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      The 9 Best Natural Lubes For A Happy Vagina

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      It’s no secret that, for lots of people, lube is a game-changer when it comes to sex. So you’d probably assume that lubes (‘normal’ and natural lubes) are pretty safe (even good) for your vagina given their myriad other benefits — and most are. But you need to proceed with caution and familiarise yourself with a few things before you use them. Here’s what you need to know about natural lubes.

      READ MORE: 7 Common Things That Make Your Vagina Smell Strange

      Who Should Use Natural Lubes?

      “The traditional and most commonly used lubes are water- or silicone-based which won’t disrupt the vagina’s delicate pH balance, which can cause an infection,” says Dr Sherry A. Ross, a gynaecologist and author of She-ology and She-ology. The She-quel. Let’s Continue the Conversation.

      But — and this is a big but — if the ingredients used to create the scents, warming capabilities, and flavours of some lubes are doing you more harm than good by irritating your sensitive skin down there, you might find you’re better off with a natural alternative.

      READ MORE: 3 Women Tried Different Vagina Pumps — This Is What They Thought

      What Does Natural Actually Mean?

      Now this, of course, opens up a whole new world of uncertainties. With so many lubes on the market claiming to be “natural” and “organic,” it’s hard to tell what those labels actually mean for you and your vag.

      Here are the facts: It all comes down to ingredients. The fewer ingredients, the more natural the lube.

      “In general, both natural and organic lubricants do not contain those extra non-pure additives including synthetic chemicals, dyes, preservatives, artificial fragrances and other toxins,” says Ross.

      READ MORE: 10 Tips To Keep Your Vagina Happy And Healthy

      What’s The Difference Between Natural And Organic Lube?

      The notable difference between “natural” and “organic” lubes really comes down to how the ingredients in each are sourced and whether they’ve been certified.

      Organic lubes are made from certified ingredients while natural ones are not. To be truly organic, a lube’s ingredients won’t have interacted with chemicals such as pesticides, fertilisers, and GMOs.

      READ MORE: Pop Quiz: Do You Actually Know What’s Going On With Your Vagina?

      Can Natural Lubes Give You An Infection?

      That said, some natural and organic lubes can still be tricky for your vagina and include ingredients that you’ll want to avoid. Take, petroleum jelly or mineral oil, for example: They can up your risk of developing bacterial vaginosis or other vaginal infections, says Dr Alyssa Dweck, a gynaecologist.

      9 Natural Lubes You Should Try

      To make sure you’re adding only the safest options to your cart, you’ll want to shop from this list of the best natural lubricants. Many of these feature coconut oil, aloe vera, or vitamin E for a silky, slippery texture and none of the potentially icky stuff (plastics, artificial fragrances, and oh, those pesky parabens).

      READ MORE: Vaginal Infections 101 — What You Need To Know About That Itch

      Pro tip: Always test a bit of lube on your wrist to see if it causes any irritation. If it doesn’t, give it a try on your vulva to double-check before using it during sex.

      OSKE Aqua Natural Lubricant Tube

      OSKE is vegan and free of petroleum, silicone, parabens, fragrance and glycerin. It’s also made from mostly organic materials and is packing aloe vera, water, and xanthan gum extract.

      Liquid Gold Rooibos Infused Water-Based Lubricant

      If your go-to synthetic lube gets clumpy after prolonged use or thickens the more you apply, make the switch to Liquid Gold. This water-based lube feels smooth, silky and slippery to the touch.

      Pjur Woman Vegan Water-Based Lubricant

      This premium lube is made without parabens, paraffin and glycerin. This PH-optimised lube is also free of fragrances, colourings and gluten so gluten-free folks can enjoy this one.

      READ MORE: Vaginal Probiotics Are Having A Moment – But How Do They Work?

      Intimate Earth MELT Organic Warming Lubricant

      This is a great lube if you have sensitive skin – the gentle formula is silky smooth and a little goes a long way. Plus, it’s condom-friendly and has organic extracts.

      Anara Aloe Gel Personal Lubricant

      A multitasker you’ll repurchase over and over, this aloe vera-based natural lube also relieves itchy and dry skin and even UTIs. Plus, it’s great for menopause.

      Oliō Natural Intimate Lubricant

      This CBD-infused lube is water-based and provides a relaxing and soothing sensation to the skin. Plus, it might improve blood flow, for heightened pleasure.

      Green Peach Essensually Wild Water-Based Lube

      This lube has 100mg of fast-acting full-spectrum CBD. It works to relieve tension and keep you present as you indulge.

      Faithful to Nature Water-Based Lubricant

      Made with organic aloe and prebiotics, is 96% organic, won’t dry up or get sticky and comes inn eco-friendly packaging.

      SuperNaturals Personal Lubricant

      Made with cape botanicals, this natural lube has a silky, smooth texture and is cruelty-free. What’s not to love about it?

      Women’s Health participates in various affiliate marketing programmes, which means we may get commissions on editorially chosen products purchased through our links to retailer sites. More

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      It’s Time To Stop Believing These Sexual Health Myths

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      From periods to contraception to fertility, women’s sexual health is subject to its fair share of myths. In South Africa alone, these myths are not just rampant but serve as a barrier for women to access healthcare. Per one study, “In South Africa, about one in five (19%) women of reproductive age (15–49 years) have an unmet need for contraception, with even higher unmet need among adolescent girls aged 15–19 years at 31%, and 28% for young women aged 20–24 years.” Myths around contraception prevent women from accessing these services, leading to unwanted pregnancy and STIs.

      We’ve dispelled some common myths with input from the experts to lay down some need-to-know facts. Here, the most common sexual health myths you can happily stop believing – and what to know instead.

      Meet the experts: Dr Nico Lin is an Obstetric and Gynaecology registrar at Groote Schuur Hospital in Cape Town. Dr Siyamak Saleh is a doctor, WHO consultant and sexual health influencer.

      Sexual Health Myth #1: You can’t get pregnant during your period.

      While menstruation does mean that your body is shedding its uterine wall, along with an unfertilised egg, this doesn’t mean pregnancy is impossible. “Although the likelihood is lower, it is possible to fall pregnant during your period,” says Dr Lin. “Sperm can survive in the female reproductive tract for up to 7 days. Some women have shorter menstrual cycles and can ovulate shortly after the period ends.”

      What this means: when your period comes to an end, sperm might still be around, allowing you to fall pregnant once ovulation takes place. Always wear protection if you don’t want to become pregnant.

