Let’s be real. Some questions can be just a lil’ too awkward to ask at your annual gynae checkup, even though we need (and deserve) to have the answers.
To help a Cosmo ME girlie out, we went straight to lead aesthetic and functional gynaecologist and founder of women’s health clinic, Gýneco, Dr. Maria Karakoulakithe, to get the intimate deets we need to know but are too shy to say out loud.
From missed cycles to the truth about discharge, we’ve got you covered. No blushing is required.
Why does it sometimes itch down there, even if I’m super clean?
Firstly, no matter how clean you are, you might still have a yeast infection, and it’s not related to hygiene.
Second, itching can occur if you have an overgrowth of good bacteria, like lactobacilli, making the vaginal pH too acidic.
Third, it could be due to mechanical irritation from tight jeans, nylon underwear, or other synthetic fabrics. Sometimes, stress alone can trigger itching.
Additionally, certain medical skin conditions, like lichen sclerosus, can cause persistent discomfort. That’s why itching shouldn’t be ignored. It’s always best to consult your gynae.
Is it normal to sweat a lot down there?
Yes, some women naturally sweat more in that area, and it’s not abnormal.
To minimise excessive sweating, opt for breathable cotton underwear to allow the skin to breath.
If there is a problem with sweat, avoid tight clothing, especially jeans, as they can trap heat and worsen sweating. If excessive sweating is due to a medical condition, such as overactive sweat glands, Botox injections can be an effective treatment.
Should I be worried about random pelvic pain that comes and goes?
No, because in more than 90% of cases, random pelvic pain originates from the bowel and is often due to gas or bowel irritation.
It’s typically a gut issue rather than something related to the ovaries or female reproductive organs. If the pain were caused by the reproductive system, it wouldn’t be random or intermittent.
Can wearing tight jeans or leggings all the time cause any problems?
Yes, it can cause a yeast infection and disrupt the vaginal flora, leading to an imbalance that increases the risk of bacterial vaginosis. Also, string underwear and tight underwear can contribute to haemorrhoids.
Is douching really bad, or is it okay sometimes?
In general, douching is not recommended as it disrupts the natural vaginal flora.
However, in cases of cyclotic vaginosis, where the vaginal pH becomes too acidic, herbal douches with chamomile or a diluted solution of baking soda may help restore balance.
Still, this should only be done under medical guidance. Douching with Betadine or other antiseptic solutions can be harmful to vaginal health.
How can I tell if I have a yeast infection or something else?
A yeast infection usually causes itching and thick, white vaginal discharge. Bacterial vaginosis, on the other hand, often comes with a strong odor.
Other infections may cause changes in discharge colour, consistency, or additional symptoms. If you notice any unusual changes, it’s best to consult a gynaecologist.
Is it normal to feel pressure or heaviness in my pelvic area sometimes?
Yes, this can happen due to bloating, which is often a gut-related issue.
However, if the heaviness is constant, it could indicate a gynaecological concern, such as pelvic laxity or prolapse.
Many conditions can cause pelvic floor laxity and vaginal wall laxity, which can then lead to prolapse. These include ageing, menopause, lack of oestrogen, and pregnancies, even if someone delivers via C-section, though natural delivery contributes even more.
Chronic constipation and obesity can also be significant factors.
Is it normal to have such bad cramps during my period?
Period pain, known as dysmenorrhea, can be normal.
Primary dysmenorrhea starts from the beginning of your periods or within a couple of years and has no known cause.
However, if severe cramps develop later in life, they may be a sign of endometriosis or another underlying condition, so it’s best to check with a gynae.
Is it okay that my periods are super irregular?
No, that’s not normal and should be addressed. It’s important to consult a doctor.
Menstrual irregularities can stem from multiple causes. One of the most common is Polycystic Ovary Syndrome (PCOS), where hormonal imbalances lead to extended cycles of 40–45 days or more.
Other factors include significant weight loss or gain, stress, excessive exercise, and overall hormonal fluctuations. Many conditions that affect the body’s hormonal balance can contribute to irregular periods.
Any persistent irregularity should be assessed by a medical professional.
What causes my discharge to change colour or smell sometimes?
Infection is the most common cause. However, other factors like diet, hydration, clothing, lifestyle, and even a new sexual partner can also influence changes in discharge.
If the changes persist or come with discomfort, it’s best to consult a gynaecologist.
Why do I get bloated or gassy before my period?
Hormonal changes before your period can cause water retention and slow digestion, leading to bloating and gas.
Increased progesterone levels can also relax the digestive tract, making bloating more noticeable. Diet and lifestyle factors may contribute as well.
How much period pain is too much pain?
If the pain disrupts your daily routine and prevents you from doing your usual activities, it may be too much.
Severe period pain could indicate an underlying condition, so it’s important to consult a gynaecologist if it becomes unmanageable.
What can I do about my chronic urinary tract infections (UTIs)?
Drink plenty of water every day and be very careful with your hygiene. Never keep your bladder full. Go to the toilet as soon as you need to.
Wear cotton underwear and avoid tight clothing like jeans.
Is it bad that I skip my period when I’m stressed or dieting?
Yes, it’s expected because when you’re stressed, your body produces a lot of cortisol, which can delay your period and affect its regularity.
Additionally, if you are engaging in intense physical activity, the combination of physical and mental stress can further disrupt your cycle.
Why does my period blood sometimes look clumpy or super dark?
Blood clots, which usually happen when the flow is heavy, causing blood to stay in the vagina for a while before clotting and passing out.
Dark blood appears when the flow is lighter, allowing the blood to remain in the vagina longer. Exposure to oxygen causes it to darken before it exits the body.
Are there any treatments for managing premenstrual symptom (PMS) mood swings?
For managing PMS, some women find relief with herbal supplements like evening primrose oil or Vitex berry.
On a hormonal level, progesterone is one of the most effective treatments for balancing symptoms. Treatment plans should be tailored based on individual needs and guided by a healthcare provider.
Is it normal for my vulva to look asymmetrical or change over time?
Yes, it’s completely normal. Vulvas naturally vary in shape and size as an anatomical variation.
However, if it bothers you, aesthetic gynaecology offers procesures that help reshape or enhance its appearance. Your vulva can also change over time due to factors like pregnancy, childbirth, and ageing.
These natural changes can sometimes lead to concerns about function or aesthetics, which can be addressed through specialised treatments in aesthetic gynaecology.
Feeling inspired? Check out these Saudi henna artists breaking the taboo on period stains.