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ALL ABOUT THE VULVA: Anatomy, Midlife Changes, and Vulvar Care

“When women are informed, care becomes a choice — not a compromise.”

The Vulva

Most of us were taught to call the entire female genital area “the vagina.”

Anatomically, that is incorrect.

The vagina is the internal canal. The vulva is the external genital anatomy: the labia majora and minora, clitoris, vestibule, urethral opening, and vaginal opening or introitus.

That distinction matters because these are not simply different names for the same tissue. Different parts of the vulva have different structures, nerve supply, hormone receptors, and biological functions.

And one small part of the vulva deserves far more attention than it usually receives:

the vestibule.

The Anatomy

The vulva includes several distinct structures:

Labia majora
The outer folds of the vulva. They contain skin, connective tissue, blood vessels, nerves, and glands.

Labia minora
The inner folds surrounding the vestibule. They are highly vascular and richly innervated and vary enormously in normal size, shape, color, and symmetry.

Clitoris
The visible glans is only a small portion of a much larger erectile organ extending internally around the vaginal opening.

Vulvar vestibule
The smooth tissue inside the labia minora surrounding the openings of the urethra and vagina.

Vaginal opening, or introitus
The entrance to the vaginal canal.

The vestibule and the vaginal canal sit next to one another, but they should not be treated as though they are interchangeable.

The Vestibule

The vestibule is the tissue immediately surrounding the vaginal entrance—the area that encounters pressure and stretch during penetration.

It is also highly sensory and hormonally responsive. Estrogen and androgen receptors have been demonstrated in vestibular tissue, and hormonal changes can affect its structure, sensitivity, and function.

This becomes particularly important in midlife, because research examining women with menopause-associated painful sex has repeatedly found that the pain is often concentrated at the vestibule rather than deeper inside the vagina.

This does not mean that all pain with sex comes from the vestibule. Pelvic-floor dysfunction, vulvar skin disease, infection, neuropathic pain, endometriosis, and other conditions can also cause pain.

But it does challenge a surprisingly persistent assumption:

Pain at the vaginal entrance is not necessarily vaginal pain - so treating only the vagina may therefore miss the tissue that hurts.

Read more about body here - because your body is a wondrous thing.

Understanding Changes Everything

The Vulva Company

Why Vulvovaginal Wellness?

The tissues of the vulva and vagina are responsive to changing hormone levels. During midlife, many women notice greater dryness, sensitivity, or changes in the way the tissue feels. Intimacy may feel different, too.

These changes are common—but that does not mean they should be ignored.

Caring for the vulva can support greater comfort and help women feel more at home in their bodies. That is what our products are designed to nurture: intimate care that feels thoughtful, pleasurable, and worthy of becoming part of everyday life.

Women often tell us that caring for this part of themselves means more than addressing dryness. It can feel like reclaiming something that had quietly been overlooked—a sense of ease, sensuality, confidence, or connection with themselves.

Because vulvar wellness is never only about one part of the body. It is part of how a woman feels in her body, in her intimate life, and in herself.

Our secret - Vulvovaginal wellness goes far beyond the vulva. 

What is DHEA?

DHEA is a natural precursor in our bodies, used to support healthy tissues and vitality. We deliver it in a liposomal form, meaning it’s wrapped in tiny lipid particles that your body recognizes. This allows for gentle, gradual absorption—supporting comfort and hydration without overwhelming the system.  Our formula uses all plant-sourced ingredients.  

why does the vulva change during midlife?

The vulva is living, responsive tissue. Like many parts of the body, it is influenced by natural hormones—including estrogen, testosterone, and DHEA.

As these hormones begin to shift during perimenopause and menopause, the vulvar and vaginal tissues may gradually become drier, thinner, or more sensitive. Some women notice less softness or elasticity, greater friction, changes in sensation, or a different experience of intimacy.

These changes do not happen in the same way—or at the same time—for every woman. They may begin long before periods stop, appear gradually, or become noticeable only when something that once felt comfortable no longer does.

Although these changes are common, they do not have to be ignored. The vulva continues to deserve thoughtful, regular care throughout every stage of life.

Why is restore dhea different?

Technology Meets Nature

Restore was created specifically for the external vulva—not adapted from a face cream, body lotion, lubricant, or internal vaginal product.