      READ MORE: Here’s Exactly How Your Vagina Changes In Your 20s, 30s And 40s

      Myth #2: The pull-out method works

      Talk about risky business. Per Dr Lin, pre-ejaculation can occur during sex, which could lead to unwanted pregnancy. “The pull-out method or withdrawal method is an unreliable form of birth control because pre-ejaculate can contain sperm, leading to the risk of unintended pregnancy,” he says. Again, use contraception like condoms, the IUD or birth control pills if you want to remain child-free.

      Myth #3: Certain sex positions will increase your chance of falling pregnant

      Just like how you can’t intuit the sex of your unborn child, a special sex position won’t make it easier to fall pregnant. “There is no scientific evidence to support this idea,” says Dr Lin. “Timing of intercourse is more important than sexual position as the key factor in achieving pregnancy is the sperm’s ability to reach the egg during ovulation. Regular unprotected sexual intercourse around the time of ovulation is recommended if you are trying to conceive.”

      Myth #4: Having a regular menstrual cycle means you are always fertile

      “While having regular menstrual cycles is associated with regular ovulation, it does not guarantee fertility,” Dr Lin explains. “Other factors can affect fertility, such as structural abnormalities of the female reproductive tract and endometriosis.” If you are trying to conceive, see your doctor for a check-up to gauge your fertility.

      READ MORE: 5 Simple Ways To Tell Exactly When You’re Ovulating

      Myth #5: Using birth control for a long time makes you infertile

      Simply not true, experts agree. “Long-term use of birth control methods such as pills, injections and intra-uterine devices typically do not impact fertility negatively,” says Dr Lin. “Fertility usually resumes once you stop using the contraceptive. However, responses may vary among individuals with a return to fertility ranging between 2-18 months. Duration of contraceptive use has also been proven to not affect long-term fertility.”

      Also, it’s important to remember that age plays a factor in fertility. The more you age, the more fertility declines. “This means if someone uses birth control for many years, they might find it more challenging to conceive not because of the birth control itself, but because of age-related changes in fertility,” Dr Saleh explains.

      Myth #6: Using contraception will make your partner infertile

      First, let’s make it clear that this is completely untrue. Here’s how hormonal contraceptives work: “They prevent ovulation and thicken the mucus at the mouth of the womb, preventing sperm from entering the reproductive tract,” explains Dr Lin. “It can also work by thinning the lining of the womb, making it less likely for a fertilised egg to implant and grow.” The bottom line: since these methods work within the female reproductive system, they do not affect the partner’s fertility.

      READ MORE: Here’s How To Have A Discussion With Your Doctor About Sex

      Myth #7: The Morning After Pill Is Always Effective

      Well… it’s a bit more complicated than this. “Many factors influence the effectiveness of the morning-after pill, a crucial form of emergency contraception,” says Dr Saleh. “It’s most effective when taken within 24 hours after unprotected sex. There are two primary types of emergency contraception pills: one that contains levonorgestrel (e.g., Plan B One-Step), which is most effective within 72 hours, and another, Ella (ulipristal acetate), which can be taken up to 5 days after unprotected sex. The key mechanism of the morning-after pill is to delay ovulation; therefore, if ovulation has already occurred, the pill will NOT be effective. Additionally, the efficacy of morning-after pills is affected by BMI; higher BMI levels may reduce their effectiveness.”

      Myth #8: Steaming and douching are great for vaginal health

      Leave these practices behind, experts say. “Steaming and douching can disrupt the natural balance of the vagina, leading to several potential risks,” explains Dr Saleh. “These practices can affect the vaginal pH, making the environment more susceptible to infections and irritation. Steaming, in particular, might introduce excessive heat to sensitive areas, potentially leading to burns or discomfort.

      Both steaming and douching can upset the natural balance of healthy bacteria in the vagina, increasing the risk of bacterial vaginosis and yeast infections.” Plus, your vagina is a self-cleaning machine and is designed to maintain its balance without the need for internal cleansing like douching, Dr Saleh warns. Just use a mild soap and water and you’ll be fine.

      READ MORE: Pop Quiz: Do You Actually Know What’s Going On With Your Vagina?

      Myth #9: Vaginal discharge means infection

      This sexual health myth couldn’t be further from the truth. It’s more the quality of the discharge that determines inflammation and infection. “Vaginal discharge is a natural and healthy part of the vagina’s self-cleansing mechanism. Not all discharge indicates an infection,” says Dr Saleh. If your discharge is white, that’s normal.

      “Signs that discharge may be due to an infection include a change in colour, consistency, smell, or if it’s accompanied by other symptoms like itching, irritation or even lower abdominal pain. Discharge that is green, grey, or has a strong odour might signal an infection, such as bacterial vaginosis or an STI, and requires a consultation with a healthcare provider,” explains Dr Saleh.

      Michelle is the features editor at WH. She’s immensely curious about the world, passionate about health and wellness and enjoys a good surf when the waves are good. More

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      12 Ways To Boost Your Libido And Have A More Satisfying Sex Life, According To Experts

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      POV: You’re reminiscing about your first few dates with your long-term partner. You know, the time when you used to bonk like bunnies? Back then, it was physically impossible to keep your hands off each other, but now the idea of engaging in spontaneous lovemaking with your S.O. sounds, well, meh.

      If you can relate, you may be going through a period of low sex drive, also known as low libido.

      Biological Factors

      Libido is affected by a combination of biological, psychological and social factors known as the biopsychosocial model, says gynaecologist Dr. Alyssa Dweck, MD. “Bio-” refers to medical conditions such as: diabetes, heart disease and some cancers—essentially anything that can cause hormonal or blood flow changes, all of which can influence sexual drive, Dweck explains. Vaginal pain associated with intercourse (i.e., vaginismus) as well as ageing can also influence libido, adds double-certified gynaecologist Dr. Monica Grover, DO.

      Psychological Factors

      Meanwhile, the “psycho” part of this model is in reference to your emotional well-being and any mental health issues that may impact your libido. For example, depression and anxiety as well as history of abuse or trauma—sexual or otherwise—can impact your sex drive, says Dweck.

      Meet the experts: Alyssa Dweck, MD, is a practising gynaecologist and co-author of three books, including The Complete A to Z for Your V: A Women’s Guide to Everything You Ever Wanted to Know About Your Vagina. Monica Grover, DO, is a double-certified gynaecologist and the chief medical officer for VSPOT. Rachel Smith, LMFT, is a licensed marriage and family therapist and certified sex therapist.

