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Clean your box!!

casavant

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Importance of Proper Feminine Hygiene

Baby girls are born with special glands that are located on the inner surfaces of the clitoral hood. These glands produce an oily substance called sebum that lubricates the glans of the clitoris. The glans of the clitoris is the end or the tip of the clitoris that is sometimes exposed or can be exposed when you retract the clitoral "hood." The clitoral hood is that portion of the vulva where the labia minora come together above the vagina and urethra and looks like an inverted "v" ^ . The clitoral hood protects the clitoris and in particular, the glans of the clitoris which is very sensitive.

The sebum that comes from the glands that surround the clitoris produces a shiny appearance on the glans of the clitoris. When the sebum or oily substances are not regulary cleaned or bathed away, it accumulates, and then it is called smegma. Smegma has a white cheesy appearance, that becomes sticky and begins to adhere to the skin surrounding the vulva with greater, the longer it is not cleaned or washed away.

Without proper care and hygiene, the smegma will collect under the hood that covers the clitoris and the glans of the clitoris, which can result in pain, irritation and/or inability to experience orgasm. When the smegma is not properly cleansed from the vulva, and in particular, the areas surrounding and under the clitoral hood, the clitoral hood will adhere to the glans of the clitoris, which is referred to as a "clitoral adhesion." When the clitoral hood adheres to the clitoris, either partially or entirely, this prevents the hood from properly protecting and caressing the glans, making orgasm difficult or impossible.

It is very important for the glans of the clitoris to have adequate lubrication. This permits the the clitoral hood to slide over the glans of the clitoris easily and without undue sensitivity or discomfort. The clitoris, and especially the glans of the clitoris, is usually most sensitive to frictional stimulation, versus direct pressure. Womens masturbation methods almost always involve sliding the clitoral hood in various back and forth or circular motions across and over the glans of the clitoris. Without proper lubrication from the glands next to the clitoris, pain will result in the stimulation of the clitoris and when there is movement of the clitoral hood.

Vulva Care and Feminine Hygiene - Importance of daily washing and cleaning your vulva

The smegma accumulations of the vulva, specifically in the area of the clitoris, needs to be cleaned on a regular basis. Otherwise, the smegma can accumulate and dry out, causing the smegma to harden beneath the clitoral hood, which causes resulting irritation leading to significant pain. This can result in pain during masturbation, vaginal intercourse, and perhaps when walking, or wearing tight pants. In addition, using sanitary napkins may be painful.

This accumulation of smegma also occurs in infants and preadolescent girls. Parents should check their daughter's vulva for these accumulations of smegma at every diaper change and bath by gently separating the vulva and looking for the cheesy-white accumulations and gently wiping/cleaning away. Always be sure to wipe her from the top of the vulva toward the bottom or rectum to prevent germs and bacteria from entering her vagina. In mild cases the dried smegma may only slightly irritate the clitoris, resulting in your daughter's need to rub or scratch it. This can result in infants and young girls masturbating frequently. The resulting redness, irritation, caused by the frequent masturbation may conceal the primary problem. Adult women may also be distracted by this mild irritation, feeling a need to masturbate or engage in sex frequently. This sensation should not be confused with that of having an erect clitoris. When the irritation is severe though, while the desire to touch the area is there, the inflammation makes any contact extremely painful. So accumulated smegma can either increase the desire for sexual contact, or make it impossible.

Proper bathing and care of the vulva prevents clitoral and labial adhesions

Preventing clitoral hood and labial adhesions means that you need to retract the clitoral hood each time you bathe or shower, and wash out the secretions from this area. Most women need to be aware that simply wiping their vulva with a washcloth or their hand may not be enough to keep it clean. The spaces between the labia minora, labia majora and the area under the clitoral hood can retain the sebum from the glands around the clitoris, as well as other accumulations such as sweat, vaginal lubrication, toilet paper, menstrual fluid, urine, bacteria and feminine hygiene products. The normal body fluids don't expose a woman to any harm as long as they are removed before bacteria that are normally present are able to reproduce, resulting in infection and odor.

Special "feminine" soaps and washes are not necessary to clean your vulva. All one needs to use to clean the vulva is plain water. In fact, the use of soap and feminine hygiene products can irritate the delicate genital tissues. And douching is rarely, if ever needed, to cleanse your vagina.

Douches, vaginal deodorants or vulva deodorants, and chemical additives pose unnecessary risks when applied to the vulva and vagina. These products have been linked to increased cases of vaginitis and yeast infections.

Clitoral adhesions

Clitoral adhesions or labial adhesions limits or prevents the clitoral hood to slide across the glans of the clitoris. If you have adhesions, when you pull on your clitoral hood, the glans of the clitoris moves with it instead of the hood retracting by itself, i.e., the glans of the clitoris moves with your pulling the clitoral hood. This can be very painful.

