11/06/2025
💫 Genitourinary Syndrome of Lactation (GSL)💫
During times of lactation, women’s bodies have hormonal changes that can induce a variety of unwanted symptoms. Often this occurs during lactation due to low levels of estrogen and higher levels of prolactin. Much like during menopause—- Genitourinary Syndrome of Menopause— similar symptoms can occur while lactating postpartum. Thus termed— Genitourinary Syndrome of Lactation.
Typical symptoms that may occur with this:
Vaginal dryness
painful in*******se
UTIs
vaginal atrophy (thinning of vaginal tissues and loss of elasticity of tissues)
urinary incontinence
urinary frequency/ urgency
This affects nearly 60% of lactating women! I see this all the time in the office. Often this is self limiting, as these symptoms will usually go away once you’ve weaned from lactating. But during that time, there is help for you! Seeing a pelvic floor therapist can be very helpful in alleviating some of these symptoms, as well as consulting with your medical doctor regarding options for treating the tissue symptoms — i.e. vaginal moisturizers, vaginal estrogen cream, etc.
Vaginal estrogen cream is the GOAT for treating the underlying cause of a lot of these symptoms. This can be used temporarily while you’re lactating so that you can help alleviate any of the above mentioned symptoms