      Social Factors

      Finally, “-social” is all about your relationship with sex and others. Cultural upbringing, religion and value systems influence people’s general thoughts about sex and how they specifically engage with it, explains Dweck. And when it comes to romantic relationships, if there’s conflict or difficulty, a couple’s libido will certainly be affected, she adds.

      Despite these barriers to entry (get it?), there is a way out of this sexual rut.

      If you’ve recently been feeling unsatisfied with your libido, sex experts are here to help. Ahead, they break down some possible reasons for why your sex drive is low and offer some tried-and-true tips for boosting your libido, so you can access pleasure once again.

      What’s considered a “normal” sex drive?

      Before getting into the nitty-gritty of why your sex drive might not be as high as you’d like, first, let’s settle what a normal sex drive is. The short answer: There is no “normal.”

      “Libido naturally varies from person-to-person and changes throughout your life,” explains Grover. What’s “normal” to you might not be normal for someone else, because your sex drive depends on your lifestyle and preferences, she adds.

      For example, someone who grew up in a household where sex was “taboo” and considered shameful might have a different desire for sex compared to someone who was raised in a sex-positive environment. “The messages that you heard about sex and sexuality and what it is and what it means all greatly impact your desire and openness to sex,” says certified sex therapist Rachel Smith, LMFT. So there is no normal; instead, you have to allow the time and space to check in and define for yourself how you wish—and not wish—to engage with sex, she adds.

      “The most important thing when we talk about normalcy is whether somebody is distressed about their drive,” says Dweck. Some people have a fairly low sex drive as their baseline and don’t feel distressed by it, i.e. it’s not hindering their quality of life. Others, however, are very affected by the number of times they have sex or think about sex, she adds, and for those people, some sort of intervention may be helpful.

      While no “normal” sex drive exists, it’s not abnormal for yours to change due to life experiences. As women age, especially during the menopausal period, their sex drive may diminish, explains Dweck. And when it comes to social factors such as relationships, “it’s also not unusual if somebody’s in a very long-term, albeit very happy relationship, that they may have a lower [sex] drive, either as a result of boredom or being stuck in a routine,” Dweck adds.

      Why is my sex drive so low?

      You already know sex drive is determined by a combination of biological, psychological and social factors, but ahead, the experts outline some specific physical and mental health barriers that might have you feeling bleh about making your bedrock:

      Physical Causes of Low Sex Drive

      Sexual dysfunction

      “Sexual dysfunction is a problem that can happen during any phase of the sexual response cycle,” says Grover. Some intercourse-related issues that may decrease one’s libido include: a history of painful sex (i.e., dyspareunia or genital pain either before, during, or after sex), vaginal dryness, vaginismus and/or problems reaching orgasm, according to Grover. All of these conditions “can create anxiety surrounding sex and lead to a decrease in sexual desire,” she explains.

      Reproductive health conditions

      Conditions such as endometriosis, premenstrual syndrome (PMS) and polycystic ovary syndrome (PCOS) can also negatively impact libido due to the hormonal changes and imbalances associated with them, says Grover.

      Medications

      Certain prescription drugs, especially a specific class of antidepressants known as selective serotonin reuptake inhibitors (SSRIs), are known to decrease sex drive, explains Grover. These drugs impact your ability to access the hormones and neurotransmitters important for experiencing sexual pleasure, says Smith. “[Certain] antipsychotics and even medications for ADHD” can also lower libido, Grover adds.

      Fatigue

      Studies have shown that poor sleep can induce adrenal fatigue and increase cortisol levels, which can diminish sexual desire, says Grover.

      Ageing and hormonal changes

      “Changes in estrogen and testosterone levels greatly affect someone’s libido,” says Grover. Some hormonal changes associated with ageing include pregnancy and menopause, both of which can influence sex drive.

      Pregnancy and postpartum

      “Hormone changes during pregnancy, just after having a baby and nursing can put a damper on sex drive,” Grover says. Not to mention, fatigue, changes in body image and the pressures of caring for a child can also contribute to a decrease in sexual desire, she adds.

      Menopause

      During the transition into menopause, estrogen levels drop, explains Grover. This can cause vaginal dryness, resulting in painful and uncomfortable sex, making you less interested in intercourse, she adds.

      Exercise

      Both too much or too little physical activity can cause a decrease in sex drive, according to Grover and a study published in Medicine & Science in Sports & Exercise.

      Stress

      “Stress tends to be one of the number one killers of libido,” explains Smith. And while stress is a mental health-related issue, it’s also a physical health issue as “when cortisol levels go up, sex hormone levels go down,” she says.

      Mental Health Causes of Low Sex Drive

      Anxiety and depression

      Apart from the SSRIs used to treat these mental health conditions, anxiety and depression themselves interfere with your hormone levels, resulting in a lower libido. “Anxiety can cause increased levels of cortisol, or the ‘stress hormone,’ and high levels of cortisol can suppress the sex hormones that impact your sex drive,” explains Grover. Depression, for its part, can cause an imbalance of the neurotransmitters that help regulate libido, Grover adds. And, in general, physical fatigue, low self-esteem and feelings of hopelessness—all symptoms of depression—can decrease sex drive, she says.

      History of trauma

      Experiencing trauma, especially of the sexual variety (i.e., sexual harassment, sexual abuse, or rape), can negatively impact one’s desire for sex, explains Grover.

      Relationship problems

      Issues in a romantic relationship play a major part in decreasing sex drive, says Grover. “Problems with communication, trust or intimacy, are among the most common causes of a low libido,” she explains. While sex is a physical act, there’s no denying the vital role having an emotional connection plays in forming one’s desire for sex. “If you don’t feel safe, secure, cared for, seen, heard, or supported, then you’re less likely to take next steps in terms of intimacy,” says Smith. On the flip side, if the emotional bond is there, but you’re not finding the sex you’re having with your partner particularly pleasurable or enjoyable, that can also negatively impact your libido, she adds.

      Low self-esteem

      How you feel in your body plays a significant role in your openness and ability to access sexual desire, says Smith. “If one’s not comfortable in their own skin, how can they invite someone else in to share in that experience [of sex]?” she asks. The answer: It’s quite difficult (but not impossible—more on that in a sec).

      How can I increase my sex drive?