You may not be able to pull the hood back far enough to expose the entire glans if you have clitoral adhesions. This could make cleaning the clitoral area difficult if not impossible.

Minor clitoral adhesions may be remedied by without the need for a doctor's intervention. The clitoral adhesions may be released through pressure on the clitoral hood. Things like bathing, masturbation, bicycle riding, and horseback riding. If you do not properly wash your vulva in a manner that places traction on her hood, or masturbate in a manner that causes you to pull back the clitoral hood, you may not separate any clitoral adhesions that form, or prevent the formation of adhesions in the future.

If you believe you have clitoral or labial adhesions, you may be able to eliminate them by repeatedly pulling on your clitoral hood, in 360 degree directions (up, down, left, right, rotating in circles as well), or by taking a hot bath.

Clitoral adhesions will not disappear immediately as it took some time for the clitoral adhesions to form.

Women who experience pain can ask their partner or doctor to examine their vulva, and separating the labia, attempt to locate the source of the pain or by using a mirror and seeking the source of the pain themselves. If you experience a clitoral adhesion, either you or your partner can moisten a q-tip with baby oil or vitamin E to clean and loosen the secretions. Remember, the clitoral hood needs to "glide" easily over the clitoris. To lubricate the clitoral hood and loosen the secretions underneath, you or your partner may want to massage the area with a topical cream or baby oil. This may require you and/or your partner to do this for several days or for several weeks. Due to the sensitive nature of the clitoris and clitoral glans, it may be painful during the cleaning or massage due to the adhesions.

In the event you are unable to treat the symptoms of clitoral adhesions, and you or your partner cannot determine the reason for the pain, a doctor may need to be consulted. If your clitoral hood extends well past the glans, or if your clitoral hood is thick or closed, the adhesions may be totally concealed, with no visible indications. You should be very explicit in your office visit with the physician regarding your pain and show him the exact location of the any pain, even retracting your clitoral hood, if necessary for his viewing.

The clitoral adhesions caused by the accumulated smegma is caused by the two tissues surfaces growing together, due to failure to wash away these accumulations. As a result, the body tries to heal and eliminate the source of the irritation, thus causing the tissues to fuse as adhesions. These clitoral adhesions, or labial adhesions in the event the labia minora fuse together, may also form as a result of the hood laying in constant contact with the glans of the clitoris.

Additionally, either you or your partner may want to massage baby oil, vitamin E, or a petroleum based lubricant or antibacterial ointment up under your clitoral hood and on the glans of the clitoris.

Proper cleaning of your vulva

Naturally, one of the best ways to keep from having clitoral adhesions is through proper washing of the vulva and to wash away the secretions before they turn into smegma. Proper care of your vulva means to wash away these secretions at every bath or shower. When you wash your vulva, it is important for you to retract the clitoral hood and wash this area. Also, be sure to wash the inner and outer portions and folds of the labia minora.

Parents can teach their daughters how to properly wash their vulva and help prevent them from experiencing the pain of clitoral or labial adhesions. Parents need to educate their young daughters about the various parts of their vulva so that they know they have more than "just a vagina," which they can't see, but a clitoris, clitoral hood, labia minora and labia majora, that they can see.

Proper cleaning of your daughter's vulva includes the following;

1. Gently spread the inner and outer labia and wash between them.

2. Place upward traction on the clitoral hood (in the direction of her bellybutton) while washing the exposed surfaces.

3. The glans of the clitoris may not be exposed when you do this. If there are adhesions, don't forcibly try to remove them.

4. Do not use any soap or other harsh ointments while cleaning away the, sebum, secretions or smegma.

5. You may need to use a q-tip or cotton ball moistened with baby oil or vitamin E to help loosen any stubborn smegma collections. If doing this, use another q-tip or cotton ball that is moistened with water to remove the baby oil or vitamin E.

6. Make sure that you are very gentle and use only light pressure when cleaning your daughter's vulva due to the sensitivity.

7. When your daughter is old enough to understand how to wash her vulva, may also be the right time to teach her the correct parts of her vulva, as well as explaining that her vulva is "private," and that she should be the one that cares for it. Also, when she is old enough, ask her permission to wash her vulva at bath-time, or ask her if she wants to wash her own vulva, following your directions to make sure that she removes the accumulated secretions or smegma.

SPECIAL NOTE: Talcum powder has been linked to numerous cancers, including vulva, vaginal, cervical, uterine and ovarian. NEVER USE TALCUM POWDER NEAR YOUR DAUGHTER'S VULVA. Instead, you may want to consider the use of corn starch in this area, making sure that the corn starch is used externally and never placed in or near her vagina.

