Health – Protect your privates
A panel of experts debunks myths and provide answers to those awkward questions you may hesitate to ask your doctor about your lady parts.
We all have those nagging questions we would like to ask a gynaecologist or health practitioner about our private parts but feel embarrassed to. For example, how exactly do you take care of your lady parts? How do you know when something is wrong and when should you be worried? As a rule, you should visit a gynaecologist at least once a year when you’re over the age of 25. But, as soon as you’re sexually active, you should have a pap smear once every year to check for cervical disorders. According to the Cancer Association of South Africa, one in every 39 women in the country will be diagnosed with cervical cancer, and it’s the second-most common form of cancer that affects women.
We spoke to Dr Tom Mokaya, a specialist obstetrician and gynaecologist, Dr Joanne Pottow, gynaecologist and fertility specialist at MedFem Clinic, and Monique Piderit, a registered dietician and nutritionist at Nutritional Solutions, about how to take care of your vagina.
Is douching and steaming good for you?
The vagina is very effective at cleaning itself. Any aggressive cleansing regime can do more harm than good, says Dr Mokaya. “Steam carries the risk of burning the vagina as it’s usually hot. Excessive douching (also done with steaming) can alter the normal vaginal flora (healthy bacteria), which can result in a discharge, itchiness, swelling or bacterial vaginosis. There are instances where gentle douching can be beneficial such as cleansing during periods.” Consult with a health professional before doing it yourself.
Are feminine hygiene products really worth it?
For occasional use and specific times, gentle cleansers may have a place in keeping the vagina clean, Dr Mokaya explains. “This shouldn’t be used excessively as the risk of altering the vaginal flora remains. In the case of persistent or foul-smelling discharge, a visit to a medical doctor for testing would be recommended.” He continues: “Many doctors concur that while using vaginal wipes, gels, pills and washes may not be toxic, they do create an unnecessary risk for yeast infections, pelvic inflammatory disease and bacterial vaginosis.”
What should women remember about hygiene products?
“These products can alter the normal vaginal pH. They contain caustic substances or products that one may be allergic to. Cleaning substances should not be inserted into the vagina, but one can use a gentle soap for the labia (outside part of the vagina), which should be patted dry with a towel after completion of taking a shower or bath,” adds Dr Mokaya.
When is vaginal discharge problematic?
Having a vaginal discharge is normal depending on the time of the month, says Dr Pottow. “If the smell is offensive, the colour changes or textures or the amount of discharge is profuse, then it’s best to see a medical practitioner.”
Why should you exercise your vaginal muscles?
“Ensuring the pelvic floor muscles are kept in top condition, will result in a healthy vagina. Regular walking and Kegel exercises are good for the pelvic floor muscles. There are no medicines that can be used to ‘tighten’ the vagina despite what some women may believe,” warns Dr Pottow.
Can you use Botox on the vagina?
“Yes. It’s done for women who have a condition called vaginismus (when the vaginal muscles spasm or squeeze up) which makes having sex or even inserting a tampon very painful or impossible. If you have these symptoms, it’s best to ask a gynaecologist to assist and treat you further,” explains Dr Pottow. Vaginal botox makes the vagina less sensitive.
What causes yeast infections?
The normal flora of the vagina changes under the influence of circulating oestrogens, so the balance between health and disease of the vagina is a delicate one, Dr Pottow continues. “The use of strong smelling soap and douching can change the balance, presenting an opportunity for infections. All women of reproductive age will have a normal physiological discharge and this varies throughout their cycle. But, 75% of women will have a discharge secondary to candidiasis (vaginal thrush) at some point in their reproductive cycle. One of the most common vaginal infections is Candida, a yeast-like fungus. There are many different species of Candida, the main agent is Candida albicans, of which all the species may cause the same symptoms, but require different treatment.” Dr Pottow says if you’re concerned, visit your doctor who can observe and treat you. If there’s uncertainty or the treatment’s not working, the doctor may do a high vaginal swab to determine the exact cause of the discharge and then give the appropriate treatment,” Dr Pottow says.
What are the signs of Endometriosis?
Possible causes or symptoms include heavy or painful periods, pain during intercourse and pain with bowel movement or urination. “Endometriosis affects many women and can lead to pregnancy complications and infertility for some. Noncancerous tumours in the wall of the uterus or uterine fibroids and an abnormal structure of the uterus can be another sign. Also the excessive growth of the lining of the uterus (endometrial hyperplasia) caused by a hormonal imbalance, and non-cancerous tumours growing out of the lining of the uterus (endometrial polyps). That’s why regular doctor visits are important. Contact your doctor if you experience anything you’re concerned about,” suggests Dr Mokaya.
What foods can you eat for a healthy vagina?
Aim to include a variety of healthy unprocessed foods, says registered dietician Monique Piderit. “Exclude foods and drinks that are high in sugar, and refined starches. Taking a probiotics supplement may increase the number of healthy bacteria, helping to counterbalance the Candida. This enhances immune function and increases resistance to infection. Low-fat plain yoghurt can be enjoyed as a natural source of live cultures,” Piderit says. Our panel of experts conclude by saying that you should establish a relationship with a health professional so you can feel at ease.