospital admission. File Photo by Thomas Maresca/UPI | License Photo Artificial intelligence programs can help doctors and nurses predict hours earlier which ER patients will likely require hospital admission, a new study says. An AI program trained on nearly 2 million patient visits became slightly more accurate than ER nurses in predicting which patients would need to be admitted, according to findings published Aug. 11 in the journal Mayo Clinic Proceedings: Digital Health. If this approach proves successful, it could help reduce overcrowding in hospital emergency departments, researchers say. "Emergency department overcrowding and boarding have become a national crisis, affecting everything from patient outcomes to financial performance," said lead researcher Jonathan Nover, vice president of nursing and emergency services at Mount Sinai Health System in New York City. "Industries like airlines and hotels use bookings to forecast demand and plan. In the ED, we don't have reservations," he continued in a news release. "Could you imagine airlines and hotels without reservations, solely forecasting and planning from historical trends? Welcome to health care." Up to 35% of ER patients who require admission wind up spending four or more hours biding their time in spare rooms or busy hallways awaiting a bed, a practice known as "boarding," according to a recent study in the journal Health Affairs. Worse, nearly 5% of patients wait a full day for a bed during the busy winter months, the earlier study found. "Our goal was to see if AI combined with input from our nurses could help hasten admission planning, a reservation of sorts," Nover said. "We developed a tool to forecast admissions needs before an order is placed, offering insights that could fundamentally improve how hospitals manage patient flow, leading to better outcomes." For the project, researchers trained the AI on more than 1.8 million ER visits that had occurred between 2019 and 2023. "By training the algorithm on more than a million patient visits, we aimed to capture meaningful patterns that could help anticipate admissions earlier than traditional methods," co-senior researcher Dr. Eyal Klang, chief of generative AI at the Icahn School of Medicine at Mount Sinai, said in a news release. The team then put the AI up against a cadre of more than 500 ER nurses in evaluating nearly 47,000 patient visits that occurred in September and October 2024 at six emergency departments in the Mount Sinai Health System. The nurses were asked to judge whether a patient would need hospital admission, after performing a quick triage. Researchers also fed the triage results to the AI, to see what it would predict. The nurses proved about 81% accurate in predicting which patients would need hospital admission, compared to 85% accuracy from the AI. "We were encouraged to see that AI could stand on its own in making complex predictions," co-senior researcher Robert Freeman, chief digital transformation officer at Mount Sinai Health System, said in a news release. "But just as important, this study highlights the vital role of our nurses -- more than 500 participated directly -- demonstrating how human expertise and machine learning can work hand in hand to reimagine care delivery." Researchers next plan to implement their AI into real-time workflows and monitor how the program affects boarding times and patient flow through the ER. "This tool isn't about replacing clinicians; it's about supporting them. By predicting admissions earlier, we can give care teams the time they need to plan, coordinate, and ultimately provide better, more compassionate care," Freeman said. "It's inspiring to see AI emerge not as a futuristic idea, but as a practical, real-world solution shaped by the people delivering care every day." More information The American College of Emergency Physicians has more on ER boarding and crowding. Copyright © 2025 HealthDay. All rights reserved.


News24
18-07-2025
- News24
Meet Juandré Klopper, the man giving public healthcare a lifeline
Conversations about South Africa's public health system are often defeatist, and the sector is usually painted with a dull brush. Many see the sector's issues as unsolvable, but Juandré Kopper has a different perspective. 'To work on a broken health system, some might say it's futile. It always seems impossible, until it is done,' Klopper told News24. He is the founder of Sponsor Medic, a non-profit organisation that aims to support the health system by raising donations and paying doctors to work in hospitals and clinics where the need is the greatest. Klopper grew up watching his grandfather serve Durban's poorest patients. Helping those who needed it most has become deeply tied to his purpose. 'I remember the story my father and my grandmother told me after his passing. One of his patients had a son who was doing very well in school, and my grandfather actually paid for him to go to university, study medicine and become a doctor himself.' In January 2024, South African healthcare facilities saw deep budget cuts in an attempt to sustain fiscal balance on a national scale. 'I printed my printer dry twice, sending out CVs.' This bittersweet, almost divine intervention allowed Klopper to lean into his side projects. 'Something that comes your way that looks like bad luck is actually a good thing sometimes.' Klopper started raising corporate and non-profit organisations' funds to allocate health workers to medical rooms under severe pressure, elevating emergency rooms and decreasing patient waiting times. So, Sponsor Medic was born for the sole purpose of public health facilities. In the short time Sponsor Medic has been in operation, it has helped more than 1 600 patients. 'I think the beautiful part of our work is that we don't necessarily see the impact we make because we prevent chaos. If we do our work correctly, things should just be going on as normal.' Inspired by Nelson Mandela's courage in the fight against apartheid, Klopper compared the late president to David in a David and Goliath fight. 'He took on a massive challenge, he took it on with a lot of courage, and a lot of humility, and that for me is inspiring, and it's worth remembering that what he did, he did for others, and he gave a lot of himself, so that other may live a better life, I think that is truly inspiring.'


