Genital care explained #9
Most people wash their genitals incorrectly. Learn how to wash the right way, to help keep problems at bay.
This advice is for men, women and children.
Dermatitis, candida (thrush) or tinea infections can cause the genital skin to itch. Herpes and syphilis can also produce itch and soreness. It is important to see your doctor to get a diagnosis for your symptoms.
In general try to:
Avoid irritants: the more ingredients that a product contains, the more likely it will cause irritation. Anything that lathers (makes bubbles) will remove healthy oils from the skin
Potential irritants include:
Soaps, shower gels and bubble baths, “feminine” products Cleansing wipes (eg baby wipes) Daily use of panty liners (limit use of pads and panty liners to periods) Perfumed products, Tea tree oil and other disinfectants, medicated topical treatments (unless prescribed), Fabric softeners and douches. Don't douche the vagina (douche the anus isn't that healthy either).
Recommended washing of the genital skin:
As the genital skin and skin near the anus is very sensitive we recommend that you limit washing to once a day. Wash with water or use a soap substitute (multiple brands such as Dermol 200, E45 shower etc or use an unperfumed moisturiser (such as sorbolene or aqueous cream).
For men (males over 12 years of age), if you have a foreskin pull it all the way back when you pee as well as when you wash) - yes, every time!
Protect the skin and keep it dry: avoid prolonged wetness and moisturise skin if it is dry. Prolonged wetness (water, sweat or urine) weakens the skin and increases the risk of producing irritation, dermatitis and infection.
General recommendations include:
Remove wet swim wear or gym clothes promptly Carry spare underwear to change into if your underwear becomes damp. Fine merino (at hiking stores) or silk underwear wick away moisture quicker than even cotton. Otherwise cotton underwear (avoid black if there is a suspicion of dye allergy) Avoid synthetic underwear, could also use none if that's preferable to you.
If you experience urine or faecal incontinence or diarrhoea, use a barrier ointment to protect the skin and change continence pads regularly. Consider seeing a continence physiotherapist.
Consider protective ointments before exercise Ointments don’t contain preservatives, unlike creams, and are therefore less likely to be irritating. They also protect better against wetness than creams.
Use regular moisturisers such as Vaseline®, Dermeze®, Diprobase, and zinc paste. Decrease Friction or Rubbing: Try NOT to SCRATCH or RUB– keep cold water in the fridge to use as a cold compress
Skin damaged by friction and rubbing is more easily infected by common skin bacteria and yeasts that otherwise would not cause a problem.
Scratching can also lead to thickening of the skin and nerve fibres, which increases itching (itch-scratch cycle, especially at night and if you have a tendency to hay-fever and asthma).
To help decrease itching you can:
Avoid rubbing the genital skin with a washcloth or paper – use water if possiblePat dry rather than rubbing with a towel ( try a hairdryer on a cool setting)Avoid shaving and waxing the genital area
Avoid tight clothing Pads and liners can chafe as well as cause allergies
If you are scratching at night, cut your nails and wear loose underwear to bed. If you wake scratching, get out of bed and cool the skin. Keep cool – avoid electric blankets and hot showers/baths
Use distraction or relaxation techniques when you get the urge to scratch. You may find anti-histamines helpful. Try a once a day non-sedating antihistamine initially as well as using regularly a heavy moisturiser like diprobase.
Some general advice regarding sexual activity:
Water based lubricants are recommended with condoms but can dry to an irritating powder. Rinse off with water after use and moisturize as above. Experiment with various types of lubricants, eg Sylk, Pjur, KY
If condoms are not needed, vegetable oils will be less irritating and may lubricate for longer. These include: Almond, Olive, Coconut and Crisco veg oil.
It is important to be aware that oils can weaken condoms; - If a condom breaks – emergency contraception is still effective if used within 72-120 hours. Please also consider the risk of an STI.
Genital First Aid for moist inflamed and split skin:A fistful of salt in a bath (or 1 level teaspoon salt per litre of cool water as a soak on a cloth) pat dry Apply for 5-10 minutes. do this once a day only.
Don't use soap. If it is getting worse then see a sexual health doctor ASAP.