A feminine cooling pad configured for cooling a vulva and/or adjacent region. The cooling pad may include a non-adhesive outer liquid permeable layer configured to be oriented toward the pubic area during use. A liquid absorbent layer forming or adjacent to the outer layer absorbs bodily fluids or discharges during use. A cooling layer adjacent to the liquid absorbent layer provides cooling for at least about 15 minutes when the cooling pad is placed adjacent to the pubic area of a woman. An optional adhesive layer adjacent to the cooling layer can adhere the feminine cooling pad to an undergarment or clothing during use and maintain the cooling pad in a desired orientation. A feminine heating pad may include a microwavable material that becomes warm or hot when placed in a microwave oven. A feminine cooling pad can operate as a heating pad when heated instead of cooled.