      Now that you know why your engine isn’t revving the way it used to, what can you do to step on the gas, so to speak? Ahead, these 12 expert-approved tips can help your sex drive go from zero to 60 (vroom vroom!).

      1. Get checked up.

      “Number one, get a medical checkup,” says Dweck. You want to make sure there’s no medical issue or medication that’s screwing with your libido. So, check in with your gynae or a specialist in hormonal changes to either figure out if that’s the cause or cross it off the list.

      2. Implement healthier lifestyle choices.

      Perhaps this comes as no surprise, but the consumption of alcohol and tobacco can negatively impact your sex drive, according to previous studies and research. So while it’s easier said than done—especially in the case of addiction—try your hardest to cut back on these substances.

      And if you’re always tired when it’s time to wriggle in between the sheets, consider getting more sleep and/or levelling up your exercise routine—or the opposite, working out less. Switching up your schedule might help you find your sexy sweet spot.

      3. Manage your stress and anxiety.

      Stress and anxiety increase cortisol levels, which in turn lower your libido. So to improve your sex drive, try to manage your stress and anxiety levels, says Grover.

      You may even consider indulging in some self-care—both after a stressful day and before engaging in sex. Maybe you take a bubble bath after work to open yourself up and alleviate the stress from the day, says Smith.

      4. Prioritize your mental health.

      If a history of sexual trauma is getting in the way of your ability to access pleasure, consider getting assistance to help you treat that trauma, depression, or anxiety, says Glover.

      You may want to speak to a licensed psychotherapist who specialises in your specific type of trauma—or, better yet, a sex therapist that can walk you through releasing any feelings of shame or embarrassment regarding sex and self-pleasure.

      5. Discover your desire style.

      Smith explains that there are two desire types: spontaneous and responsive. Spontaneous desire is what’s typically shown in movies and media; it describes someone who feels a mental or emotional need for sex, first, to which their body quickly responds to thereafter, she says. People with this desire style operate like a “light switch,” Smith explains.

      “Sex is more on the forefront of their minds—they’re probably initiating sex more often because it’s more readily available to them.”

      Those with responsive desire, however, need the physical arousal, first, then the mental and emotional wanting of sex comes after, explains Smith. “This is like the dimmer switch.” These people need to be in sexual experiences for the desire for sex to click in their mind, she adds. They’re not often initiating sex, but when they’re in the thick of it, they’re thinking, “This is great.”

      Arousal—the physiological response to sexual stimuli—often follows desire—the wanting of sex—so it’s important to get acquainted with your desire style in order to figure out what it is that you—and your sexual partner—need to get it on.

      Of course, it’s true that if you don’t want sex, you shouldn’t have it, but this thinking can sometimes be a disservice to those with responsive desire, says Smith. “As long as sex is consensual, you don’t have to want sex to have sex, actually,” she says. For those with responsive desire, it’s quite the opposite as their desire starts from a place of willingness versus wanting.

      6. Figure out your turn-ons and turn-offs.

      You can’t communicate what your sexual needs are with a partner if you, yourself, don’t know your accelerators—turns ons—and brakes—turn offs.

      “And that’s really the only way—through being able to communicate with your partner—that you’re going to learn how to develop good sex or experience a positive, pleasurable sexual experience,” says Smith.

      Smith explains that, in this society, the responsibility to discover your turn-ons and turn-offs is put on partners, when really it’s your own responsibility to figure out what helps you achieve orgasm. One way to figure out what gets you to a big O is through self-pleasure, of course. But yet another way…

      7. Explore erotic content.

      Not only does engaging with X-rated videos and books help you see what might turn you on, but it also assists in getting love on the brain, á la Rihanna. “This is called bibliotherapy, which is just a fancy way of saying using tools like videos or texts to try to get sexual thoughts on the brain,” says Dweck. “The more this is done on a voluntary basis, the more [the desire for sex] will become spontaneous.”

      8. Work on your emotional connection.

      In order to have a strong sexual connection, you first need to develop a strong emotional bond. If you’re feeling uncared for by your S.O., then you’re most likely not going to want to get in between the sheets with them.

      Make sure you’re feeling safe and secure and you can trust your partner and then the rest will follow, says Smith.

      9. Schedule sex.

      Truthfully, when you’re always busy with work schedules, chores and childcare, it can be hard to, uh, get in the mood. One solution: Put “sex” on the Google Calendar.

      For long-term couples, especially, having a convenient, dedicated time to involve yourself in intimacy can help alleviate some of the stress and pressure of keeping the spark alive, says Dweck.

      10. Spend more time on foreplay.

      A huge influence to a low sex drive, especially for long-term couples, is boredom and being stuck in a rut or routine. To get out of that vicious cycle of just “hitting it and quitting it” and re-access pleasure, Grover recommends spending more time getting each other warmed up before heading into the main event.

      You might even consider trying out a new sex move you learned from an erotic video or bringing in sex toys like nipple clamps or a magic wand.

      11. Get rid of expectations.

      Many times folks are so focused on how they “should” be showing up sexually or how their body appears in the heat of the moment that they aren’t present enough to fully enjoy themselves and be in connection with their partner, explains Smith. Sex thus becomes something pressure-inducing, rather than something enjoyable.

      To increase your desire for sex and reach peak pleasure, Smith recommends “slowing down and smelling the roses.” In other words, alleviate the pressure to perform a certain way.

      Think of sex not as something you do, but as a place you go to be together and have a different experience, she says. Once you’re able to put all of that other stuff aside, then you’re truly able to experience the connection that’s available.

      12. Consider a medical intervention.

      If your low sex drive is really causing you distress and you’re discovering that none of these natural remedies are working for you, medical intervention is an option, says Dweck.

      In the end, if you’re not satisfied with where your libido is at right now, just know there’s hope. Through open communication, some self-exploration and self-care and a caring partner, you’re sure to find a frequency—plus, some new sex moves—that will make you both happy and (consensually) handsy.

      This story was written by Naydeline Mejia and was first published on womenshealthmag.com More

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      Why Am I Bleeding During Sex? Gynaecologists Explain Common Reasons And Treatments

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      So you just had a nice romp in the sack and now, you’re dutifully peeing to avoid a UTI. (Great job, by the way.) But as you’re wiping, you see blood. What does that mean?

      Before you panic and text all of your friends for help, take a few deep breaths. Bleeding during or after sex, while jarring in the moment, isn’t necessarily a cause for concern, especially if there isn’t a ton of blood.

