Hi Heather, I don't feel the menopause is the culprit. The stopping nursing for 1 month is the key, in my opinion. Basically mom is relactating and there is alot of info about that. We don't know her history, she may have been bf another child prior to adoption, or has she relactated from a long ago lactation, or did she do adoptive lactation, which would be the case if she had never lactated before. The basic premise is to create a demand, by having alot of suckling at the breast, if baby will do it, and she can use a supply line there. Or if baby is not suckling at breast, then mom should try to increase breast "stimulation" by expressing very often, like 8-10x per day. I think skin to skin, even when not breastfeeding, would be very helpful too. I would also investigate what pump she is using, if that is the way she is expressing, and what size flange. Also if mom pumps during the day only or also at night. The mom says she is on several galactagogues, but I think she may not realize that creating the demand is the most important thing. And you can reassure her about menopause not being the reason. <<I pump about every 3-4 hours during the day??>> Laurie Wheeler RN MN IBCLC Mississippi, southeast USA *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome