How does breastfeeding affect dyspareunia?
Breastfeeding can worsen dyspareunia symptoms due to low oestrogen levels, which lead to vaginal dryness and thinning of vaginal tissues.
Detailed Medical Explanation
Oestrogen levels drop during breastfeeding, leading to atrophic vaginitis and increased risk of pain with intercourse. Using vaginal moisturisers, lubricants, or prescribed local oestrogen can help relieve symptoms. These changes are temporary and resolve when breastfeeding stops. NHS: Vaginal Dryness.
Clinical Context
Women experiencing painful sex while breastfeeding should discuss options with their GP or women’s health clinician. Safe, effective treatments are available.
Evidence-Based Approaches
NHS and NICE recommend vaginal lubricants and, if needed, topical oestrogen to manage breastfeeding-related dyspareunia. NHS: Vaginal Dryness.