      “It’s not an uncommon thing that we [as doctors] hear about,” says Dr Lyndsey Harper, a board-certified ob-gyn and founder of sexual wellness app Rosy. “And the reason for that is because it can happen in so many different scenarios.”

      In many cases, bleeding during or after sex could be due to menstruation, or a microtear in the vagina. And the good news is, even if there’s a more serious reason (like a larger tear, or an STI), it’s likely treatable. Still, you’ll want to schedule a visit to your gynaecologist if the bleeding is heavy, bright red, or accompanied by pain—and, most importantly, if it happens more than twice in a brief window of time, says Dr Harper.

      Meet the Experts:

      Want to learn more? No need to crowdsource from your group chat: Women’s Health rounded up all the info you need about the common causes of bleeding during or after sex, including how to treat it and when to check in with your doc about it.

      What are some common reasons for bleeding after sex?

      There are many reasons you might experience bleeding during or after sex, so it’s always a good idea to talk to a doctor if you’re concerned. But here are some of the most common explanations, per ob-gyns.

      1. You’re on (or you just finished) your period.

      This is one of the most common reasons—and also one of the least worrisome, says Dr Harper.

      If your period recently ended, or it’s about to begin, you might see blood that’s slightly darker and browner in colour. “You can’t count on this a hundred percent of the time, but most of the time, if [the bleeding] is related to your period, the blood is going to be a dark brown,” she explains.

      2. You tore your hymen.

      You might have heard the myth that your hymen “breaks” after your first time having sex. The truth: It’s a little less one-size-fits-all than that. While many people do have a hymen, or tissue around their vagina, it doesn’t necessarily tear the first time you have intercourse, says Dr Harper. Sometimes, it can tear at an earlier age, due to tampon usage or certain kinds of exercise. And sometimes, a person can even have penetrative sex several times before their hymen tears, Dr Harper explains.

      If this happens to you, you’ll notice a distinct bright red colour. You’ll also probably feel a very brief, “sharp” moment of discomfort that’s more shocking than it is painful, says Dr. Harper.

      3. You’re experiencing vaginal dryness.

      There are many factors that can cause vaginal dryness, including birth control, breastfeeding, or menopause. “Vaginal dryness can lead to thinning of the vaginal wall and increased friction during intercourse. That can create little tears, which can bleed,” says Dr Harper.

      The words “vaginal tearing” might make you wince, but this is another very common cause of postcoital bleeding. Your best bet: Loading up on lube in preparation for sex, says Dr Brandye Wilson-Manigat, a board-certified ob-gyn and sex coach. She recommends adding a high-quality water-based or silicone-based lubricant into your sexual routine.

      If you’re going through menopause and having a persistent issue with bleeding, though, Dr Harper suggests setting up an appointment with your gynaecologist, who might recommend a hormone replacement. “Lack of oestrogen during menopause can lead to lots of other issues in addition to vaginal bleeding, so it’s always worth a discussion with your healthcare provider,” she explains.

      4. You just had sex that was a bit rougher than usual.

      Another reason you might have some vaginal tearing? Rough sex, or a larger-than-usual penis or strap-on, explains Dr Wilson-Mangiat. Slight tearing could be more likely if you haven’t had sex or been penetrated at all recently, adds Dr Nicole Williams, an ob-gyn at the Gynecology Institute of Chicago. “If it’s been a while since you’ve had sex, the tender skin around the vagina may have a microtear and cause some spotting,” says Dr Williams.

      In many instances, these tears are small and can heal on their own, assures Dr Harper. If you’re spotting slightly or the bleeding stops, it might just be a sign to tread more carefully (and with more lube) next time. But if the bleeding is heavy and insistent, you may have a larger tear that requires medical treatment.

      “You might notice [a bit of blood] on your toilet paper and think, ‘Oh, let me keep on eye on this.’ But if it’s a large tear, you’re going to be bleeding heavily, it’s going to be bright red blood and you’re going to need attention to make it stop,” she explains.

      5. You have a skin condition that makes you susceptible to tearing or bleeding.

      In some cases, the light bleeding could be a result of a skin condition that caused tearing. For example, a medical skin condition called lichen sclerosus, which can contribute to irritation and itching of the vulva in the prepubescent stage and after menopause, is also a source of tearing or bleeding after sex, Dr Wilson-Manigat explains.

      6. You have cervical polyps.

      Cervical polyps are one of the more common reasons for bleeding during sex that Dr Wilson-Manigat has seen in her practice. “These are benign growths on the cervix that are similar to a skin tag you would see on another area of your body,” she says. “But the difference between a skin tag and a polyp is that polyps can bleed very easily with light touch, which is why you may have bleeding from them during sexual activity.”

      Most of the time, they can be found during your routine pelvic exam and pap smear. Dr Harper stresses that they aren’t cancerous, but should still be addressed by a gynaecologist, so set up an appointment with your doc if you think you might be prone to polyps.

      7. You’re pregnant.

      Before you’ve even taken a test, light bleeding could be your first clue that you’re pregnant. One of the initial signs of early pregnancy can be vaginal bleeding, also known as implantation bleeding, which can occur right after sex, says Dr Alexandra Bausic, a board-certified gynaecologist and sex educator at Let’s Talk Sex. The cause of bleeding is the implantation of the embryo inside your uterus, so it may show up at any time, unrelated to penetration, Dr Bausic notes.

      If you think there’s a chance you could be pregnant and you’re noticing bleeding during sex or in general, take a test and then give your gyno a call. And if you’re further along in your pregnancy, bleeding during or after sex isn’t a totally abnormal occurrence—but you should also let your doctor know, just so they can make sure everything’s okay, Dr Harper suggests.

      “There are causes for bleeding during pregnancy that are not a big deal and then there are causes for bleeding during pregnancy that are a really big deal,” she says. “If the placenta is over the cervix, if you’re going into pre-term labour… There are a lot of things we want to rule out before we say, ‘eh, not a big deal.’”

      8. You have cervicitis.

      Another one of the more common explanations for bleeding during or after sex is cervicitis. While the word may sound scary, what’s basically happening is an inflammation of the cervix, says Williams.

      In some cases, a common infection such as bacterial vaginosis (BV) or an allergic reaction to latex condoms or certain feminine hygiene products causes inflammation in the cervix, according to the Mayo Clinic. But cervicitis can be easily treated with a topical antibiotic, Dr. Williams says.

