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As a sex worker you should look after your body well. It is your tool so to speak.

How can you keep your body clean and groomed in a way that you will not run the extra risk of  disorders, such as  STIs or fungal infections?

How can you work and menstruate at the same time?

Vaginal care

The vagina is elastic and eight to ten centimeters long. When relaxed, the posterior and anterior walls meet. The wall of the vagina is thick and folded. Because of the folds the vagina can stretch, so it can accommodate any size of penis. The wall is lined with a thin mucous membrane. This partly protects you against viruses and bacteria, for example. Therefore it is important that you keep your vagina healthy.

Vaginal discharge is normal. Some women produce more than other women. During ovulation or menstruation the amount of vaginal discharge may differ. That is also very common.

As a sex worker you will want your vagina to look and smell attractive. How do you go about it?

Things you should not do:

  • Wash your vagina, externally or internally,  more often than once a day.
  • Use soap products to wash your vagina. Your vagina is home to a delicate pH balance. If you insist on washing your vagina with soap, do not do it more often than once a week. Special soaps such as Lactacyd are not effective, they may disrupt the pH balance. They may even worsen your complaints.
  • Do not wash or rinse with Dettol, vinegar or other corrosive products. They may harm your vagina.
  • Use steam baths or insert herbs. They dry out the vagina. This may be nice for your clients, but it is very bad for your vagina. The mucous membrane of your vagina can be damaged. A damaged vagina means a greater risk of an STI.
  • Use tampons, sponges or panty-liners when you do not menstruate.
  • Switch from anal sex to vaginal sex without changing the condom.
  • Share sex toys without using a condom.

Things you should do:

  • Only wash your vagina with lukewarm water.
  • Rinse internally once a week, with lukewarm water only.
  • Often change tampons and sponges (do not use them for longer than four hours at the time).
  • Always use a condom covered with lubricant (without Nonoxynol-9).

Vaginal pain and smell

Some vaginal complaints include:

  • Changes in discharge
  • Smelly discharge (smelling of fish)
  • Redness, irritation
  • Pain or burning when urinating
  • Pain during and after sex
  • Blood loss after sex
  • Swollen labia
  • Wounds, ulcers, fissures, cuts

These complaints may have various causes, such as STI, a skin disorder, Cervical Cancer, a lowered resistance because of the use of medication, Diabetes, HIV infection or pregnancy. Most common cause of vaginal pain and smell with sex workers: Bacterial Vaginosis and fungal infection (Candida). These are not STIs. They are caused by vaginal imbalance, for example caused by:

  • Use of antibiotics or other medication.
  • Pregnancy.
  • Washing the vagina with soap or using vaginal douches.
  • Excessive use of products like Lactacyd
  • Not changing sponges and tampons often enough.
  • Switching from anal to vaginal sex, sharing sex toys without changing condoms.
  • Lots of different sexual partners.
  • STI infected

For more information on Bacterial Vaginosis and Fungal infections (Candida).

Working during menstruation

It is up to you if you work during your menstruation period. Some women are not feeling very well during their menstruation. This may be a reason not to work and take a rest.

When you either take the Pill or use the contraceptive ring or patch, you can prevent menstruation by continually (without a contraceptive-free week) taking the Pill or using these other contraceptives.

You can also go on working during your period. You can buy special sponges to absorb blood. There is a choice of wet or dry sponges.

We advise you to observe the following rules when you use sponges:

  • Use a sponge only once (do not rinse them and use them again).
  • Never use them for longer than four hours at a time.
  • Do not use natural sponges or household sponges.
  • Use a condom in addition to a sponge.
  • Moisten the dry sponge with a few drops of water.
  • If you cannot find the sponge in your vagina: point the showerhead on your vagina, so that the sponge can absorb water. It will easily come out.
  • If you fail to get the sponge out: call the nurse at P&G292 [link]. She can get the sponge out for you. If we are closed, call a medical centre.

For more questions: make an appointment with our nurse.

Vaginal Care (neo vagina)

A neo vagina is a new vagina. Transsexual sex workers who have had gender reassignment (gender change) have one. In most cases this neo vagina has been formed from the skin of the penis and testicle. This is why a neo vagina differs in texture from a biological woman’s vagina. This neo vagina is not naturally moist and has no pH level. There are a lot of sebaceous glands (sebum-producing) in the skin of neo vaginas. Sebum can pile up in a neo vagina and this can give complaints.

That is why the advice for vaginal care differs when you have a new vagina.

  • Rinse your vagina internally once a week (when it is smelly, rinse more often).
  • Only rinse with water.
  • Use a vaginal douche with a cannula which you can insert.
  • After rinsing the vagina, put in some oil or Calendula cream. This will prevent the skin from softening up and sticking together. When you use cream or oil you should use special condoms.
  • Use a hormonal cream that stimulates the blood circulation in the vagina.

More information about neo vagina-related subjects:

Anus care

Before being fucked in the anus (ass fucking) you can rinse the anus. There is no need for this when you have a regular stool and you washed your anus thoroughly shortly before. There might be a reason to rinse your anus anyway, for instance if you want to be sure there will not be any particles of feces or any bad smell. You can rinse by means of a enema. There are various enemas: Microlax or a water enema using a water tube. Leather shops sell all kinds of tools.

Tips for anal rinse:

  • Try and defecate (poop) on the toilet first.
  • If you rinse with water: use clean, lukewarm water.
  • Do not use any disinfectants.
  • When you use a water tube: the water pressure should not be too high.
  • Apply some lubricant in your anus and at the end of the tube, if you wish.
  • Relax the muscles of your anus and put in the tube with care.
  • After rinsing with Microlax or water, relax the anus muscles and let the water and feces flow out.
  • Do not rinse too often, it may upset your metabolism.
  • Thoroughly clean the tools you have used with water and soap.
  • If more than one person use the tools: clean with a solution of one part bleach to ten parts water. Then thoroughly rinse with water.

More information (for male sex workers):    Engels?

Hair removal

There are various ways to remove the hair of your body, especially the groin and pubic areas.


Shaving your pubic hair is the easiest and cheapest way of hair removal. Negative aspects are:

  • Ugly red marks and in-growing hairs.
  • Frequent maintenance.
  • You may injure the skin.
  • You may get irritated skin caused by razor blades or shaving foam.


  • Use a new sharp razor blade and special shaving foam for sensitive skin types.
  • Cool the skin you want to shave.
  • Stretch the skin with one hand.
  • Do not shave against the hair grow direction.

Cropping closely

You can also crop the hair very closely and use a clipper. Watch out for making wounds when using clippers or scissors.

Resin or wax treatment

You will have no stubble. It is painful though, especially the first few times, but once every four to six weeks will do.

For men resin or wax treatment is a good way to remove the hair on the chest and on the back.

Hair removal cream

Hair removal cream contains chemical agents which can irritate the skin. Use special cream for the bikini area. This cream is also suitable for male skins.


  • Try the cream first to see how your skin reacts. If the next day your skin shows no reactions, it is safe to use it.
  • Avoid applying it to the mucous membranes of labia, vulva and anus.
  • Do not use soap, deodorant or other perfumed products for the first 24 hours.

Laser hair removal

Laser hair removal means hair is removed permanently. You will need several treatments. This is a more expensive method.

More information (for male sex workers):