I'm pretty sure you're well aware of the fact that October is National Breast Cancer Awareness Month. This month definitely reminds us all about how necessary it is to perform breast self-exams. Also, if you're 45 or over, hopefully you've scheduled a mammogram (if you haven't had one already this year). Remember, although we are diagnosed with this particular form of cancer at a slightly lower rate than white women, the reality is our mortality is noticeably higher.
As I was reflecting on the fact that I am now in the age bracket where annual mammograms are important (gee, where does the time go?), it got me to thinking about something else that is important for all of us to do. Something that doesn't seem to come up nearly as often, but can be just as life-saving—vaginal self-exams. I try to give myself one about every 3-4 weeks or so. When's the last time you did it?
If the answer is "never", here are the reasons why you should, along with how to go about making it a routine part of your proactive self-care routine.
Why You Should Be Looking Down There More Than You (Already) Do
I'm not sure if it's a generational thing or what, but I find it to be interesting that whenever I ask the women in my life who are over 50 if they look at their vagina, they act like I'm speaking German; meanwhile, if I ask a woman in her 20s if she does, I darn near have to keep her from spreadin' it wide right in front of me. I have pried a little when it comes to a few older women by asking them what the big deal is with looking at their va-jay-jay. Usually they say something along the lines of, "I barely wanted to see my own baby being born" or (if they are down with receiving oral sex; some aren't), "I'll just let my man tell me if something is up. He's there more than I am anyway."
Me? I'm kind of a natural picker. I had to train myself to leave pimples alone. Every time a new age freckle pops up (a "gift" from my maternal grandfather), I almost immediately notice. And yes, I am neither hesitant nor ashamed to say that whenever I am doing my own up-close-and-very personal lady-scaping, I usually get a mirror to check out what's going on down below. It's not so much that I'm worried that something is wrong; it's just that I find my vagina to be really fascinating. Dope, even.
Now if you're someone who is like, "I may not be in my 50s but I don't have a desire to look at my hoo-haw either" and your main rationale is because "that's what pap smears are for", here's something to think about. Although there used to be a time when pap and pelvic exams (mostly to check for cervical cancer cells) were recommended on an annual basis, most health professionals now agree that if you are between the ages of 21-65, every three years is fine. For those of us who kinda sorta hate pap smears, that's good news. But OK, what about all of those months in between your visits to the doctor; especially if you are sexually active?
This is where a vaginal self-exam comes into play.
While there is nothing quite like the technology of medical equipment and the knowledge of a medical professional, performing a vaginal self-exam can help you to see if there is a noticeable change in your discharge, if there are growths (including bumps, sores or "weird-looking spots") or drastic changes in color when it comes to your clitoris or your labia majora (inner lips) or labia minora (outer lips).
If there's a part of you that is still giving push back by saying, "OK, but if there were issues like that, wouldn't I feel it?" Eh, maybe. Maybe not. But since some STDs including chlamydia and HPV are typically asymptomatic, and even bacterial vaginosis is asymptomatic in nearly half of all women, it can never hurt to 1) get used to what your vagina—well, technically your vulva; your vagina is the inside part while your vulva is the outside part—looks like when it's healthy so that 2) you are able to detect fairly early on if something appears abnormal in anyway. After all, when it comes to your overall health and well-being, early detection of anything always works in your favor.
How Do You Perform a Vaginal Self-Exam?
I really am hoping that I've compelled you to at least consider giving yourself a vaginal self-exam. Trust me, it's not that hard to do.
What you'll need is a:
- Handheld mirror
- Pillow
- Small flashlight
- Gloves for your hands (like the ones you would use to perm your hair with)
- Diagram of the vulva (you can look one up online or download this one here)
- Journal or smartphone
- Wash your hands thoroughly and/or apply a pair of sterile gloves.
- Remove all of your clothing from the waist down (some people like to do this after the shower, but you can't always detect your discharge that way; right when you wake up is probably your best bet).
- Whether it's on your bed or the floor, put a towel underneath you and then prop your butt up with a pillow.
- Pull your feet back towards your butt as far as they will comfortably go and spread your legs wide.
- Relax your pelvic muscle. Then, with your mirror, start inspecting, beginning with your mons pubis (the top of your vulva where most of your pubic hair is), then your clitoris, then your lips (outside and inside) and then the opening of your vagina and anus. Look to see if there are any noticeable changes that you haven't seen before (or if it's your first time, take note if anything alarms you). If there is, jot it down in your journal or smartphone (by the way, smartphones are pretty gross, germ-wise. You might want to clean it before conducting your self-exam; just to be on the safe side). Don't be afraid to gently pull back the folds of your vulva, to peek into your clitoris' hood or to even stick a finger into your vagina to make sure that your walls are a pinkish color and the texture is smooth.
