Postpartum Symptoms We Need to Talk About More: Genitourinary Syndrome of Lactation (GSL)

Let's be real: navigating the postpartum period can feel like being absolutely pummeled by too many things at once, especially when you're seriously sleep-deprived. Between learning your new baby and recovering yourself, you might encounter stuff you've never even heard of (and maybe can't spell on three hours of sleep!). One of those unexpected things popping up might be physical discomfort, particularly if you're breastfeeding. We're talking about symptoms like vaginal dryness, irritation, or even bladder issues like leaking or discomfort when you pee. If this sounds frustratingly familiar, it might be related to something called Genitourinary Syndrome of Lactation (GSL) – yeah, another one of those technical terms! Basically, it just means symptoms affecting both the vaginal and urinary areas due to breastfeeding hormones. It's way more common than you'd think, but often gets lost in the postpartum shuffle. Let's break down what GSL actually is, why it happens, and most importantly, how you can find relief and get back to feeling more like yourself.

While many have not heard of Genitourinary Syndrome of Menopause (GSM), a similar but even lesser-known condition called Genitourinary Syndrome of Lactation (GSL) affects up to 60% of lactating individuals.

What is Genitourinary Syndrome of Lactation?

GSL occurs due to a decline in estrogen caused by high levels of prolactin—the hormone responsible for milk production. This hormonal shift leads to a range of vulvovaginal and urinary symptoms, including:

Vaginal dryness
Thinning of vaginal tissues
Urinary incontinence and increased risk of UTIs
Painful intercourse
Burning or irritation

Though temporary, these symptoms can significantly impact quality of life, especially during an already vulnerable postpartum period.

What Can You Do About It?

The good news? You don’t have to suffer in silence! There are effective treatments and therapies to help manage GSL.

1. Pelvic Health Physical Therapy

This is highly recommended for anyone postpartum. A pelvic health therapist can assess your symptoms and guide you through exercises to improve healing and muscle function.

2. Non-Hormonal Treatments

Vaginal moisturizers: Options with hyaluronic acid or DHEA may be more effective to maintain hydration and comfort but a general moisturizer can work well too.
Trusted brands: Some highly-rated choices include Kindra, Intimate Rose, and Good Clean Love.

3. Vaginal Estrogen Therapy

The gold standard for treating both GSL and GSM, vaginal estrogen (available by prescription) comes in the form of creams, suppositories, or rings.
When used correctly, it does not interfere with milk production or significantly raise systemic estrogen levels, making it a safe and effective option.

Why It’s Important to Speak Up

Many individuals suffer from GSL without realizing there’s a name—and a treatment—for what they’re experiencing. If you have symptoms, talk to your healthcare provider about vaginal estrogen or pelvic floor therapy. There’s no need to endure discomfort when solutions are available!

Learn More!

Because GSL is under-researched, specialists have created a survey to gather more data. If you’re postpartum and lactating, your input could help improve awareness and treatment options for others. Complete the survey here!

GSL is real, but relief is possible. Don’t hesitate to advocate for your health and well-being!