Toilet paper can make a difference just like tampons and everything else that touches your skin. You want to make sure it is not perfumey and that it is the most natural possible. I think this should be brought even more to light after the following account from a patient:

Just wanted to let you know that I found toilet paper brand makes a HUGE difference.   
 
As you know, when I was early in treatment with you – I suffered from a red, dry, burning, stinging vaginal area.   We used jojoba oil a lot to try to help it.   Eventually it left… but I never knew what made it leave  – it just did.
 
Almost two weeks ago I developed (out of the blue) a red, irritated, dry, burning, stinging outer vagina area.   Nothing had changed diet wise or detergent or soap wise.   I thought I had a yeast imbalance or bacteria imbalance and began using tea tree suppositories and jojoba oil and gynenatren acidophilus.  Tom did a swab and looked under the scope – all looked fine.   I suffered for about a week with this… not knowing what it was.    Had  my period in the midst of it and thought that would cleanse and reset but it didn’t.  
 
I remembered that I bought a different toilet paper (b/c I had a coupon) and I then remembered that it was softer.  A search online confirmed that the softer the toilet paper – the more lotions the company has added to it to get it that way.   I immediately knew what it was…. went to the store…. bought my old kind and the next day the tissue started to heal.    I usually use Kleenex brand Cottonelle and the brand I had purchased (covered in lotion) was Quilted Northern.   
 
I thought this could be important information for your patients suffering from this…. b/c thinking back to the years I began I was suffering with this AND I was using Quilted Northern!!!!!      Just thought this could possibly help someone and make it easier for you deciphering their symptoms if this tiny thing were changed…. 
 
ps/ Please feel free to share this with your patients 🙂
 
anonymous