      9. You have an STI.

      If you’ve been experiencing other symptoms down there—including difficulty peeing, discharge that smells more odorous than usual, or discharge that appears to be green or yellow in colour—you might have an STI, says Harper. “Gonorrhea and chlamydia can infect the cervix and make it fragile, so irritation to the cervix can make it bleed more readily,” she explains.

      Luckily, gonorrhoea and chlamydia are both treatable—just set up an appointment with your doctor, who can run some tests and help you get treatment. In more rare cases, an HPV infection could be causing some type of cervical pre-cancer, but don’t panic: Your doctor will flag any abnormalities with your pap smear first.

      10. You have a yeast infection.

      A sexually transmitted infection may not always be the cause—yeast infections can also be to blame for vaginal bleeding, says Dr Alyssa Dweck, an ob-gyn and author of The Complete A To Z For Your V. When you have a yeast infection, your vagina becomes sensitive, swollen and inflamed, which can lead to bleeding when you wipe, have sex, or itch the area, Dr. Harper adds.

      Chances are, if you have a yeast infection, other symptoms—namely, painful vaginal itching and clumpy, adherent discharge—will present themselves first, explains Dr. Harper.

      11. You have cervical cancer.

      Unfortunately, there is a worst-case possibility: “Pre-cancerous and cancerous cells of the cervix can definitely cause bleeding and that is obviously very worrisome,” says Dr Harper. What’s also concerning is that, oftentimes, cervical cancer—especially in its early stages—presents very few symptoms. This is why she always recommends seeing a doctor if the bleeding starts happening semi-frequently, even if just to rule it out.

      With cervical cancer, “you can have spotting with intercourse, but you can also have some random spotting, too,” Dr Harper explains. “And it’s bright red, not like menstrual spotting. Whenever people are having bright red bleeding outside of their cycle, they want to be evaluated.”

      So I should really see a doc if I bleed during or after sex?

      Definitely, if it’s a recurring thing. Here’s Dr Williams’ rule of thumb: “If you have a single episode of bleeding after sex, especially if you’re just finishing your period or have started a new hormonal birth control, it may not be anything to be concerned about. However, if it happens more than once, it’s best to just make a quick visit to the gyno and have yourself checked out.”

      After you’ve made your doctor appointment, come prepared with as much information as possible to help ID your condition. First, always pay attention to the colour of the blood. “Darker blood is usually older blood and is not as concerning as if it were very bright red,” Dr Williams says. Also, take note if the blood is accompanied by pelvic pain and discomfort. Or, if your vaginal discharge has a different texture or smell, advises Dr Bausic.

      In terms of treatment, rest assured that many of these conditions are treatable once your doctor is able to diagnose you with the infection or skin condition. One way to rule out infections before you’re even in the doctor’s office is by making sure that pregnancy or any kind of potentially irritating external products aren’t causing the bleeding, Dweck says.

      For many one-time occurrences of bleeding during sex, using lube the next time around can do the trick. But if that’s not helping, it’s best to look further into what could be causing the bleeding. It’s true that sex can be messy—and while talking about bodily fluids and blood can sometimes be uncomfortable, your gyno is trained to help you. That way, you can make sure sex gets back to what it should be: fun!

      This article was first published in womenshealthmag.com More

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      Here’s Exactly How Your Vagina Changes In Your 20s, 30s And 40s

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       Though you may not be aware, vaginas go through changes along with the rest of your body. Here’s of the vagina changes over the decades from your 20s, 30s and beyond …

      Why do vaginas change?

      Through the years, your vagina changes with the rest of your body, drooping and even drying as you approach menopause. Hormonal changes influence the way your vagina looks and feels – though it’s all totally normal. Over time, you can expect a change in vulva thickness, lubrication and pelvic floor strength. Read on for the specifics of how your vagina changes with age.

      In your 20s

      Normal shrinkage

      Puberty’s over (thank goodness) and your organs have reached their adult size. Except, that is, for your labia majora – the outer “lips” that enclose the rest of your privates. Don’t be shocked to see these looking slimmer. As you age, subcutaneous fat, including that of your genitals, decreases.

      In your 30s

      The big stretch

      The uterus balloons to watermelon proportions during pregnancy – then shrinks back down within six weeks after birth. In South Africa, statistics show that the majority of births in private hospitals are conducted by C-section, sparing their vag opening similar stretching.

      Dark shadows

      The hormone shifts that come with pregnancy or ageing can cause your labia minora, the “inner” lips that encircle the clitoris and vaginal opening, to darken in colour. So you can relax if, on your next self-check, it’s like 50 shades of (mauve-ish) grey down there.

      In your 40s

      Short stuff

      Though a woman’s egg supply dwindles rapidly in her early forties, she still ovulates and (sigh) gets her period. Cycles are a bit shorter, though, and tend to peter out by age 51 – i.e. menopause. Your body puts an end to fertility five to 10 years before that.

      Deep squeeze

      Your repro organs are supported by a hammock of tendons, tissue and muscle. Extra kilos, ageing or years of high-impact workouts can loosen this pelvic floor, straining organs and causing bladder leakage or a “heavy” feeling down below. Your move: Kegel exercises! These simple moves strengthen your pelvic floor, making it healthier – and for stronger orgasms.

      Desert rescue

      Lower oestrogen levels affect the vagina’s acid-alkaline balance, which can spur inflammation – along with thinning and drying of the vaginal walls, which can cause itching, burning and redness. Silver lining: regular sex can prevent this (get on it!).

      This article was first published in womenshealthmag.com. More

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      There Is Nothing Normal About Pain During Sex

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      First-time sex is supposed to be painful due to the hymen (a thin piece of tissue located at the opening of the vagina) tearing. Most of us grew up hearing this statement. We held on to it as the gospel and waited our turn to feel this ‘natural’ pain. 

      There’s no bigger lie, believes psychosexual therapist Catriona Boffard, who has been in the game for well over 13 years and is particularly passionate about this subject. She believes that young women being taught that first-time sex is painful creates more long-term damage than we let on and it’s something that should never be normalised.

