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After birth, many women are left blindsided by physical changes they never expected. Vaginal dryness, painful sex, recurring UTIs, and even emotional strain can all show up during breastfeeding — but most mothers are never told why. In this episode, we sit down with Sara Perelmuter, a third-year medical student at Weill Cornell Medical College in New York City. Sara currently serves as president of the Sexual Medicine Research Team and has authored numerous peer-reviewed publications on reproductive and genitourinary health.

Sara explains the hormonal shifts that mimic menopause in the postpartum period, why so many women are suffering in silence, and what the research reveals about both the prevalence of these symptoms and the safe, effective treatments available — including pelvic floor therapy, moisturizers, lubricants, and topical vaginal estrogen.

These symptoms are common, but they are not inevitable. By naming and studying them, we open the door to treatment and better care.

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