It is so stigmatized, that so many don’t even know what their own vulva’s look like. I encourage you as a woman, get a mirror and take a look. Get familiar. Get to know every freckle  and fold. It’s especially important to do this in perimenopause because so much in that vulvar area changes so much. Here’s what every woman navigating midlife needs to know about vulvar changes, symptoms, and real solutions.