I have seen a mother recently who is experiencing low milk supply.  Baby was
below birth weight at 2 weeks.  One week of intensive pumping and milk supply
does not seem to be coming up.  Mother has a history of very low levels of
estrogen.  They used "mega doses" (her term)  of clomid to enable her to
conceive.  While I know that estrogen plays a role in the development of the
breasts would this influence the milk production after birth? Everything I've
read and been taught don't seem to point to that.   Her prolactin levels have
always been WNL.  Is it too early to have her see the endocrinologist for a
workup so that we know what her levels are now and do we have any realistic
idea of what is possible?  Her breasts were very assymetrical as a teen and
she had reduction in one to even them out.  They are still assymetrical but
neither is producing.  I immediately thought of insufficient mammary tissue
however they look normal with no tubular shape to them at all.  Any insights
or ideas would be appreciated.

Denise Parker, BA, IBCLC