The doctor says that our daughter has "labial adhesions." What are "labial adhesions"?

Labial adhesions are similar to clitoral adhesions, only they are located on her labia minora, instead of around her clitoris. Her labia minora, or the "smaller lips" of her vagina — have become stuck together. This happens to about 10% percent of young girls, and in most cases it's nothing to worry about.

What causes labial adhesions?

This probably happened because your daughter has little to no estrogen. Baby girls get a large dose of estrogen while they're still in the uterus. About one to two months after her birth, the maternal estrogen level drops off, and this hormonal change can affect many parts of a baby's body, including the lining of a girl's labia. Her labia may even stick together. This "adhesion" of her labia can continue or come and go throughout childhood, according to many pediatricians.

What can be done to treat labial adhesions?

First of all, parents should NOT try to pull or separate their daughter's labia apart, since that might hurt. Unless the adhesion is causing any problems, it's best to leave it alone. The idea of your daughter having labial adhesion probably worries you more than it bothers her. However, if the adhesion extends to cover the opening of the urethra and is trapping urine in the genital area, then you'll definitely want to see your child's doctor about treatment. Trapped urine can cause irritation and possibly infection. You'll know if your daughter's labial adhesions are covering the urethral opening if you find less urine in her diaper (for a young child) or she's having trouble peeing, or if her genital area looks irritated, she's irritable and crying, and she has a fever (due to infection).

Normally doctors prescribe a topical estrogen cream to treat the problem. Your doctor will tell you to apply this cream directly to the affected tissue, and in about two weeks it should unseal the labia. You'll probably start by applying the cream two or three times a day, then two times a day, then just once a day. It's important to reduce the amount of estrogen cream you use gradually. If you just stop the treatment suddenly, the labia will close up again.

Will our daughter always have labial adhesions?

Your daughter may continue to have adhesion off and on throughout childhood, but the labia tend to unstick when a girl approaches puberty and her body starts producing higher levels of estrogen. Until then, though, there's no reason to worry about the adhesion if it's not causing any problems. Many little girls never even know they have it.

http://www.femininehygiene.com/SearchResults.asp?Cat=24
 
A Woman's Guide to Vaginal Infections and Vaginitis


Vaginitis is an inflammation of the vagina characterized by discharge, odor, irritation, and/or itching. The cause of vaginitis may not always be determined adequately solely on the basis of symptoms or a physical examination. For a correct diagnosis, a doctor should perform laboratory tests including microscopic evaluation of vaginal fluid. A variety of effective drugs are available for treating vaginitis.

Vaginitis often is caused by infections, which cause distress and discomfort. Some infections are associated with more serious diseases. The most common vaginal infections are bacterial vaginosis, trichomoniasis, and vaginal yeast infection or candidiasis. Some vaginal infections are transmitted through sexual contact, but others such as yeast infections probably are not, depending on the cause.
 
Vaginal Discharge
Knowing the difference between normal discharge and infections

THE HEALTHY VAGINA
The vagina serves as a passageway between the outside of the body and the inner reproductive organs. The pH balance of the vagina is acidic, which discourages infections from occurring. This acidic environment is created by normally-occurring bacteria. A healthy vagina produces secretions to cleanse and regulate itself, similar to how saliva cleanses and regulates the environment of the mouth. These vaginal secretions are normal vaginal discharge. Any interference with the delicate balance of vaginal secretions sets up an environment conducive to infection.



NORMAL VAGINAL DISCHARGE
All women have some vaginal discharge. Normal discharge may appear clear, cloudy white, and/or yellowish when dry on clothing. It may also contain white flecks and at times may be thin and stringy. Changes in normal discharge can occur for many reasons, including menstrual cycle, emotional stressors, nutritional status, pregnancy, usage of medications - including birth control pills, and sexual arousal.



EFFECTS OF THE MENSTRUAL CYCLE
The menstrual cycle affects the vaginal environment. You may notice increased wetness and clear discharge around mid-cycle. The pH balance of the vagina fluctuates during the cycle and is the least acidic on the days just prior to and during menstruation. Infections, therefore, are most common at this time.



SIGNS OF ABNORMAL DISCHARGE
Any changes in color or amount of discharge may be a sign of a vaginal infection. Vaginal infections are very common; most women will experience some form of a vaginal infection in their lifetime. If you experience any of the symptoms below, this may be a sign of vaginal infection:

Discharge accompanied by itching, rash or soreness

Persistent, increased discharge

Burning on skin during urination

White, clumpy discharge (somewhat like cottage cheese)

Grey/white or yellow/green discharge with a foul odor

Outlined below is basic information on three common vaginal infections



BACTERIAL VAGINOSIS

The exact cause of bacterial vaginosis is unknown. Similar to a yeast infection, there is an overgrowth of bacteria, and the delicate balance of the vaginal environment is upset when these bacteria occur in increased amounts. Recurrence of bacterial vaginosis is common and bacterial vaginosis can coexist with other vaginal infections.



