Pubic Hair Removal After Menopause: Razors, Creams, Wax and Laser Compared

Plenty of women keep grooming after 50, though a national survey found women older than 55 were less likely to groom than younger women.¹ After menopause, vulvar skin often becomes thinner and drier, so a routine that worked at 35 may now cause nicks, burns or rashes. Here is how the common methods compare.

Razors cause most injuries

A study of U.S. emergency room visits found an estimated 11,704 grooming-related genital injuries from 2002 to 2010, rising fivefold over that time. More than half were in women, and razors were involved in 83%. Cuts were the most common injury.²

Safer shaving: The FDA³ advises shaving only when hair is wet and in the direction the hair lies.³ Use a fresh blade and a gentle, fragrance-free gel, and consider trimming with scissors or an electric trimmer instead of shaving close.

Hair removal creams

Chemical hair removal creams dissolve hair at the surface. The FDA³ notes makers usually recommend a skin test first, and that these products shouldn’t be used on inflamed or broken skin. It has received reports of burns, blisters, stinging, itchy rashes and peeling.³ Products made for the bikini line aren’t meant for the vulva or inner labia. Follow the label exactly and time it carefully.

Wax

Waxing pulls hair from the root. Thinner skin can tear or bruise more easily, so let a professional know about your age, any retinoid creams and blood thinners. Our article on bikini waxing covers hygiene questions to ask the salon.

Laser and electrolysis

• Laser: side effects can include blistering, color changes, swelling, redness and scarring, and you should avoid sun on the area while it heals.³ The FDA³ has also warned about serious reactions from using large amounts of numbing cream before laser treatment.³ Gray and white hairs usually respond poorly to laser, so ask before paying for a package.
• Electrolysis: the FDA³ considers it a permanent method, since it destroys the hair follicle, but it takes many sessions. Risks include infection from unsterile needles and scarring from poor technique.³

Signs to stop and get checked

Stop and see a clinician for a cut that won’t heal, a painful lump, spreading redness, pus or fever. Bumps and itch can come from ingrown hairs, which our guide to ingrown hairs and razor bumps covers, but new white patches, sores or persistent itching need a closer look.

Try: “Shaving down there has started to sting and leave small cuts since menopause. Is something going on with my skin, and what’s the safest way to remove hair now?”

Down There, Decoded includes a Down-There Log and a See script for appointments. Use them to note what you use, any reactions, and questions for your visit. Explore the intimate-health playbook.