Experts say
Dr. Tan Toh Lick
Obstetric & Gynaecology,
Thomson Women's Clinic
Dr Tan is on the UK’s General Medical Council and Singapore Medical Council’s specialist registers. He is also a Fellow of the Royal College of Obstetricians and Gynaecologists, and has RCOG special skills accreditation in minimally invasive surgery, gynaecological ultrasound, subfertility management and medical education. Apart from practicing, he enjoys teaching and currently runs medical education programmes for general practitioners and specialists.
Erin Chen
Sexual Wellness Advocate,
Sex & Relationship Counselor
Her career in sexual wellness began with the founding of Lila Sutra, a company that has disrupted sexual taboos in Singapore. In 2017, she launched SPARK – Asia’s first sexual wellness festival that brings together entrepreneurs, advocates and the general community to advance the modern conversation on intimacy, sexual health, and gender.
Dr. Felix Li
Aesthetic Medicine,
Dr Felix Li Thomson Wellth Clinic
He regularly attends local and international conferences on aesthetic and anti-ageing medicine, as well as advanced anatomy workshops and masterclasses to keep abreast of the field’s rapid advances.
Healthy, hydrated, firm and clear skin reflects light evenly, giving the appearance of radiant and glowing skin.
Dr. Felix Li
28 April 2019
Dr. Felix Li
26 May 2019
Dr. Felix Li
28 April 2019
Peptides have wide ranging applications in skincare, as different peptides perform different functions. Peptides can act as cellular messengers to signal our cells to perform specific functions; transport specific molecules (Copper peptides) into skin; or influence neurotransmitters (Argireline, or “topical Botox”) or enzymes in the skin. Peptides work best in combination, and along with other building blocks of skincare.
Dr. Felix Li
9 April 2019
Excessive use of or inappropriate skincare products is another common cause of dry skin, skin irritation, redness, and peeling. Common culprits include products containing acids, retinols, or hydroquinones. More is not always better – avoid complicated skincare regimes. And do give the products time to work. Multiple daily applications will not give faster results, but may increase the risks of side effects. Seek a Doctor’s advice if you are unsure which products are suitable for your skin, and tailor make a regime that is specific for you.
Other simple tips - wash your face twice a day, and after sweating heavily. More frequent cleansing will only wash away the natural protective barrier of the skin. Apply spot treatment products such as pimple creams only over pimples, and de-pigmenting creams only over hyper pigmented areas – not the whole face.
Dr. Felix Li
9 April 2019
Try to keep the skin hydrated so as to improve the skin’s ability to retain moisture. Skin treatments including lasers, energy based devices, and skinboosters can help stimulate the body’s natural repair mechanisms and increase new collagen production in the skin, keeping our skin healthy and more resilient against extrinsic aging.
Dr. Felix Li
9 April 2019
Static lines, or fine lines that are visible on the surface of the skin at all times even without facial expression, is a result of dry and damaged skin, that has lost its intrinsic elasticity, and ability to retain moisture.
Dynamic wrinkles, or lines that appear with facial expression, such as frown lines, forehead lines, and crow’s feet, are due to over-activity of the small facial muscles responsible for the corresponding facial expressions.
Dr. Felix Li
9 April 2019
Sun protection – including oral and physical sunblock, sun avoidance – is key to minimise free radical damage to the skin. Stop smoking if you do, avoid second-hand smoke and polluted areas as much as possible. Regular exercise is a great way to improve blood circulation and enhance the body’s natural ability to repair. Maintain a balanced diet packed with antioxidants such as fruits and vegetables.
A good and complete skincare regime including antioxidants and moisturisers will help clean up free radicals, keep the skin hydrated, and improve the skin’s ability to retain moisture. Skin treatments including lasers, energy based devices, and skinboosters can help stimulate the body’s natural repair mechanisms and increase new collagen production in the skin, keeping our skin healthy and more resilient against extrinsic aging.
Dr. Felix Li
9 April 2019
Aside from this, general knowledge about vulvas and sexuality is always helpful in our sexual wellness journey; so a great book that I always suggest is “Come As You Are” by Emily Nagoski.
