How to Use Vaginal Cream

If you’ve been prescribed or recommended vaginal cream and you’re not quite sure how to use it, don’t worry — you’re in the right place. 

Vaginal creams are a common way to treat various conditions like infections, dryness, or discomfort. With the right guidance, using them can be simple and stress-free. Let’s break down the types of vaginal creams, the difference between vaginal and vulvar creams, and how to apply them (with some helpful tips along the way).

Types of vaginal creams 

How you use a vaginal cream depends on the why. Medications used to treat vaginal concerns like infections or dryness can come in the form of creams, gels, or suppositories.

There are a few different types of vaginal creams, each designed for specific needs and containing a different medication. Here’s a quick overview:

• Antibiotic cream: These creams are prescribed to treat bacterial infections, like bacterial vaginosis (BV) and aerobic vaginitis (AV). They work by getting rid of the bad bacteria while helping maintain a healthy balance in the vagina. These usually come with specific instructions from your healthcare provider, so be sure to follow their advice closely. Generally, you apply the cream once a day for a few days — it all depends on the severity of your symptoms and the dose your doctor prescribed.
• Antifungal cream: If you’ve ever dealt with a vaginal yeast infection, you’re probably familiar with antifungal creams (terconazole or miconazole). They target Candida, the fungus responsible for the infection, and help relieve symptoms like itching and burning. You can find some options over the counter, but more stubborn infections might need a stronger prescription. For more severe or frequent yeast infections, you may need a longer course of vaginally-inserted antifungal medication. 
• Estrogen cream: Estrogen creams are often used to treat vaginal dryness and discomfort, especially during menopause. They deliver a small amount of estrogen directly to the vaginal tissues, improving elasticity and hydration. These creams are prescribed by a doctor and are typically used as part of hormone therapy. The frequency with which you insert vaginal estrogen cream depends on the product and your treatment plan. You generally start by using the cream every night for two weeks, then use it two to four times a week.
• Hyaluronic acid cream: Hyaluronic acid creams are another option for managing vaginal dryness. Hyaluronic acid is a hydrating ingredient that helps retain moisture and improve the elasticity of vaginal tissues. These creams are particularly useful for women experiencing dryness due to menopause, hormonal changes, or certain medical treatments. They’re available over the counter and can be a gentle, non-hormonal alternative for restoring comfort. The recommended frequency for using a vaginal gel that contains hyaluronic acid is twice a week, but it depends on the specific product.

The difference between vaginal and vulvar creamsHere’s something that trips people up sometimes: vaginal creams and vulvar creams aren’t the same thing. Vaginal creams are made for internal use. They’re applied inside the vaginal canal, often with the help of an applicator, to treat internal issues like infections or dryness.Vulvar creams — like Evvy’s Anti-Itch Vulva Cream and Soothing Vulva Cream — are meant for external use only. They’re applied to the vulva (the outer part of your genital area) to soothe irritation, itching, or inflammation on the skin. Using vulvar cream inside the vagina can cause irritation and won’t address internal problems.

How to use vaginal cream

Let’s walk through the steps to apply vaginal cream — it’s easier than you might think:

1. Get ready: Wash your hands well with soap and water. Clean hands are important to avoid introducing bacteria. Make sure the vulvar area is clean and dry.
2. Prepare the applicator: If your cream comes with a special applicator, follow the instructions to load the correct amount of cream. Most applicators have handy pre-measured markings to guide you.
3. Find a comfortable position: Lie on your back with your knees drawn to your chest, or stand with one foot up on a chair. Find a position that feels stable and comfortable for you.
4. Insert the applicator: Gently insert the applicator into your vagina as far as it feels comfortable (usually until the base of the applicator is at the vaginal opening).
5. Apply the cream: Push the plunger or squeeze the tube to release the cream. Once done, gently remove the applicator.
6. Clean up: Wash your hands again, and if the applicator is reusable, clean it with mild soap or as per the product instructions.

Do’s and don’ts of using vaginal creamsHere are some quick tips to make sure you’re using vaginal cream safely and effectively:

• Do: Follow your regular dosing schedule, as directed by your doctor, and use the cream at the same time each day to keep things consistent. If you’re worried about leakage, you can wear a panty liner for peace of mind.
• Do check the expiration date before applying vaginal cream.
• Don’t use more or less cream than recommended.
• Don’t share your cream with anyone else, even if their symptoms seem similar.
• Don’t miss a dose or stop treatment early, even if you’re feeling better unless your healthcare provider tells you to (this is especially important with antibiotic creams).
• Don't use tampons right after inserting a vaginal cream. The tampon can absorb the medication, making the treatment less effective. If you need to manage any potential leakage from the cream, a panty liner or pad is a better option.

If you notice persistent symptoms, severe irritation, swelling, or vaginal bleeding, it’s time to check in with your healthcare provider. They can help figure out what’s going on and adjust your treatment if needed. And if you’re ever unsure about how to use the cream or what to expect, don’t hesitate to ask your doctor.

FAQ

How do you apply vaginal cream?

Start by washing your hands thoroughly with soap and water. If your cream comes with an applicator, follow the instructions to load the correct amount of cream into it. Find a comfortable position — many people prefer lying on their back with their knees bent or standing with one foot elevated on a chair or toilet seat. Gently insert the applicator into your vagina and push the applicator to release the cream, then carefully remove it Afterward, wash your hands again and, if the applicator is reusable, clean it according to the instructions provided.

What to do after inserting yeast infection cream?

After inserting yeast infection cream, it’s best to remain lying down for a while to allow the cream to settle and stay in place. This is why applying the cream before bedtime is often recommended. Avoid using tampons, as they can absorb the medication and reduce its effectiveness. If you’re concerned about leakage, you can use a panty liner to protect your underwear. Continue using the cream for the full duration prescribed, even if your symptoms improve earlier. If you experience any unusual irritation or your symptoms persist, consult your healthcare provider.