“Self Portrait” by Katie McDowell (18), New Orleans Center for Creative Arts "An Old Man in Military Costume" by Simone Wuttke (18), Dartmouth College (recent Benjamin Franklin High School graduate) "This oil on canvas painting is inspired by Rembrandt's 'An Old...
Our vaginas can be somewhat of a mystery and caring for them can seem puzzling too. But it’s actually pretty simple to take care of your vagina, or your vulva, which is the term for the external part of the female genitalia (the vagina is really just the internal canal that goes from the vulva to the cervix). Let’s see…
Illustrations by Silke Pielsticker
The female sexual anatomy consists of external and internal reproductive organs. For the purpose of this article, we’re going to focus on the external female genital organs—your vulva:
Mons Pubis: area covered by pubic hair, mound of tissue above the pubic bone
Clitoris: erectile/sensitive part of the female genitals, covered by the clitoral hood
Labia: cover and protect the opening of the vagina, urethra, and clitoris; labia majora are the larger outer folds of skin, labia minora, sometimes called “lips,” are the thinner flaps on either side of the vaginal opening
Urethra: small opening where pee/urine comes out
Anus: opening of the rectum where poop/stool comes out
Vaginal opening: entrance of the vagina where menstrual blood comes out; also used for sexual intercourse and childbirth
Let’s Take Care of that Vulva
Keep your vulva clean by using warm water and mild soaps for sensitive skin or anti-bacterial soaps. You do not need “special soaps” that are marketed towards feminine hygiene. To be clear, vulvas and vaginas are special, but no need to spend extra money. Scented soaps may lead to vaginal irritation (vaginitis).
Wash the outer area of the mons pubis, between your labia, and around your clitoris. Rinse thoroughly with warm water to remove all of the soap and pat dry with a damp cloth. DO NOT wash or place soap inside your vagina. Think of the internal canal (aka your vagina) as a self-cleaning oven. It’s fine to wash the area around the vaginal opening, but please leave the internal parts alone.
A Few More Things…
Douching: Some females feel that douching—cleaning the inside of the vagina with a mixture of fluids or water—is necessary to keep their vagina clean. This is not true. In fact, doctors generally advise against vaginal douching. Your natural discharge flushes out bacteria and anything else that may be in there, like blood from your period or sperm from sexual intercourse. Your body actually makes a type of good bacteria called lactobacillus that keeps your vagina healthy and balanced. Lactobacilli keep the vagina acidic, which helps prevent the growth of bad bacteria. Douching washes away your good bacteria and allows harmful bacteria to grow. So, keep your vagina healthy and clean by not douching.
Vaginal Discharge: Don’t be embarrassed about vaginal discharge. All females experience some type of vaginal discharge.
Normal vaginal discharge has a white, light yellow or clear color and a jelly-like or egg white-like consistency. It may have a mild, salty odor or no odor at all. You may notice discharge during different times of the month. Clear, mucus-like discharge is normal some days before your body ovulates (when your body is getting ready to release an egg). This type of discharge is called cervical mucus and is letting you know that you are fertile and can become pregnant. Cervical mucus helps carry the sperm to meet the egg for fertilization. Your natural vaginal scent may also change depending on where you are in your menstrual cycle.
What if my discharge is brown? Do not panic. Brownish discharge sometimes occurs at the beginning or end of your menstrual cycle and is normal. It is often “old blood” that wasn’t pushed out during your menstrual flow. Remember, the beginning of your menstrual cycle is counted on the first day of heavy/normal flow.
Abnormal vaginal discharge may be clumpy and white, greyish-white, or yellowish-green. You may notice other symptoms that will give you a clue that your discharge is abnormal, such as vaginal itching, burning, strong (fishy) odor, pelvic pain, pain during sex, bleeding after sex, painful urination, or bleeding between periods. If you notice any of these symptoms, you should schedule an appointment with your doctor. Abnormal vaginal discharge can be related to having an STI (aka STD) or overgrowth of bad bacteria. Keep in mind though that some bacterial infections, like gonorrhea and chlamydia, may have no symptoms. Also, not all vaginal odor is caused by an infection; sometimes it can be due to poor hygiene.
