LUBRICANTS. WHAT IS CONSIDERED SAFE?



Lubricants, whether vaginal or rectal are used to balance dryness and to reduce pain and discomfort with penetration. With huge variety of lubricants on the market, most of them marketed with the goal of increased pleasure, leaves people with pain or sensitivity in a cloud of confusion and wanting for more cleaner products. There are many blogs and resources talking about various oils and the safe and best lubricant, and the lubricant companies have geared their marketing of products as the next best natural and clean one.

I get asked by almost every patient about what lubricant I suggest. I am not affliated with any of the companies and I wanted to give fact based information to help you choose the right one. There is a lot of information and I wanted to make it more concise for people to make a decision without searching for right resources and reading an hour's worth information.


So how should you choose a lubricant?


Lubricants are Water based, oil based and silicone based. Water based are more preferable for dryness, pain, sensitivity issues.

Based on pH

  • A healthy vaginal pH is 3.8-4.5. Anything over is can lead to risk of bacterial vaginosis.

  • A Rectal pH is ard 7.0, which is more closer to neutral


Based of Osmolality

  • Higher than normal vaginal secretion osmolality can break down mucous membrane and cause irritation and increase the risk of STI.

  • Osmolality below 1200 mOSm/kg is best for a lubricant


If you don't know what is the pH and Osmolality of the lubricant, reach out to the company and ask them.


List of Harmful chemicals to look to for in a Lubricant

  • Chlorhexidine gluconate

  • Parabens(commonly methylparaben and/or propylparaben) can lead to fertility problems, genital rashes, or endocrine disruption

  • Cyclomethicone, cyclopentasiloxane and cyclotetrasiloxane - linked to cancer

  • Undisclosed flavors or fragrance- can have carcinogens, reproductive toxins and allergens

  • Glycerin (glycerol), a common base for personal lubricants—can damage or irritate vaginaland rectal epithelial cells, potentially increasing the transmission of STIs such as herpes and human immunodeficiency virus.

  • Mineral Oil

  • Avoid lubricants with colors, fun flavors or heating/cooling/tingling features


What about Coconut / Olive and Other Oils?

Oil based lubricants might lead to breakage of condoms, increasing the risk of STI or chances of pregnancy. It also has to be made sure, that there are no additives in the oil and it is in pure form. Another thing to keep in mind is, oil might alter vaginal pH and increase chances of yeast infection if you are prone to those.


Clean Brands:

  • Yes,Yes,Yes WB lubricant; Good Clean Love organic WB, Sliquid, Uberlube, Intimate Rose


Lubricant is different from moisturizer


Brands for Vaginal moisturizers

  • Julva, Good Clean Love, VMagic, Desert Harvest, Intimate Rose, Enchanted Rose, Rosebud Woman, Yes


Household products that should not be used with latex condoms ( This excerpt is from WHO advisory notes)

Baby oil Burn ointment Dairy butter Palm or coconut oil Cooking oil

Fish oil

Mineral oil

Suntan oil Haemorrhoid cream

Petroleum jelly (Vaseline)

Body/hand lotions


Below is List of Lubricants and their pH, Osmolality and ingredients

-https://www.womensvoices.org/ingredients-of-lubricants-chemicals-of-concern/

-https://www.womensvoices.org/osmolality-ph-properties-commercial-lubricants/



References

  1. www.womensvoices.org

  2. www.who.org

  3. www.nva.org

  4. Steiner, M., Piedrahita, C., Glover, L., Joanis, C., Spruyt, A., & Foldesy, R. (1994). The Impact of Lubricants on Latex Condoms during Vaginal Intercourse.International Journal of STD & AIDS,5(1), 29–36.

  5. https://www.nwhn.org




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MEDICAL DISCLAIMER:
All information on this website  is intended for instruction and informational purposes only. The authors are not responsible for any harm or injury that may result. Significant injury risk is possible if you do not follow due diligence and seek suitable professional advice about your injury. No guarantees of specific results are expressly made or implied on this website.