Vulvar Massage

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VULVAR MASSAGE

Purpose: To help relax the vulvar tissues, increase blood flow to the area, and allow increased
sensation to the nerves of the vulva. This technique can be helpful for relaxation of the pelvic floor
muscles before using vaginal dilators for vaginismus, desensitise the vulva to pain and increase
sensation of pleasure with touch, adjunct exercise to perform prior to sexual activities, or to increase
body awareness to the vulva and its structures.

Items:

 Safe, quiet space


 Lubricant (preferably water or oil based. Silicone only if safe for vibrator, if using one)
 Soft, soothing music, if needed
 External vibrator device, if instructed
 Partner, if instructed

Suggestions:

• If you are experiencing pain during the massage, soften the pressure applied. If it still hurts,
discontinue the massage and try again another time.

• Start at your own pace. If a partner is assisting with the massage, ensure that words have been
discussed ahead of time that guide the partner throughout the exercise. (For example, the traffic light
example – green = continue, yellow = slow down or pause, red = stop or discontinue). Respect for
boundaries is fundamental.

• Use pillows to support legs – your legs, pelvis, and lower back should be relaxed.

• Take a bath or shower ahead of time to help warm up the muscles.

• Perform several diaphragmatic (belly) breaths ahead of time to help with any anxiety and optimize
relaxation during the massage.

• If touching your vulva feels uncomfortable at first, you may leave your underwear on until skin-to-
skin touching feels more comfortable. Respect your boundaries and allow yourself the time to grow
comfortable with the technique.

Directions:

Start by gathering all your equipment (lubricant, pillows, external vibratory device, etc).

Wash your hands ahead of time. Lie down on your back in a safe and quiet place. Place a pillow under
both legs/knees.

Begin with deep belly breaths – place hands over abdomen, and feel the rise.

Once you are feeling relaxed, pour a sufficient amount of lubricant into your hands and rub together,
allowing the lubricant to warm.

Then, start by placing your hands over your inner thighs, about halfway down. Begin by rubbing circles
with your fingertips from the backside to the front.

Reference: Fosnight Center for Sexual Health


Start moving your fingertip closer to your vulva at your own pace. Once you get to the labia majora,
you can continue the circular massage over both or focus on one side.

If you decide to transition to one side first, use the


opposite hand to start applying pressure to the opening
of the vagina.

Stay in one area for about 60 seconds and then move


on. If you find an area that is tender, slow your
movements over there and evenly apply direct, light
pressure for 5 seconds without using the circular
motions.

See the purple arrows over the vulva image to help


guide you in the directions of the circular movements.

This exercise should not take more than 15 minutes.


Once you have finished, end with three deep belly
breaths, keeping your hands over your lower abdomen.

You may then get dressed as normal, put your items away, and wash hands. If a partner is involved,
start and finish the exercise with the hand-over-heart breathing exercise.

Reference: Fosnight Center for Sexual Health

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