Signs and Symptoms:

Increased amount of discharge

Grey/white, thin, watery discharge

Foul/fishy odor with discharge

Increased odor to discharge immediately after intercourse

Nearly half of the women with bacterial vaginosis don't display any symptoms.



Treatment: There is no over-the-counter treatment available. There are two treatment options with metronidazole (Flagyl) - an oral antibiotic or a topical antibiotic cream. Metronidazole can cause nausea and darkening of urine. Alcohol consumption should be avoided while on this medication, and for 48 hours after treatment, due to possible alcohol intolerance, which can result in nausea and vomiting. If you are using the vaginal antibiotic cream, it must be used daily for five days.



TRICHOMONIASIS

This infection is caused by a one-celled protozoan organism. Trichomoniasis is almost always spread through sexual contact. However, the protozoan organism can survive for up to twenty-four hours in a moist environment, making wet towels or bathing suits possible instruments of transmission from someone with the infection.



Signs and Symptoms: Most men and some women don't display any symptoms, which may include . . . . .

Yellow/green, frothy, discharge

Foul odor with discharge

Increased amount of discharge

Increased frequency of urination

Inflammation of vulva/vagina

Itching

Treatment: The treatment used is the oral antibiotic, metronidazole. Remember -- no alcohol consumption when taking the medication and for 48 hours after treatment! It is recommended that both partners be treated at the same time to avoid recurrent infections. Partners should be treated even if they aren't displaying any symptoms. Avoid intercourse until treatment is completed.



MONILIA (YEAST) INFECTION

There is normally a small amount of yeast (Candida albicans) present in the vagina. A yeast infection occurs when there is an overabundance of yeast, often caused by a change in the pH balance of the vagina. Yeast infections are not usually sexually transmitted.



Some Factors That May Increase Susceptibility to Yeast Infections:

Increased stress

Diabetes

Pregnancy

Use of oral contraceptives

Use of antibiotics (protective bacteria are destroyed by antibiotics, allowing yeast overgrowth)

Signs and Symptoms:

Increased amount of discharge

Redness, itching, burning in vaginal/vulvar area

White, clumpy (cottage cheese-like), discharge

Treatment: Since yeast is normally present in the vagina, it is unrealistic to try to eliminate all yeast. Therefore, the goal of treatment is to reduce the overgrowth of yeast organisms and return the vagina to a healthy balance. Treatment consists of antifungal agents in the form of tablets, vaginal creams or suppositories. Over-the-counter treatments are available. However, if you are pregnant, always be sure to have any medications approved by a health care provider. Partners are not usually treated unless they are displaying symptoms such as itching or irritation in the genital area. Treatment for male partners consists of the use of fungicidal cream on the penis.



PREVENTION AND TREATMENT GUIDELINES FOR VAGINAL INFECTIONS:

Have new partners wear condoms during sexual intercourse.

Stay healthy; eat well, get enough sleep, drink enough fluids.

Keep vaginal area clean and dry.

Wear cotton underwear.

Wipe from front to back after urination or bowel movement.

Avoid using deodorant pads or tampons.

Don't use petroleum jelly or other oils for lubricants.

Don't douche.

Use medication as long as directed.

Avoid sexual intercourse until treatment is completed and you are symptom free.

Don't scratch infected or inflamed areas; it can cause further irritation.

If using medication inside the vagina, use it during the menstrual period.

During an infection, use pads rather than tampons if menstruation occurs.

Avoid vulvo/vaginal irritants, including perfumed or deodorant soaps/body washes.

If symptoms persist after completing the treatment, an exam is indicated. Call for an appointment,

and please use nothing in the vagina for 48 hours prior to your exam.
 
I SOOOOOOOO did not need to read that.

I made it to "Parents should check their daughter's vulva for these accumulations of smegma at every diaper change and bath by gently separating the vulva and looking for the cheesy-white accumulations and gently wiping/cleaning away." and decided that I had had enough :eek:
 
AustinTX said:
I SOOOOOOOO did not need to read that.

I made it to "Parents should check their daughter's vulva for these accumulations of smegma at every diaper change and bath by gently separating the vulva and looking for the cheesy-white accumulations and gently wiping/cleaning away." and decided that I had had enough :eek:

Maybe you'll like the post about vaginal discharge a little better.
 
Thanks doc. :) It is good to know, although I am a little curious why you decided to become inspired to look this up.
 
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