Are Over-The-Counter Feminine Hygiene Products Safe to Use?

Feminine hygiene is a topic of paramount importance for women’s health and well-being. Over-the-counter (OTC) feminine hygiene products are widely available and commonly used to address various intimate health concerns. However, a critical question that often arises is whether these products are safe or beneficial for use. This following is a list of commonly sold feminine hygiene products along with information on their potential risks and/or benefits.

1. Vaginal Douches or Cleansing Products:

One category of OTC feminine hygiene products includes vaginal cleansing solutions and douches. While these products may claim to provide a sense of freshness and cleanliness, experts warn against their regular use. According to a study published in the Journal of Lower Genital Tract Disease, frequent use of vaginal cleansing products can disrupt the natural pH balance of the vagina, leading to irritation and an increased risk of infections. Importantly, the vagina is a self-cleaning organ, and introducing other “cleansers” into the vagina can actually make it more difficult for it to regulate itself.

1. Feminine Wipes:

Feminine wipes are another commonly used OTC product. These are often marketed as convenient solutions for on-the-go freshness. However, dermatologists and gynecologists caution against the use of scented wipes or those containing harsh chemicals. The American College of Obstetricians and Gynecologists (ACOG) recommends using plain, unscented wipes (if unscented soap and water are not readily available) and avoiding products with potential irritants.

1. Tampons and Menstrual Cups:

Menstrual hygiene products, such as tampons and menstrual cups, are essential for managing menstruation. While these products are generally considered safe, it is crucial to use them according to the recommended guidelines. For example, the risk of toxic shock syndrome (TSS) associated with tampon use emphasizes the importance of proper hygiene and adherence to usage instructions.

1. Antifungal Creams and Suppositories:

Over-the-counter antifungal creams and suppositories are commonly used to address yeast infections. These products often contain active ingredients like clotrimazole or miconazole. According to a study published in the Journal of Women’s Health, these antifungal agents are generally safe when used as directed and have proven efficacy in treating yeast infections. However, if you experience recurring yeast infections, it is important to make an appointment with a health care practitioner about ways to treat/manage them safely and effectively.

1. Personal Lubricants:

Personal lubricants are often used to enhance comfort during sexual activity. Water-based lubricants are generally considered safe and are recommended for those with sensitive skin. Caution should be exercised with oil-based lubricants, as they may increase the risk of a condom breaking. The World Health Organization (WHO) suggests using water-based or silicone-based lubricants for optimal safety.

6. Vaginal Moisturizers:

Women experiencing genitourinary syndrome of menopause (GSM) often contend with dryness and discomfort in the vaginal area. Vaginal moisturizers play a crucial role in their care, as they are used regularly, often several times a week, to maintain optimal vaginal moisture levels. Unlike some other feminine hygiene products, vaginal moisturizers are specifically designed to hydrate and soothe the delicate vaginal tissues without disrupting the natural pH balance.

Conclusion

In the realm of feminine hygiene, understanding the diverse range of products available and their targeted benefits is essential for making informed choices that contribute to women's health. As with any product, it's advisable to consult with healthcare professionals to determine the most suitable options for individual needs and concerns.

In conclusion, the safety of OTC feminine hygiene products depends on the specific type of product and how it is used. While some products may contribute to maintaining vaginal health when used appropriately, others may pose risks if used excessively or incorrectly. Maintaining good personal hygiene practices, opting for unscented and gentle products, and following recommended guidelines can contribute to the safe use of OTC feminine hygiene products.

For more information on this topic, please read these publications from the ISSM Journals: The Journal of Sexual Medicine, Sexual Medicine Reviews, and Sexual Medicine Open Access:

Beyond Douching: Use of Feminine Hygiene Products and STI Risk among Young Women

Vulvar Dermatoses: A Primer for the Sexual Medicine Clinician

References:

American College of Obstetricians and Gynecologists. (2023). Vaginitis. ACOG Patient Education. Retrieved from https://www.acog.org/womens-health/~/link.aspx?_id=91E8FC7642B24E5E9216A705EF2D9D8B&_z=z

Anderson, M. R., Klink, K., & Cohrssen, A. (2004). Evaluation of vaginal complaints. JAMA, 291(11), 1368–1379. https://doi.org/10.1001/jama.291.11.1368

Fashemi, B., Delaney, M. L., Onderdonk, A. B., & Fichorova, R. N. (2013). Effects of feminine hygiene products on the vaginal mucosal biome. Microbial ecology in health and disease, 24, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3758931/

Food and Drug Administration. (2020). Menstrual Tampons and Pads. Retrieved from https://www.fda.gov/regulatory-information/search-fda-guidance-documents/menstrual-tampons-and-pads-information-premarket-notification-submissions-510ks-guidance-industry