Polycystic ovaries (associated with what used to be called Stein-Leventhal
Syndrome) emit hormones that do interfere with establishment of lactation.
Elevated levels of androgens or estrogens and hyperinsulinemia associated
with the condition significantly impact lactation in some women. Polycystic
ovarian syndrome (PCOS), or disease ( PCOD as it is now being described) is
also a relatively common cause of infertility.  I saw two women last week
with twins.  Both assisted pregs due to infertility.  One has infertility
caused by PCOD and the other had mechanical blockages of her fallopian
tubes.  One has brought in a normal milk supply, the other (with the hx of
PCOD) has about half what she needs for twins.  When taking a health hx,
infertility may be a marker for primary milk production issues.  With
careful management, some of the moms with hormonal infertility issues can
reach normal production levels at a month to 6 weeks pp.  Others never seem
to make more than a partial supply.  They deserve an explanation that this
is not due to lack of trying, but to a physical condition.

Barbara Wilson-Clay BSEd, IBCLC
Austin Lactation Associates
http://www.lactnews.com

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