Bare Necessities: What You Should Know Before Grooming Your Pubic Hair

By Lauren Streicher, MD

Changing trends in hairstyles are not limited to the hair on your head. As a gynecologist, I get a firsthand view of what’s trendy when it comes to pubic hair. Today, less is more, and many women that I see alter their pubic hair in some way, whether it’s just a trim or complete removal. But sparse pubic hair wasn’t always the style.

During the 15th century, abundant pubic hair was a sign of not only sexuality, but also good health. If someone had a Brazilian in 1450, it wasn’t an indication that they had just been to the beach, but that they had a sexually transmitted disease. Syphilis was the STD du jour, and the only treatment was mercury injections, which had the nasty side effect of making your hair fall out. All of it. If you were lucky enough to escape syphilis, you probably contracted pubic lice. And without the option of stocking up on anti-lice shampoo from the corner drugstore, you would simply shave everything off. Enter the merkin: pubic hair wigs that men and women pasted on to hide their vaginal baldness due to syphilis or lice. Today, some women remove hair for religious reasons, and many say that baldness increases sensation during sex. But most simply prefer the way it looks.

But, I’m a gynecologist, not a stylist, so I’m going to focus on the medical aspects. First, what’s the function of pubic hair? Before central heating, pubic hair kept the genitals warm. The obvious advantage of warm genitals is that people would be more likely to take their clothes off, and men would be more likely to maintain an erection. Evolutionarily, the other function of hair was to draw attention to the genitals. (Evidently, it is not just modern men who seem to need a map to ensure they are heading in the right direction.) Pubic hair also decreases friction during intercourse, and I’ve seen some pretty nasty “rug burn” from rubbing while bare.

But if you do choose to lose the pubes, there’s a multi-million dollar industry that has evolved surrounding pubic fashion, and there is no shortage of options. Waxing, shaving, electrolysis, clipping, chemical depilatories and laser removal are all at your disposal, but is there a best way? Keep in mind that, with the exception of clipping, some red bumps commonly result no matter what method is used, particularly in African American women. Professional waxing and electrolysis result in the least amount of irritation, allergies or complications, but can be expensive …  not to mention painful. Many women use a topical anesthetic (Emla cream, available by prescription) to reduce the agony.

But before choosing a permanent method of hair removal, such as electrolysis, keep in mind that next year, the bush may be in style again, and you may be forced to invest in a modern-day merkin.


Could Waxing Boost Your Libido?

By Lauren Streicher, MD


Your head is not the only place on your body that reflects hair fashions. Today, genital hair styles range from completely natural, to a neat trim, to a totally bald Brazilian. While some women remove hair for religious reasons, others say vulvar baldness increases sensation during sex and feels “more hygienic.” Most young women say they simply prefer the way it looks and regard removing genital hair as no different than shaving legs or armpits.

Age, socioeconomic level, race and religion are all variables that have been associated with the choice of pubic hair style, but is there an association of groomed pubes and sexual behavior?

The general perception is that someone who goes to the trouble, expense and sometimes pain of hair removal is more likely to be in a partnered relationship than just because they want to look nice in the locker room, but no one had specifically studied the association between specific sexual activities and genital-hair removal.

Until now, that is. In 2013, researchers from Indiana University conducted a study of 2,400 women between the ages of 18 and 68 to determine if shaving and waxing correlated with sexual interest and sexual behavior.

They looked at diary entries for 49,000 days and found that on the days that someone removed hair, they were far more likely to report sexual interest and engage in specific kinds of sexual activities. Interestingly, while age was a factor (young women were the most likely to remove genital hair), contrary to other reports, there was no association between hair removal and ethnicity, race or educational level.

So, did hair removal occur because the women anticipated sexual activity and were “preparing,” or did hair removal make someone “feel sexier” and choose to engage? Hard to say since the researchers did not take it to the next step and ask why someone removed hair on a particular day.

As far as being “more hygienic,” there is no reason to think that is the case. In fact, a study released in March 2013 suggested that the irritation from hair removal was potentially responsible for the increase in vulvar molluscum contagiosum, a sexually transmitted virus that causes a skin eruption.

So remove it if you desire, but keep in mind that burns from wax that is too hot, ingrown hairs and unattractive red bumps are all possible consequences. And whether you wax, shave or laser, keep in mind that pubic hair is there to decrease friction during intercourse, so don’t be surprised if suddenly rug burn and chafing become an issue.

First published 7/12/13

Be Gentle with Your Genitals!

By Lauren Streicher, MD


When we think about the typical conditions an ER doc sees, chest pain, car accidents, and broken bones come to mind. But ER docs are also the front line physicians who see and treat genital injuries, and it’s a lot a lot more common than you might think.

Between 2002 and 2012 there were 16,000 “mishaps” resulting in genital injuries serious enough to require a trip to the emergency room, according to a University of San Francisco group that published these findings in the Journal of Urology.

70% of these injuries involved men, which isn’t surprising given that men’s genitals are a little more vulnerable to things like crashing into the cross bar of a bicycle (1212), zipper accidents (951), and baseball, softball, or basketball incidents (649). Skiing and snowboarding accidents accounted for 182 visits. While young men were the most likely to get injured during sports, older guys were the most prone to bathtub injuries, specifically slipping while climbing out and crash straddling the bathtub ledge (ouch!).

As a gynecologist, I wasn’t surprised that the majority of ER visits related to female genitals were not from bumps or accidents, but most often inadvertently self-inflicted cuts and infections from grooming pubic hair. Razors, scissors and clippers accounted for 1,089 ER incidents! Given the popularity of “less is more” in recent pubic hairstyle trends, grooming mishaps increased 5 fold during the course of the 10 years included in the study. No doubt these types of injuries are dramatically higher since only incidents serious enough to go to the emergency room were counted. I can personally attest to that, as I have seen my fair share ofwaxing burns and hair removal nicks in the office. And then there was that nasty clitoral burn in my patient who thought it was a good idea to bleach her pubic hair to match the hair on her head. One can only imagine the number of women who deal with these issues and don’t tell anyone.

Of course the ultimate ER genital injury was the poor woman who was enjoying a session of oral sex and moved a bit too suddenly. Her boyfriend got her clitoral piercing caught in his teeth and, brace yourselves, ladies, partially tore off her clitoris. I am happy to report that the injury was successfully repaired but that her jewelry is now limited to her ear lobes.

So, the morals of our story are as follows: If you are a guy, zip carefully and consider genital protection during sports; If you are a woman, you might want to leave your grooming to the professionals and forget the genital jewelry. If you find yourself in the local ER with a genital injury, at least you can be reassured that you will not be the first–or last– genital casualty a typical ER doc treats.

Origianlly Published Feb 12, 2014 EveryDay Health