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In today’s episode, I sit down with Sara Perelmuter, a medical student and future OBGYN, who is already leading innovations in the field of sexual medicine. As president of the Sexual Medicine Research Team and with over seven peer-reviewed publications, Sara’s latest work, "Genitourinary Syndrome of Lactation: A New Perspective on Postpartum and Lactation-Related Genitourinary Symptoms," introduces a new term encompassing genitourinary symptoms related to low estrogen during the postpartum and lactation periods.

Sara’s passion for women’s health is deeply personal—her own struggle with pelvic pain during intercourse led to her diagnosis of hypertonic overactive pelvic floor muscle dysfunction. The medical gaslighting and dismissal she experienced, along with her feminist values and love for physiology, motivated her to pursue a career dedicated to improving women's sexual health. In this episode, Sara discusses the importance of education, accessibility, and awareness in empowering women to take control of their own bodies.

We cover topics including:

🔹Role of estrogen in postpartum & during lactation
🔹Innovative research on reproductive organs and genitourinary symptoms
🔹Addressing painful intercourse & pelvic pain at all stages of life
🔹Need to change med school curricula to better include women’s health issues
🔹Understanding hormone fluctuations throughout a woman’s life
🔹How to effectively communicate with your healthcare provider about sexual/reproductive health in postpartum, before & beyond
🔹Collaborative care approaches for treating pelvic floor dysfunction 

Time Stamps

1:00 Introduction

3:55 the roll of estrogen

8:23 parallels between different conditions

15:50 innovation in the field

23:37 vaginal estrogen in lactation

31:40 postpartum versus lactation

41:08 signs and symptoms

46:50 muscular versus hormonal

CONNECT WITH CARRIE

IG: https://www.instagram.com/carriepagliano/

Website: https://carriepagliano.com

CONNECT WITH SARA

IG: https://www.instagram.com/sara.perelmuter/

The Active Mom Podcast is A Real Moms' Guide to pregnancy, postpartum, perimenopause & beyond for active moms & the professionals who help them in their journey.

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