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When you’re lying back in a paper gown, feet in stirrups, willing your annual gyno visit to end already, the last thing you’re probably thinking about is ‘what type of underwear will keep my hoo ha healthy?’ But according to Candice Fraser, MD, FACOG—founder of Trinity Medical Care NY—everything from the style to the material can attribute to irritation—or worse, infections. These are the doc-approved tips on vaginal health that your OB-GYN may not have mentioned during your last pap

Skip the frills—cotton is key.

Fraser says that 100 percent cotton is breathable and absorbs moisture, which reduces the risk of yeast infections and bacterial vaginitis. With all due respect to the lace and silk styles that only tend to appear when it’s time to do laundry, they’re not as absorbent and can cause irritation. Polyester and other synthetic fabrics can do the same. But if you do opt for lacy lingerie, look for a cotton crotch.

That applies to your workout undies, too.

If you think there’s any chance for sweat, go for cotton. “This is a must so you don’t promote vaginal infection and vulvar inflammation, which can occur if you wear damp underwear for too long,” says Suzanna Chatterjee, MD, a physician at Saint Mary’s Regional Medical Center. She also recommends trying moisture-wicking briefs. Under Armour’s are a good bet!

Don’t sacrifice panty lines for vaginal health.

“Thongs are probably the least healthy,” Fraser says, citing that they make it easy for bacteria to travel from, err, back to front. Can’t deal with seeing your underwear through your outerwear? Try seamless undies instead.

Size does matter.

Anything too tight or too loose can increase the risk of infection, irritation, and cuts in the groin, vagina, and abdomen, says Fraser.

You should get intimate at bedtime.

No, not how you’re thinking. Chatterjee adds that going commando is actually a good thing overnight. “I recommend my patients sleep without underwear to give their vulvar skin a break from constant coverage—this helps reduce chronic inflammation,” she says. “If you do wear underwear to sleep, find a pair with full coverage to avoid overnight irritation.

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