During breastfeeding, why might a woman experience postpartal dyspareunia?

A woman may experience postpartal dyspareunia as a result of low estrogen production during breastfeeding. After childbirth, especially during the lactation period, estrogen levels can significantly decrease. This hormonal change can lead to vaginal dryness and thinning of the vaginal tissues, making intercourse uncomfortable or painful.

Furthermore, this condition is particularly prevalent when a woman is breastfeeding because prolactin, the hormone responsible for milk production, suppresses ovarian function and thus reduces estrogen levels. Adequate estrogen is essential for maintaining vaginal lubrication and elasticity, so the decrease during this phase can lead to dyspareunia, which is defined as painful intercourse.

Understanding the hormonal changes that occur during breastfeeding is crucial for healthcare providers when addressing the concerns of postpartum women.