Navigating changes in vulvar health.


*TLDR; Life brings many changes, including those to vulvar health. From puberty to menopause, understanding these changes is crucial. It's vital to prioritize self-care and have open conversations about vulvar health with healthcare providers.

*too long didn't read - a quick summary for busy folks.


Remember, life is not one size fits all, we’re all different.

Life is a journey filled with milestones, both big and small, expected and unexpected. From our first steps as infants to our career achievements and beyond, each stage brings new experiences and challenges. Yet, one aspect of our well-being that often goes overlooked in these discussions is vulvar health.


Why?
Skin is skin!


As vulva owners, our bodies undergo numerous changes throughout our lives, and our vulvar health is no exception. From puberty to menopause and everything in between, understanding these changes and how to care for our vulva is crucial for our overall well-being. 

To navigate these transitions with confidence and to feel informed is an essential tool, but it shouldn't be a luxury. Health information and education should be a given, not something we're surprised people know. As women, our bodies undergo numerous changes throughout our lives, and our vulvar health is no exception. From puberty to menopause and everything in between, understanding these changes and how to care for our vulvas is crucial for our overall well-being.

Below, we'll highlight some of the major changes you might experience during three hormonal milestones: puberty, pregnancy, and menopause. Remember, life is not one size fits all, we’re all different. And, as always if you have a health concern, talk to your primary care physician for individualized care.


The first big change is puberty.


As we move into adulthood, factors such as sexual activity, childbirth, and hormonal fluctuations continue to impact our vulvar health. From maintaining proper hygiene to addressing discomfort or infections, staying proactive and informed is key to promoting vulvar wellness.

Puberty marks the beginning of our journey into adulthood, accompanied by hormonal changes that affect the vulva. For many, this time may bring about questions and concerns about menstruation, hygiene, and the development of their vulvas.

  • Pubic hair: Don't be surprised if you start noticing some fuzz down there - as time goes on, that hair will become thicker and more abundant.

  • Labial growth: Alongside the growth of pubic hair, you might also notice changes in the appearance of your labia minora—the inner lips of the vulva. During puberty, these delicate tissues may undergo growth and development, becoming more prominent. It's essential to understand that these changes are a natural part of your body's development, reflecting the unique way in which your vulva is maturing.

  • Vulvar hyperpigmentation: Hyperpigmentation, the darkening of vulvar skin due to hormonal fluctuations, is a common occurrence during puberty, similar to how other areas of your body, such as your underarms or inner thighs, might darken.

If you don’t look, how will you be able to advocate at the Dr’s office if something has changed?

Next up, for those interested in childbirth.

Pregnancy and postpartum are significant milestones, often accompanied by changes in vulvar anatomy and function. From stretching and tearing during vaginal delivery to hormonal shifts postpartum, the vulva undergoes transformations that require attention and care

  • Increased discharge: Pregnancy often brings an increase in vaginal discharge due to hormonal shifts. To manage this, consider using breathable underwear and changing often.

  • Scar tissue: After childbirth, scar tissue may form following tears, episiotomies or stitches. Your healthcare provider should suggest treatments to speed up healthing, however pelvic floor physiotherapy might be a good option.

  • Breastfeeding and vaginal dryness: Hormonal changes during breastfeeding can lead to decreased vaginal lubrication. To address this discomfort, you may want to try a vulvar/vaginal moisturizer for daily use and a personal lubricant during intimate moments for enhanced comfort and pleasure.


The last major hormonal transition is through menopause.

Menopause brings its own set of changes, as declining estrogen levels can lead to vaginal dryness, irritation, and increased susceptibility to infections. It's essential to prioritize self-care during this stage, seeking out solutions such as moisturizers, vaginal hormones and lubricants to alleviate discomfort and maintain vulvar health.

  • Vaginal dryness: Vaginal dryness can lead to irritation and discomfort, especially during menopause. If you are experiencing challenges adjusting your wardrobe to accommodate, you might want to consider incorporating a vulvar moisturizer into your daily routine to relieve dryness and discomfort. For some individuals, a moisturizer alone may not be sufficient, and vaginal hormones might offer additional relief. Many find that using a vulvar moisturizer alongside vaginal hormone application can provide comprehensive relief.

  • Reduction in size of the labia and clitoris: During menopause, some may experience a reduction in the size of the labia and clitoris due to hormonal changes. While these changes are natural, they can sometimes cause discomfort or affect self-esteem.

  • Hypopigmentation of the skin: Hypopigmentation, or a loss of skin color, can occur in the vulvar area during menopause due to the loss of hormones.

Throughout these milestones and beyond, it's crucial to foster open, honest conversations about vulvar health with your primary health practitioner. It’s literally why we started IRIS, to build the conversation. Breaking down taboos and stigma surrounding topics such as vaginal dryness, itching, or pain can empower women to seek help and more importantly, take proactive and preventative steps to care for their vulvas.

As we celebrate life's milestones, let's not forget to prioritize our vulvar skin, not just the skin on our face and elbows. By staying informed, proactive, and unapologetic about our needs, we can embrace each stage of life with confidence and vitality. After all, our vulvar health is an integral part of our overall well-being, deserving of attention, care, and celebration at every turn.

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