In the last digest, someone wrote:
 She says she has no nerve sensation in that nipple also.
Is she dealing with inadequate glandular tissue in part of the breast?  Is
there a cause for this?  She has managed to get around the problem by
eventually nursing on only the one breast, but as you can imagine, it does
make her quite lopsided for  awhile.

I'm not an LC, but this doesn't sound at all to me like inadequate glandular
tissue.  It sounds like the breast is *producing* milk just fine, the
difficulty is in getting it out of breast through the nipple.  Sounds to me
like she has either 1) congenitally small ducts, with few open nipple pores
or 2) scar tissue from a trauma or infection that has the same result.

I had a lumpectomy, with a circum-areolar incision, between child #2 and #3,
and the surgery cut some of the ducts and resulted in some scar tissue, and
that breast never *worked* as well as the other one.  It produced milk just
fine, but since the milk couldn't get out of some quadrants, they quickly
involuted, and the end result was that Alex couldn't get as much milk, as
easily, from that breast.  He would nurse more forcefully, but soon became
discouraged, and took to preferring the other one.  Yes, I was lopsided for
over a year, but I seriously doubt that anyone noticed!

Katherine A. Dettwyler, Ph.D.
Associate Professor
Department of Anthropology
Texas A&M University