I went to Brassard, and he recommended douching for the first two months but not afterward "because it can disturb the normal balance of the vagina." I followed his instructions, and I've had no problems (I'm 4 years post-op now). I do lubricate, though, at least a bit. I was one of the ones for whom his use of mucosal tissue from the urethra paid off, as I do have a bit of constant moistness in the area as well as self-lubrication on arousal. Anyway, as far as I can tell, my vagina *is* self-cleaning and does fine without douching. 3 months is still a little early for everything to settle down, too, so there may be some temporary issues while the natural balance is established.