medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/ms2023-327medsovet-7789Research ArticleРЕПРОДУКТИВНОЕ ЗДОРОВЬЕ И ВРТREPRODUCTIVE HEALTH AND ARTНасущный вопрос женского интимного уходаVital issue of intimate care for womenhttps://orcid.org/0000-0002-2458-419XДворянковаЕ. В.DvoriankovaE. V.

Дворянкова Евгения Викторовна – доктор медицинских наук, ведущий научный сотрудник.

109029, Москва, ул. Средняя Калитниковская, д. 30

Evgeniya V. Dvoriankova - Dr. Sci. (Med.), Leading Research Associate, Center for Theoretical Problems of Physical and Chemical Pharmacology of RAS.

30, Srednyaya Kalitnikovskaya St., Moscow, 109029

edvoriankova@gmail.comhttps://orcid.org/0000-0003-2027-5987СаканияЛ. Р.SakaniyaL. R.

Сакания Луиза Руслановна - младший научный сотрудник, врач-дерматовенеролог, ЦТП ФХФ РАН; врач-дерматовенеролог, косметолог, трихолог, МНПЦДК.

109029, Москва, ул. Средняя Калитниковская, д. 30; 127473, Москва, ул. Селезневская, д. 20

Luiza R. Sakaniya - Junior Researcher, STD and Skin Physician, Center for Theoretical Problems of Physical and Chemical Pharmacology of RAS; STD and Skin Physician, Cosmetologist, Trichologist, Moscow Scientific and Practical Center of Dermatovenereology and Cosmetology.

30, Srednyaya Kalitnikovskaya St., Moscow, 109029; 20, Selezniovskaya St., Moscow, 127473

sakania.luiz@yandex.ruhttps://orcid.org/0009-0002-0822-6285КантинО. М.KantinO. M.

Кантин Олег Михайлович - врач – акушер-гинеколог.

143985, Московская обл., Балашиха, ул. Саввинская, д. 15

Oleg M. Kantin - Obstetrician-Gynecologist, Balashikha Maternity Hospital.

15, Savvinskaya St., Balashikha, Moscow Region, 143985

https://orcid.org/0000-0002-6583-0318КорсунскаяИ. М.KorsunskayaI. M.

Корсунская Ирина Марковна - доктор медицинских наук, профессор, заведующая лабораторией.

109029, Москва, ул. Средняя Калитниковская, д. 30

Irina M. Korsunskaya - Dr. Sci. (Med.), Professor, Head of Laboratory, Center for Theoretical Problems of Physical and Chemical Pharmacology of RAS.

30, Srednyaya Kalitnikovskaya St., Moscow, 109029

marykor@bk.ruЦентр теоретических проблем физико-химической фармакологии РАНРоссияCenter for Theoretical Problems of Physical and Chemical Pharmacology of RASRussian FederationЦентр теоретических проблем физико-химической фармакологии РАН; Московский научно-практический центр дерматовенерологии и косметологииРоссияCenter for Theoretical Problems of Physical and Chemical Pharmacology of RAS; Moscow Scientific and Practical Center of Dermatovenereology and CosmetologyRussian FederationБалашихинский родильный домРоссияBalashikha Maternity HospitalRussian Federation2023211020230153942Copyright © Дворянкова Е.В., Сакания Л.Р., Кантин О.М., Корсунская И.М., 20232023Дворянкова Е.В., Сакания Л.Р., Кантин О.М., Корсунская И.М.Dvoriankova E.V., Sakaniya L.R., Kantin O.M., Korsunskaya I.M.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/7789

Вульва и влагалище – это уникальная анатомическая область, чье строение и физиология меняются в течение всей жизни женщины. Наиболее заметные изменения гормонально опосредованы и связаны с наступлением половой зрелости, менструальным циклом, беременностью и менопаузой. С течением времени под воздействием различных факторов, таких как например гормоны, изменяется микробиом, что ведет к изменению рН. Также огромное влияние на микрофлору вульвы и влагалище, а значит, и на здоровье женщины, оказывают различные гигиенические практики и привычки. На сегодняшний день на рынке представлено огромное количество средств ухода и гигиенических средств, ориентированных на генитальную область женщин. Но, к сожалению, информация об их корректном применении и безопасности использования ограничена. Например, такие практики, как спринцевание и удаление лобковых волос, остаются достаточно широко распространенными, хотя существуют данные о их негативном влиянии на здоровье вульвы и влагалища. Несмотря на обилие специализированных средств интимной гигиены, сообщается об использовании общих средств ухода, которые не предназначены для генитальной области, а значит, могут вызывать раздражение, зуд и другие неприятные последствия. Зарубежные руководства по интимной гигиене женщин сводятся к рекомендации ежедневного очищения вульвы с помощью нежного гипоаллергенного жидкого средства для мытья. Требуется повышение уровня знаний женщин о рациональном выборе продуктов женской гигиены и неблагоприятных состояниях вульвы и влагалища для улучшения состояния их интимного здоровья.

The vulva and vagina are a unique anatomical region, which anatomy and physiology changes throughout a woman's life. The most noticeable changes are hormone-mediated and are associated with the onset of puberty, menstrual cycle, pregnancy and menopause. The microbiome changes over time due to various factors, such as hormones, which leads to a change in pH. Various hygiene practices and habits also have a huge impact on the microflora of the vulva and vagina, and therefore on a woman’s health. Today, the market offers a huge number of care and hygiene products designed for the genital area of women. But, unfortunately, information about their correct use and safety of use is limited. For example, various health behaviours, such as vaginal douching and pubic hair removal are still widely used, although there is some evidence of their negative impacts on the health of the vulva and vagina. Despite the abundance of specialized intimate hygiene products, the use of general care products that are not intended for the genital area and therefore can cause irritation, itching and other unpleasant effects is reported. Foreign guidelines for intimate female hygiene practices resolve itself to recommendations of daily vulva cleansing with a gentle hypoallergenic liquid wash. There is a need to increase women's awareness about rational choice of feminine hygiene products and disorders of the vulva and vagina to improve their intimate health.

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The authors declare that there are no conflicts of interest present.