At four months, I am still wearing pads as things continue to heal and get accustomed to their new places. I haven't had any pain from the skin sloughing, in fact I have had little or no pain throughout the whole process. Some doctors recommend douching, while others strongly recommend against it in order to maintain the healthy bacteria that helps keep bad bacteria in check. Consult your doctor prior to deciding whether or not to douche. Mine recommends against it, as do many GYNs.