- Once you are done, if something seems different to the point of slightly alarming, write it down and make an appointment to see your doctor. Again, the sooner you notice something "strange" and your physician is made aware, the sooner your vulva and vagina can get to feeling like their normal self (plus, it can prevent you from infecting someone else, even if you've got something as simple as a yeast infection). After getting the hang of this, it should take no more than 15 minutes tops.
After you've completed your vaginal self-exam, treat you and your vagina to a homemade strawberry and avocado smoothie (it'll help to keep your vagina's pH in check) or a nice pair of organic cotton undies (since you need to swap those out every six months anyway). You've taken super responsible measures to keep "her" happy. You've certainly earned it!
Want more stories like this? Sign up for our newsletter here and check out the related reads below:
15 Things I Bet You Didn't Know About Your Own Vagina
10 Things Your Vagina Wishes You Would Do More Often
These Common Habits Are Actually BAD For Your Vagina
Keep Your Vagina Like A (Literal) Fountain Of Youth
Feature image by Shutterstock
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RELATED
Camesha created the organization after her struggles with mental health and the lack of community she experienced. The Chicago native explains how she created Sista Afya to be rooted in “culturally grounded care.”
pixelheadphoto digitalskillet/ Shutterstock
“So at my organization, Sista Afya Community Care, we focus on providing mental health care through a cultural and gender lens,” she tells xoNecole. “So when we think about the term intersectionality, coined by Kimberlé Crenshaw, we think about the multiple identities that lead to certain experiences and outcomes as it relates to Black women.
“So in the context of culturally grounded care, being aware of the cultural history, the cultural values, and then also the current issues that impact mental health outcomes.”
Words like “strong” and “independent” have long been associated with Black women for some time and many of us have begun to embrace the soft life and are using rest as a form of resistance. However, some of us still struggle with putting ourselves first and overall shedding the tainted image of the “strong, Black woman” that had been forced on us.
Camesha shares that while there’s more and more communities being created around empowerment and shared interests like running, she still questions, “are Black women really comfortable with being vulnerable about sharing their experiences?”
Being vulnerable with ourselves and others play an important role in healing the instinctive nature of always being “on” for everyone. “I'm currently facilitating a group on high functioning depression, and yesterday, we talked about how when Black women may be struggling or have shared their concerns with other people. They may be minimized, or they're told to just be strong, or it's not so bad, or I went through something worse back in Jim Crow era, so you should be thankful,” she explains.
“So I think there's a challenge with Black women being able to be honest, to be vulnerable and to receive the support that they need in the same capacity as how much they give support to other people. So that is probably a very common theme. I think we've made a lot of progress when we talk about the superwoman syndrome, the mammy stereotype, the working hard stereotype, the nurturing stereotype. I think we're beginning to unpack those things, but I still see that we have definitely a long way to go in that area.”
I think there's a challenge with Black women being able to be honest, to be vulnerable and to receive the support that they need in the same capacity as how much they give support to other people.
Roman Samborskyi/ Shutterstock
While we’re unpacking those things, we know that we’re still women at the end of the day. So as we continue to serve in various roles like mothers, daughters, sisters, and caretakers, we have to make caring for ourselves a priority. Camesha reveals four ways we can still care for others without abandoning ourselves.
Trust
First things first, trust. Camesha explains, “Some of the burdens that Black women have can be linked to not feeling like you can trust people to carry the load with you.
“It's hard because people experience trauma or being let down or different experiences, but one of the things that I found personally is the more that I'm able to practice trust, the more I'm able to get my needs met. Then, to also show up as my best to care for other Black women.”
Know Your Limitations
Another thing Camesha highlighted is Black women knowing their limitations. “The other thing that I would like to bring up in terms of a way to care for yourself is to really know your limitations, or know how much you can give and what you need to receive,” she says.
“So often, what I see with Black women is giving, giving, giving, giving, giving to the point that you're not feeling well, and then not receiving what you need in return to be able to feel well and whole individually. So I really think it's important to know your limitations and know your capacity and to identify what it is that you need to be well.”
Don’t Take On A Lot Of Responsibilities
Next on the list is not taking on so many responsibilities, sharing herself as an example. “The other thing is taking on too much responsibility, especially in a time of vulnerability.
“One thing that I personally struggled with was being so passionate about community mental health for Black women, and saying yes to everything and taking on so much responsibility,” she reveals. “That affected me to do well in serving Black women and then also impacting my own well being.”
Practice Self-Care
Lastly, she notes the importance of practicing self-care. “The last thing is really practicing regular self care, regular community care, so that it's embedded into your daily life. So for me, having prepared meals, going to the gym, getting eight hours of sleep, spending time with friends and family, all of those things are part of my self care that keep me at my best,” she explains.
“Then community care, leaning into social networks or social groups, or spending time with other interests or hobbies. That's a part of my community care that keeps me going, so that I can take care of my needs, but also to be able to show up best in care for others.”
Find out more about Camesha and Sista Afya Community Care at communitycare.sistaafya.com.
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