Erin Chen
5 April 2019
The starting point to that is to be honest with yourself about your feelings. It’s perfectly normal to feel shame towards your vulva (thanks, patriarchy), embarrassed by how it looks or smells. Perhaps you have an abundance of positive feelings, or maybe none at all. Whatever it may be, it is normal and okay. The starting point is just to notice how you feel about your vulva.
A way to uncover these feelings is to look at it! Take a mirror and take a peek. Observe what you see and the feelings and thoughts that surface.
From there, you can choose how you want to move forward. The more you get to know your vulva, the more you will naturally know what you can do to care for it. What your vulva care journey looks like is completely up to you!
Erin Chen
5 April 2019
While this recent research was done within small groups of women, it does show that the Labiaplasty procedure had a positive impact on their physical comfort, self esteem, sexual confidence and their sexual enjoyment. Many women who are choosing to have the surgery are not striving for the perfect vulva – they’re striving to make their lives easier, more comfortable and to feel better. Ultimately, it comes down to the individual woman’s reasons for wanting this surgery. And as with any elective surgery, informed consent and autonomy are important!
Erin Chen
18 April 2019
There’s definitely a difference between caring for your vulva and striving for the “perfect” vulva. Let’s take a moment and compare this to everyday wellness, where there’s also a difference between striving for the perfect body and caring for it.
The way we can differentiate between the two is to look at the actions, behaviours and feelings associated with each. When we’re striving for the perfect anything, there is usually a lot of comparison between what we have to an ideal state. And the feelings that usually come with striving and comparing tend to be more negative – lots of pressure, feeling inadequate, feeling like we need to do more, and to be different. You know that you’re striving for perfection when you’re starting to experience some of these feelings.
When we are caring for our own body, the actions, behaviours and feelings are different because you’re coming from a place of knowing what is best for you. For some people it feels more flexible, or creative, or lighter. It’s more of an internal exercise rather than looking outwards to achieve that perfect “it”.
Erin Chen
5 April 2019
That said, the most common vulva concerns that people come to me with are usually about:
- Painful sex
- Wanting to increase their sex drive or sexual desire, and
- Wanting to orgasm (more)
Erin Chen
5 April 2019
I’d prefer not to generalise here because I’ve met and known many women who do amazingly with taking care of themselves and caring for their vulvas. That said, I do think there is a general lack of conversation and awareness in society about what vulva care is and what it could look like. So in that sense, it would be challenging for most women to practice vulva care if we don’t really know what it entails.
It’s also important to note that self-care and vulva care might look very different from women to women because it is something that’s unique to the individual. One interesting way to start exploring what vulva care might look like for you, at this moment, is to apply the five love languages to yourself. If you are not sure what the five love languages are, Google it . Once you know what your love language is, try it out in the context of caring for your vulva! You can get creative with this… what might vulva care be for you if your love language was physical touch? Or affirmation? Or quality time?
Remember that self-care and vulva care shouldn’t feel like pressure or increase your anxiety. So it’s not something you must do. It’s something that, even if it was just for one or five minutes, would give you a sense of joy or relief or whatever emotion it is that you are seeking that feels good for you.
Erin Chen
5 April 2019
For me, vulva care is a holistic matter. It’s not just about physical care, but the emotional connection and relationship we have with our vulvas. And it’s important, as part of vulva care, to have an understanding about them – much like how it’s important to have an understanding about the rest of our body and mind to be able to take care of ourselves.
So in that sense, I do think vulva care is important. It’s an essential and intimate area which carry a lot of meaning, energy and function for many vulva owners. In my experience, it’s also an area where many vulva owners don’t pay much attention to.
Erin Chen
5 April 2019
- Share! If you come across an article, video, piece of art or anything that resonates with you – try sharing that with your friends or partner. Follow it up with something like, “What are your thoughts?” Articles are a great way to open conversations.
- Be normal! Easier said than done, I know. This will take some practice – try to treat the conversation like a normal topic… there is no reason why we can’t talk about vulvas or sexual wellness the same way we talk about other parts of life – be it yoga, fashion, sports! A lot of the time, others feel awkward too when we’re awkward about it. So the more normal you are with the topic, the more space you provide for others around you to open up. Again, this takes practice – think of it as building your muscle memory for having authentic conversations.