Forbes
11-07-2025
- Forbes
The Most Expensive Medical Condition Is Not What You Think
Million Dollars Seamless Pattern with USD Dollar Sign. Raining money stack grunge background. ... More Horizontal version. In a minute, I'm going to ask you what the most expensive medical condition is in the American healthcare system. Before you guess, however, I'm going to explain what I mean by 'most expensive.' I'm not talking about cost per patient. Some people with cancer receive hundreds of thousands of dollars of chemotherapy per year, as do some children with rare genetic disorders. Instead, I'm referring to overall spending on a disease. That means it affects a lot of people for a long time, while being serious enough to generate plenty of medical bills. So, don't guess the common cold. It is common but it is also short-lived and inexpensive to treat. And don't guess something like multiple sclerosis. It's serious and expensive, but not common enough to make it into the top ten. Now it's time for you to guess. Don't read any further until you've committed yourself to an answer. I said don't read further! Did you guess heart disease? That is what I guessed before I researched the topic. It is a common disorder (a set of disorders, actually). It involves expensive treatments, like cardiac catherization and bypass surgeries. And it's chronic, too, even after those expensive treatments, because it still requires life long medications. But I was wrong to guess heart disease. It clocks in at number four, with 'only' $90 billion in spending (from a 2016 study, where these numbers come from). If you guessed diabetes, you were also wrong, but you did better than me. That disease came in at number three, with $111 billion of spending. (Take that myocardial infarction!) Now for the most expensive medical condition in the United States (drum roll……). It is low back and neck pain. Our frickin' spines plague us enough to cost over $130 billion per year. Even though I am a lifelong sufferer of low back pain, I was surprised that this chronic condition took the crown. It is true that back and neck pain sometimes lead to expensive treatments. I know this well, having received spinal surgery back in 1991. But most years, most people with back pain don't receive expensive surgeries. They take pain medications, perhaps attend physical therapy appointments, but they don't receive expensive chemotherapy or outrageously priced insulin. On the other hand, many people with back and neck pain receive X-rays and MRI tests, even when those tests are not helpful. They receive pain medicines, physical therapy appointments, trips to chiropractors; many miss work when experiencing a pain exacerbation. In addition, many receive surgery, and about half of those procedures are unnecessary. Half! Back and neck pain often afflict people in what should be the happiest and most productive years of their life. Our country needs to take back and neck pain more seriously, not just because these problems are expensive, but because they cause so much suffering. In 2021 the budget for the national cancer institute (NCI) was over $7 billion. The NCI is that portion of the NIH dedicated to conducting research on cancer. By contrast, the 2021 budget for NIAMS (the national institute for arthritis, musculoskeletal and skin diseases—yes, they even threw skin diseases into the mix!) was $685 million. That's only a tenth of the budget of the NCI. That funding disparity is flat out wrong. We need to invest in basic science and clinical research to address these painful, debilitating conditions. Instead, we are likely facing huge, across-the-board reductions in NIH funding, of up to 40%, because so many politicians have lost the will to fight for science funding. Americans spend more on low back and neck pain than on any other medical condition. Time for a commensurate investment in research to find ways to reduce the amount of suffering caused by chronic pain.