Kathy D, That poor mom sounds miserable. I know all women are different and know that some have vaginal symptoms in early months of lactation due to lower estrogen. I don't think that stopping the nursing once a day at bedtime will make a big difference. I bet the toddler nurses only briefly anyway then falls asleep. The estrogen cream was the first thing I thought of. There is also astroglide (previously discussed on lactnet) as a good product (lubricant) if needed for intercourse. There is also a product called Replens I think to restore vaginal moisture (at least that's how it's advertised). As to the good/bad bacteria she could use acidophillus or these new probiotics to restore balance. I think she really needs a good OB/GYN doctor to help her sort out these symptoms. Is she an older mom nearing menopause/perimenopause? Laurie Wheeler, RN, MN, IBCLC Louisiana Breastfeeding MediaWatch Campaign Violet Louisiana, USA mailto:[log in to unmask] ______________________________________________________ Get Your Private, Free Email at http://www.hotmail.com