In my 18+ months, I have never douched either since it was not part of my discharge instructions. (I used a prescribed antibiotic vaginal gel for 3 weeks after my packing came out.) My Gynecologist, after calling my surgeon did have me do a sitzbath about once a day while I was recovering from a yeast infection that hit at week 3, but since then, a daily shower and things are quite nice down there. The neo vag still has sweat glands in its skin covering, and the environment is warm enough to sweat a bit, so the skin can cleanse itself, and make washing your under pants necessary.