At the heart of the formula is our patent-pending phospholipid liposomal technology. Liposomes are tiny spheres made from phospholipids—materials similar to those found in the membranes of our own cells. We combined these with some pure DHEA powder.

In Restore, the liposomes carry DHEA within the cream. We chose this delivery system to support the way DHEA is incorporated and presented where Restore is applied.

Just as important is what we leave out. Restore contains no added estrogen or testosterone, no synthetic fragrance, and no parabens or phenoxyethanol. Instead, it uses a fermentation-derived preservation system.

This is where nature meets thoughtful technology: a sophisticated formulation inspired by the body’s own biology and made specifically for the vulva.

Why not just use a lubricant or body oil/ lotion?

Because they were made for different jobs.

Lubricants are designed to reduce friction temporarily, usually during intimacy. They can be helpful in the moment, but they are not intended to provide ongoing daily care for vulvar tissue.

Body lotions are made for ordinary skin and may contain fragrance, alcohols, or other ingredients that may not support intimate areas.

The vulva deserves something made specifically for it.

Restore is a daily vulvar moisturizer created for external intimate tissue. Its formulation combines moisturizing and conditioning ingredients with liposomal DHEA in a cream designed to feel soothing, elegant, and easy to use regularly.

It is not simply about adding slip in the moment. It is about caring for the tissue over time.

Why DHEA

DHEA is something the body naturally makes. Its levels are highest in early adulthood and gradually decline as we age.

What makes DHEA so interesting is not simply that it is a hormone precursor, but the way the body uses it.

DHEA is a starting material. Different tissues contain different enzymes, and those enzymes influence how DHEA is converted and used within the tissue itself. This local process is known as intracrine metabolism.

In other words, DHEA is not one fixed hormonal message sent throughout the body. Its meaning depends, in part, on where it is and the biology of the tissue receiving it.

Most DHEA products were created to be swallowed or applied to general areas of the skin. Restore was created differently: specifically for direct application to the external vulva.

Restore contains no added estrogen or testosterone. It combines plant-derived DHEA with phospholipid liposomes in a moisturizing cream made specifically for vulvar tissue.

The formulation was inspired by the body’s own local biology—and by a gentler idea of intimate care: one that respects the intelligence of the tissue rather than treating a woman’s body as something broken.

Used consistently over time, Restore is designed to moisturize and condition the vulva, supporting softness, comfort, and a more cared-for feel.

Because DHEA is a hormone precursor, women with a hormone-sensitive medical history or specific medical concerns should speak with their healthcare provider before use.

Is Topical DHEA the same as taking DHEA?

No. Oral DHEA supplements are swallowed and absorbed through the digestive system for circulation throughout the body.

Restore is different. It is a topical vulvar moisturizer made for direct external application where intimate care is needed.

Its DHEA is incorporated into phospholipid liposomes within a cream designed specifically for the vulva. Restore contains no added estrogen or testosterone.

The idea behind the formulation is tissue-specific care: combining DHEA with moisturizing and conditioning ingredients in a product made for the vulva rather than delivering DHEA as a general oral supplement.

Because DHEA is a hormone precursor, women with a hormone-sensitive medical history or specific medical concerns should speak with their healthcare provider before use.

can midlife changes feel like a uti?

Hormonal changes during midlife can affect the vulva, vagina, urethra, and bladder. This may contribute to burning, sensitivity, urinary urgency, or discomfort that can feel similar to a urinary tract infection—even when an infection is not the cause.

But urinary symptoms should never simply be assumed to be hormonal. A true UTI requires appropriate medical evaluation and may need treatment. New, persistent, or recurring symptoms—especially pain with urination, blood in the urine, fever, back pain, or worsening urgency—should be discussed with a healthcare provider.

Restore is not intended to diagnose, prevent, or treat urinary tract infections. It is made for external vulvar care and is designed to moisturize and condition dry or sensitive vulvar tissue.

For some women, caring for external tissue can make the area feel more comfortable. It does not replace urine testing or medical care when an infection may be present.

For additional education about midlife vulvovaginal and urinary health, visit VULVAi, an educational resource led by our medical advisor, Dr. Uloko. https://vulvai.co.

Learn

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