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Straight Talk on Soap, Saggy Breasts, and Bed Bugs

Your embarrassing questions about using soap “down there,” saggy breasts, and bed bugs get answered here.

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Q: My sister says it’s OK to wash your vagina with very mild soap in the shower, but I thought soap down there was bad. Who’s right?

A:Your vagina actually does a really good job of keeping itself clean, and it doesn’t need a lot of help from you to stay that way. But a gentle cleansing with a mild soap or warm water should be fine for most people. You just don’t want be overzealous about the scrubbing and sudsing, even during your period—that could upset the balance of “good” and “bad” bacteria down there, leaving you with a yeast infection or bacterial vaginosis.

For a small number of women, some soaps, bubble baths, and bath gels and salts—even scented panty liners—can cause itching, redness, or hives. If you think you might be in this camp or have had trouble with such products in the past, do yourself a favor and avoid those with added fragrance or perfumes (check the ingredient list carefully).

Another smart move: Opt for pH balanced and hypoallergenic soaps, which are less likely to irritate your vagina. One that fits both criteria: Dove’s Sensitive Skin Unscented Beauty Bar ($6 for a pack of six; drugstores). ”All-natural” soaps may work for you, too, but first check the label for fragrances or added scents.

And remember: Rinsing gently but thoroughly is important. Any residual soap can become irritating if left on your skin.

Q:My breasts feel like they’re sagging more every day. Is this just natural aging?

A:Sadly, yes. As you get older, the ligaments that hold up your breasts lose their elasticity. What’s more, breast tissue becomes more fatty and tends to lose shape and perkiness, leading to more sag. Pregnancy, breast-feeding, and weight gain or loss, all contribute to sag, too: When breasts enlarge and then shrink, the skin doesn’t do the same.

But there are things you can do to help. Avoid yo-yo dieting, and exercise regularly (it boosts skin and ligament elasticity). Chest exercises and lifting free weights help strengthen your pectoralis muscles, which help support the breasts. And wear a supportive sports bra (especially when exercising); look for one that has a thick back and sturdy straps.

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Roshini Rajapaksa, MD
Last Updated: September 03, 2009

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