      “One of the biggest issues is that when women expect something to hurt, or if there has been some physical sexual trauma, chemotherapy treatment or a skin condition, they aren’t going to be sufficiently aroused physically and psychologically – and that will automatically lead to pain. There are many reasons why a woman has unwanted pain during sex, but her first time is not one of them. A woman’s first time shouldn’t hurt.”
      Catriona Boffard

      READ MORE: 5 Things You ALWAYS Need To Do After Anal Sex

      Why you could be experiencing sexual pain

      There are various health and psychological reasons that cause pain during sex – and these should be treated with the utmost urgency. “One of the most common reasons why women experience pain during sex is that they’re not sufficiently aroused. Also, because society tells us that sex first-time sex is going to hurt, that also switches off the probability of being physically and mentally aroused. Her vaginal muscles tense up leading to sexual pain,” explains Boffard. 

      Another reason could be due to sexual pain disorders. “It’s usually a psychosomatic issue that a woman experiences where there is a fear-pain cycle that perpetuates in the brain. It could be that she’s experienced psychological and physical trauma before when inserting a tampon or a finger, being examined by a gynaecologist or when a penis penetrates,” shares Boffard. 

      READ MORE: Vanilla Sex: Not As Boring As You Think

      The third reason is due to dermatological conditions such as lichen sclerosis which affects the tissue in the vulva area or recurring vaginal infections, adds Boffard. Then there’s also the effects of ageing, menopause or chemotherapy which causes shrinking and atrophy (skin condition demonstrated by thin shiny-appearing skin, small readily visible blood vessels, bruises, stretch marks, increased hair, redness, and pigmentation changes) in the vaginal tissue, particularly in the labia. 

      Possible treatments

      Should you decide to consult a psychosexual therapist for your pain during sex, they are likely to first refer you to a sexual health doctor for a full examination and assessment to rule out the possibility of the pain being caused by clinical reasons. “The treatment usually depends on what it is that she’s experiencing. There is no one-size-fits-all model. Every woman needs to be treated differently depending on what her concerns are,” says Boffard. 

      READ MORE: 10 Quiet Vibrators That Will Let You Play In Peace

      One of the most common causes of unwanted sexual pain in women, from a psychological perspective, is negative messaging around sex. “A woman living with vaginismus (the tightening of the muscles on the vagina) may need sessions with a physiotherapist to manage the movement of their pelvis and another may need some psychological therapy sessions. Ideally, a woman experiencing unwanted sexual pain needs a team made up of a sexual health doctor, a sexologist like myself and a physiotherapist,” she says. More

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      7 Common Things That Make Your Vagina Smell Strange

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      Why does your vagina smell and what can you do about it? Dr Christine Kriel, a qualified GP with special interests in women’s health and holistic healing, gives us all the intimate details…

      So, what should your vagina smell like?

      The way your vagina smells is highly individualised and influenced by a couple of different factors. If there is a noticeable odour – associated with symptoms like discharge, itch or burn – there’s a problem and you need to pop in on your gynae. But without these symptoms, the smell is probably perfectly normal.

      But why?

      The reason your vagina has a characteristic smell is because it secretes fluids and normal bacteria to keep your vaginal pH slightly acidic at 4.5 – this plays a role in helping your vagina stay infection-free. Here, the common things that give your vagina its unique scent…

      READ MORE: Vaginal Probiotics Are Having A Moment – But How Do They Work?

      Oestrogen lowers your vaginal pH, protecting you from infections. During the second half of your cycle up until before your period, when oestrogen is low, you might be more susceptible to infections and odour. When your cycle is irregular, you’re also more susceptible to increased pH and infections.

      2. Your diet

      Sugary foods create the perfect environment for yeast infections, causing a change in vaginal odour. (Though yeast infections themselves don’t really have a characteristic smell.) Strong-smelling foods like coffee or onions affect bodily fluids, including vaginal discharge and smell. Incredibly, there is some evidence showing that sweet-smelling foods like watermelon, celery, pineapple and apple might help with vaginal odour. Lastly, eating foods rich in probiotics – like sauerkraut, kefir or kombucha – supports your vaginal microbiome, preventing infections.

      READ MORE: All About The New Non-Surgical Vaginal Rejuvenation Therapy

      FYI: Your vaginal microbiome is the environment of normal organisms found in your vagina. Their role? To protect you from an overgrowth of unwanted yeast and bacterial infections. The vaginal microbiome and your gut microbiome are connected.

      To maintain a healthy vaginal microbiome, avoid oral antibiotics as far as possible and supplement with probiotic strains lactobacillus rhamnosus (GR-1) and lactobacillus reuteri (RC-14). Avoid: feminine hygiene products used internally, vaginal douching and scented soaps – they disturb your vaginal microbiome, putting you at risk of infection. Our natural response is to think when something smells, we need to wash it, but these efforts have the opposite effect.

      3. Your pH

      Your vaginal pH should be between 3.5 and 4.5 – slightly acidic. At this pH level, your vaginal microbiome should be normal. Anything above that puts you at risk of infections and odour. So, what increases your pH? Menstrual blood and tampons, sperm, scented soaps, hot baths, vaginal douching and hormonal contraception.

      READ MORE: Pop Quiz: Do You Actually Know What’s Going On With Your Vagina?

      4. Leakage of urine/menopause

      After normal childbirth and with increased age, bladder control becomes more difficult. A cough or sneeze can cause leakage, and walking around with soiled underwear can result in unwanted odour down south. If you’re prone to this, try Kegel/pelvic floor exercises, wear a panty liner, or carry extra undies in your bag for emergencies.

      5. Personal hygiene and sweat

      This is a common cause of a musky or fried onion-like smell – but staying hydrated helps. If you’re prone to sweating, you can use feminine wipes (not inside the vagina – only on the outside folds) and change your underwear during the day. Baby powder can also help, but once again: for external use only. Lastly, hairy areas are more prone to sweat, so treat yourself to a Hollywood or laser hair removal.

      READ MORE: Vaginal Infections 101 — What You Need To Know About That Itch

      6. Sexual intercourse

      Semen has a strong ammonia smell and it can also increase your pH, putting you at risk of vaginal infections. It’s important to urinate after sex and wash properly with water after the act.

      7. Your choice of underwear

      First, make sure your underwear is clean. Washing your undies in the machine is often not enough – you need to wash them properly by hand. Tumble drying for 30 minutes also helps to get rid of bacteria. Secondly, throw the old ones out. If your undies are stained or worn with holes, get rid of them. Lastly, fabric is important. Avoid synthetics like nylon and spandex – they’re non-breathable. Rather choose cotton. More

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      How Long Does A UTI Last And Can It Go Away On Its Own?