Tips:
- Use mild soaps; avoid bubble baths and scented soaps
- Stay on the outside; don’t clean inside your vagina
- Wear cotton underwear or underwear with a cotton crotch
- Avoid tight-fitting pants and thongs (they may irritate your vulva)
- Change your pad/tampon frequently while on your period
- DON’T use scented period products
- DON’T douche or use vaginal sprays, wipes or powder (these things can irritate your vagina and disturb healthy vaginal bacteria, leading to increased risk of infection)
Deidra Pierre and Brooke Naranjo are family nurse practitioners here in New Orleans who found their passion in adolescent care and reproductive health education. They are former (Pierre) and current (Naranjo) members of the REAL team at the LSU Health Sciences Center New Orleans. The mission of Reproductive Education + Advocacy Louisiana [REAL] is to improve adolescents’ access and utilization of comprehensive, accessible, and youth-friendly sexual and reproductive healthcare services by enhancing knowledge, expanding training, and growing advocacy
capacity of current and future healthcare providers.
Teen-Friendly NOLA Clinics
Clinics that serve adolescents usually focus on the reproductive health needs of adolescents and young adults but may also provide primary care services. The ages served vary depending on the clinic, but they usually include preteens (11 or 12 years old), teens (12-17 years old), and young adults (18-24 years old).
Kids First Tiger Care
2633 Napoleon Ave., Suite 707
New Orleans, LA 70115
(504) 299-9980
Children’s Pediatrics Westbank
829 Barataria Blvd.
Marrero, LA 70072
(504) 368-7337
Children’s Hospital River Ridge Clinic
9605 Jefferson Hwy. E
River Ridge, LA 70123
(504) 738-1604
Tulane Adolescent and Young Adult Health
711 N. Broad St.
New Orleans, LA 70119
(504) 988-0000
611 N. Rampart St.
New Orleans, LA, 70112
(504) 584-1112
Crescent Care
1631 Elysian Fields Ave.
New Orleans, LA 70117
(504) 207-2273
Note: This center only offers STD testing; it does not provide birth control.
LOUISIANA DEPARTMENT OF HEALTH
Jefferson Parish – Marrero
1855 Ames Blvd.
Marrero, LA 70072
(504) 349-8802 ext. 237
Jefferson Parish – Metairie
111 N. Causeway Blvd.
Metairie, LA 70001
(504) 838-5100 ext. 139
Orleans Parish
Delgado Personal Health Clinic
517 N. Rampart St.
New Orleans, LA 70112
(504) 658-2540
Planned Parenthood
4636 S. Claiborne Ave.
New Orleans, LA 70125
(504) 897-9200
St. Thomas Community Health Center
1936 Magazine St.
New Orleans, LA 70130
(504) 529-5558
LSU/Crescent Care Sexual Health Center
3308 Tulane Ave., 5th floor
New Orleans, LA 70119
(504) 293-6899
Note: This center only offers STD testing; it does not provide birth control.
Access Health Louisiana
234 Loyola Ave., Suite 300B
New Orleans, LA 70112
(504) 226-2976
EXCELth
New Orleans East
9900 Lake Forest Blvd., Suite F
New Orleans, LA 70127
(504) 620-0500
Gentilly
2050 Caton St.
New Orleans, LA 70112
(504) 620-9868
Algiers
4422 General Meyer Ave., Suite 103
New Orleans, LA 70131
(504) 526-1179
School-Based Health Centers
SBHCs provide STD testing and birth control education. These facilities cannot prescribe birth control.
SBHC that provides care to all adolescents in the community:
Sci High
5625 Loyola Ave.
New Orleans, LA 70115
(504) 613-5648
SBHCs that only provide care to students that attend their schools:
ORLEANS PARISH
Cohen College Prep
3520 Dryades St.
New Orleans, LA 70115
(504) 613-5648
Warren Easton
3036 Iberville St.
New Orleans, LA 70119
(504) 324-7880
ST. BERNARD PARISH
Chalmette High School
1100 E. Judge Perez Dr.
Chalmette, LA 70043
(504) 333-6988
JEFFERSON PARISH
Bonnabel High School
2801 Bruin Dr.
Kenner, LA 70065
(504) 303-6676
John Ehret High School
4300 Patriot St.
Marrero, LA 70072
(504) 371-1318
Riverdale High School
240 Riverdale Dr.
New Orleans, LA 70121
(504) 834-5026
West Jefferson High School
2200 8th St.
Harvey, LA 70058
(504) 367-4407
Have important questions ready (write them down) before going to your appointment, remember you are in control of your visit.