Bladder leakage is incredibly common. About one in three women will experience it at some point, especially after childbirth and menopause. Pads make life easier, but wearing them every day can leave the skin underneath red, sore, itchy or raw.
If that's happening to you, you're not alone, and there's a lot you can do to feel more comfortable.
Why Pads Irritate the Skin
The skin of the vulva is naturally thin and delicate, and after menopause it becomes thinner still. Wearing a pad for hours creates a few challenges at once.
- Moisture. Even small amounts of urine keep skin damp. Skin that stays wet for long periods softens and breaks down more easily.
- Urine itself. Over time, urine can irritate the skin's surface and weaken its natural protective barrier.
- Friction. Pads rub as you walk, sit and move, especially if the skin is already tender.
- Heat. Pads trap warmth against the body, which can make irritation feel worse.
- Fragrance. Scented pads add perfume directly to sensitive skin.
The medical name for this kind of irritation is incontinence associated dermatitis. It's a recognised skin condition, not a sign of poor hygiene.
Everyday Habits That Help
Change pads often
Change your pad as soon as it feels damp, rather than waiting. The less time urine sits against the skin, the better.
Cleanse gently
Rinse the area with warm water and pat dry with a soft cloth. Avoid soap, which strips the skin's natural oils, and skip scented wipes.
Let skin breathe
When you can, spend some time without a pad, such as when resting at home. Wear loose cotton underwear and avoid tight clothing.
Add a protective layer
A thin layer of oil or butter on clean, dry skin creates a gentle barrier between your skin and moisture. It also reduces friction from the pad.
Get the right support
A continence nurse can help you find the pad size and style that suits your body and your level of leakage. The Continence Foundation of Australia runs a free National Continence Helpline on 1800 33 00 66, with nurses who can give confidential advice.
Treating the Leakage Itself
Leakage is common, but it isn't something you simply have to accept. A women's health physiotherapist can teach you pelvic floor exercises that often reduce leakage significantly. Your GP can also check for other causes and talk you through options. Fewer leaks means less time in pads, and less irritation.
Where Divine Fits
Divine by Elshka is a botanical vulva comfort oil made with certified organic ingredients, with no essential oils or fragrance. Apply a few drops to clean, dry skin after showering or changing your pad to soothe irritation and reduce friction.
Divine Butter is a richer version made with shea butter. It forms a longer lasting protective layer, which is ideal overnight or for anyone who sits or lies down for long periods. Its texture also makes it easier to apply for anyone with stiff or arthritic hands, which is why it's a favourite with women in aged care.
💗 Read more real reviews from Elshka customers
Caring for Someone Else?
If you help a parent or loved one with personal care, these same steps apply. Gentle cleansing, prompt pad changes and a protective layer can make a big difference to their comfort and dignity.
When to See a Doctor
See your GP if the skin is broken, bleeding or weeping, if a rash spreads, or if you notice white patches, a burning sensation or a thick discharge. These can be signs of infection, such as thrush, that need proper treatment.
FAQ
Q: Why do incontinence pads give me a rash?
A: Moisture, urine, friction and heat all combine to irritate the skin. Over time, this weakens the skin's natural barrier and leads to redness, soreness and itching.
Q: How can I stop a pad rash?
A: Change pads promptly, rinse with warm water instead of soap, pat dry, wear cotton underwear, and apply a thin protective layer of oil or butter to clean skin.
Q: Can I use Divine under a pad?
A: Yes. Many women apply Divine or Divine Butter to clean, dry skin before putting on a fresh pad, to help reduce friction and soothe irritation.
Q: Is a pad rash a sign of infection?
A: Not always, but it can become infected. See your GP if the skin is broken or weeping, or if you notice white patches or unusual discharge.
This post is general information, not medical advice, and is not intended to diagnose, treat, cure or prevent disease.
Further reading: Vulva Care for Carers: Helping Your Elderly Mum Stay Comfortable · Pelvic Floor Tension and Trauma