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      Chances are you’ve experienced a stinging sensation while peeing before. Then, five minutes after closing the bathroom door, you felt like you have to go again. At this point, you probably think to yourself, Great, another UTI.

      How long does a UTI last again?

      That depends on how serious your infection is. But some basics first: A urinary tract infection (UTI) is caused by bacteria entering the urethra. That’s the tube that lets urine leave the body and bladder. But it can also spread to the upper urinary tract and kidneys, says Dr James Elist, a urologist.

      A UTI can be complicated or uncomplicated based on how far up it has travelled. “An uncomplicated UTI occurs in the lower urinary tract, typically the bladder and urethra,” explains Dr Elist. “It’s considered uncomplicated because it can be effectively treated with antibiotics and does not usually lead to serious complications.” A complicated UTI, on the other hand, extends beyond the bladder and is typically more severe and difficult to treat.

      In both cases, typical symptoms include the urgency to pee and pain during urination, but blood in urine, fever, bladder inflammation, urinary incontinence, abdominal or back discomfort, strong-smelling urine, and genital irritation can also occur.

      When it comes to a UTI, though, you don’t want to mess around. Here’s everything you need to know about this infection, according to urologists, including how long it lasts with and without treatment, and how to speed up recovery ASAP.

      Meet the experts: James Elist is a urologist and the founder of the Penuma implant. Yanina Barbalat is a urologist at Beth Israel Lahey Health.

      How long does a UTI last untreated?

      Believe it or not, about 30 to 40 per cent of women can clear a UTI without taking antibiotics. An uncomplicated UTI can last seven to 10 days, says Dr Yanina Barbalat, a urologist at Beth Israel Lahey Health, but sometimes it takes up to six weeks.

      However, a complicated UTI may last for weeks or even months if left untreated, because the bacteria will continue to multiply, allowing the infection to spread to the kidneys, notes Dr. Elist.

      That said, even if you think you have an uncomplicated UTI, you should always check in with your doc, says Dr Elist. They’ll order a urinalysis to confirm that you have an infection.

      How long does a UTI last with antibiotics?

      If you have symptoms of a UTI and a urine analysis confirms the diagnosis, your doctor will prescribe antibiotics whether you have an uncomplicated or complicated UTI, says Dr Elist. For uncomplicated UTIs, antibiotics will typically make you feel better within a few days. Complicated cases often require a longer or even a second course of medication. Recovery may take one to two weeks or even a month, he adds.

      If your urine test comes back positive but you don’t have any symptoms, you won’t need antibiotics. “I often tell people it’s kind of like the bacteria on your skin, which doesn’t mean you always need to be on antibiotics. Because some people have bacteria that colonize and it just sort of coexists with the person,” adds Dr Barbalat. “It doesn’t need to be treated unless it’s actually causing you issues.”

      And while you’ll likely notice an improvement within two days of taking antibiotics, make sure to continue taking it and finish all the pills you’re prescribed, says Dr Barbalat. Stopping treatment early may leave some bacteria in the bladder, which can potentially lead to a more serious infection.

      If symptoms get worse or continue for more than a week, see a doctor immediately because it could be a sign of a more severe infection in the kidney or bladder, says Dr Elist.

      How do I know if my UTI has gone away?

      You’ll know a UTI has gone away when you no longer have symptoms, says Dr Barbalat. If you’ve taken an antibiotic and your symptoms are gone, then that’s it, according to the American Urological Association.

      If your urine test comes back positive but you don’t have any symptoms, you won’t need antibiotics.And while most symptoms will go away in a week, you may still feel a burning sensation when you pee or an urgency to use the bathroom for two to three weeks after, says Dr Barbalat. “That just means the bladder is still inflamed and irritated, so you don’t actually need antibiotics, you just need a little bit of TLC,” she explains. “Drink lots of fluids, stay away from spicy foods, alcohol, coffee, and other things that can irritate the bladder. Just give your body a little bit of time to recover.”

      If your remaining symptoms continue to linger after a month post-antibiotic, check in with your primary care physician ASAP.

      How can I get rid of a UTI faster?

      The best way to speed up recovery (besides taking antibiotics) is to stay hydrated and drink lots of fluids, says Dr Barbalat. You should also keep the genitals and surrounding area clean and dry, and wash your hands often.

      To ease any pain or discomfort, Dr Elist suggests applying a heating pad to your abdomen and/or back, wearing loose clothing, and taking an OTC medication such as ibuprofen or acetaminophen.

      Now you may be thinking, What about cranberry juice? “Cranberry juice will actually irritate the bladder because it’s sour, so a lot of people will drink it when they have an infection and it can actually make symptoms worse,” says Dr Barbalat. So, to minimize further inflammation, stay away from cranberry juice until you’re all better.

      That said, cranberry supplements are a good way to prevent UTIs, per Dr Barbalat. “Cranberries have active compounds called PACs [proanthocyanidins], which do not allow bacteria to bind to the bladder, so you instead pee the bacteria out,” she explains.

      Nativa Complex Bladder Fizzy

      Use this cranberry-based effervescent to treat UTI ailments. It gets to work fast and keeps things in tip-top shape.

      My Beauty Luv Vajayjay

      Made with cranberry extract and Quatreflora®, this supp wards off UTI infections. It can be taken every day, even with antibiotic treatment.

      However, if you’re prone to UTIs (you have more than two within six months, or three within a year), you must have the right cranberry supplement, stresses Dr Barbalat. “Most over-the-counter pills do not have enough PACs for them to be effective enough. Studies show that you need at least 36 milligrams of soluble PACs.”

      In terms of things you should avoid when you have a UTI, Dr. Barbalat suggests steering clear of foods that are irritating to the bladder. This includes sour or acidic fruits like lemons, oranges, kiwi, or pineapple, alcohol, soda, and artificial sweetener. It’s also best to avoid anti-bacterial or fragranced soap because this can kill the good bacteria in your vagina, dry out the surrounding area, and cause inflammation of the tissue, she adds.

      And it’s best to avoid sex while you’re still symptomatic, says Dr Barbalat. “It’s technically okay to have sex with a UTI, but the symptoms will get worse if you’re not 100 per cent better.” Additionally, if you engage in sexual activity following a positive UTI result, you could reintroduce the bacteria into the bladder, causing extended symptoms or even a recurrent infection, says Dr Elist.

      This article was originally published on Women’s Health US More