From my experience, most women feel more comfortable discussing vulvas with other women; however, it’s really whoever you feel comfortable with that matters – the gender and their genitalia don’t really matter.
Erin Chen
5 April 2019
I think that the conversation on sexual wellness in general, let alone vulva care, is not adequately discussed in today’s society – probably because talking about anything sexual still feels taboo. We just haven’t had a lot of practice talking about sex, intimacy, our bodies and the feelings related to this area. Most people still refer to the vagina as “down there”, not knowing that they might actually mean the vulva! So no, there are not enough discussions about vulvas and vulva care at all!
And, I’m not sure if most people really know what it means to care for their vulvas. I’m guessing that for most, it likely brings to mind something sexual health-related, such as your annual Pap smear to make sure everything is okay or hygienic. On the flip side, some might think that it’s a cheeky way to refer to masturbation.
So we haven’t really had much thoughtful conversation around what vulva care could be or how one would go about defining vulva care for oneself!
Erin Chen
5 April 2019
The pH of different body parts is different, and this applies to the vulva too. However, this pH rises during menopause, reducing the antimicrobial defence of the vulva during menopause.
Dr. Tan Toh Lick
10 April 2019
Dr. Tan Toh Lick
1 May 2019
Yes, the vulva can be complicated with common benign skin conditions such as eczema, psoriasis, and contact dermatitis. Like skin on other parts of the body, malignancy can also occur.
Dr. Tan Toh Lick
10 April 2019
At puberty, fatty tissues deposit around the vulva increasing the size of the labia majora and mon pubis. In some girls, the pink labia minora may become darker. Pubic hair also starts to appear around this time. The vulva then remains similar until pregnancy.
During pregnancy, the vulva can become engorged and varicosities are common. Pigmentation of the vulva, as with other areas of the skin, can be significant. During a vaginal delivery, the muscles and ligaments supporting the vagina may be damaged. As the baby is delivered, perineal tears or episiotomies may further affect the appearance of the vulva. The return of the higher oestrogen hormone level after breastfeeding will generally improve the elasticity and lubrication of the area.
After menopause, the labia majora lose its substance and become less full. Like the skin on other parts of the body, it becomes thinner and loses its elasticity. Hair greying, loss and reduced growth are also observed.
Dr. Tan Toh Lick
10 April 2019
Like the skin on other parts of the body, care for it is important to having a healthy vulva. Infections, skin conditions, chronic pain and scarring can affect the individual’s quality of life and self-image. Although rare, vulva cancer can be devastating and lethal. Persistent pain, soreness, tenderness, itch, raised thickened patches, lumps or moles should be reviewed by a doctor.
Dr. Tan Toh Lick
3 April 2019
The vagina refers to the elastic muscular tube extending from the external genitals to the neck of the womb (cervix). It is a reproductive conduit connecting the external environment to the internal genitalia. During sexual intercourse, it receives the penis and allows the sperm to swim up into the womb. Conversely, it allows blood flow to be expelled from the womb during menstruation, and the baby during vaginal childbirth.
The vulva refers to the external female genital organs which are composed of the mons pubis, labia majora and minora, clitoris, urethral opening, vestibule and perineum.
The labia majora refers to the large, fleshy folds of tissue that enclose and protect the other external genital organs. The labia minora lie just inside the labia majora and surround the vestibule, which is the area around the openings to the vagina and urethra. A rich supply of blood vessels gives the labia minora a pink colour. The clitoris is a small protrusion at the upper end between the labia minora. The urethral opening allows the passage of urine. The perineum refers to the area between the vagina and anus.
Dr. Tan Toh Lick
3 April 2019
The clitoris can be aroused and erect when sexually stimulated. This stimulation of the clitoris can cumulate into an orgasm.
The fleshy padded tissue of the labia majora protect the other external genital organs. They also contain sweat and sebaceous glands, which produce lubricating secretions particularly during sexual intercourse.
During sexual stimulation, the labia minora swell as their blood vessels become engorged with blood. This narrows the vaginal opening and makes them more sensitive to stimulation.
Dr. Tan Toh Lick
3 April 2019