How to perform a Vulva Self-Exam

Terminology check! Vagina vs. Vulva

Vagina: The muscular canal that connects the cervix and uterus to the outside world. The opening can be seen on the vulva.

Vulva: Refers to the external genitalia: mons pubis, labia minora, labia majora, vestibule (contains opening for vagina and urethra), bartholin’s glands, clitoral hood/clitoris.

Now that we have that squared away get a mirror out and check your vulva. Do this often, just as you would a breast exam. Knowing what your body looks like is helpful so that you can notice if there are any changes. It’s also another way to connect with and love on our bodies.

I created the acronym S.O.A.C. to help my clients remember what to look for.

(S)ensation: burning, tingling, itching, pain, numbness

(O)dor: Spoiler alert! We aren’t supposed to smell like passion fruit and flowers down there. Get familiar with your natural smell and this way you can note a pungent or foul odor. It could be a sign of infection.

(A)ppearance: asymmetry, moles, bumps, swelling, rash, open wounds/bleeding, red, light or dark patches

(C)olor: note any skin color changes. Also if you notice yellow or green discharge this could be a sign of infection.

Check with your gynecologist or midwife if you have any concerns.

Are you comfortable doing a vulva check?
When did you first learn the difference between your vagina and vulva?