Does breastfeeding cause temporary vaginal atrophy?
Yes, breastfeeding can temporarily lower oestrogen, leading to vaginal dryness and mild atrophy-like symptoms for some women, which usually resolve after weaning.
Detailed Medical Explanation
Prolactin, the hormone responsible for milk production, suppresses ovarian oestrogen production. Many women experience temporary dryness, discomfort, or mild atrophy during breastfeeding, but symptoms almost always resolve after hormone levels normalise. Lubricants and moisturisers can help during this period. NHS: Breastfeeding and Atrophy.
Clinical Context
This is a common and temporary issue. Symptoms improve naturally as breastfeeding frequency decreases and periods return.
Evidence-Based Approaches
International guidelines recommend conservative measures for mild cases during breastfeeding. RCOG: Atrophy and Breastfeeding.