Case study...comments please? I have permission to post. Thanks.
mailto:[log in to unmask] and the list please.


>Here is my question: The client is 34, has had both ovaries surgically
>removed due to torsion & necrosis, is now on HRT.  She has one child still
>nursing as an older toddler (lost the ovaries after the child was a year
>old) and hopes to have another child with IVF using an egg donor.  My
>question is around establishing lactation & using HRT: What if any
>recommendations would folks make about use of HRT in the early weeks of
>lactation, especially given the natural estrogen drop post partum in a
>woman with normal ovarian function & the suppression of prolactin by
>higher estrogen levels??  Should there be a suspension in the HRT for the
>immediate post partum, a reduced dose, progesterone only, how much etc.,
>and what do people recommend in terms of how long to suspend or alter the
>doses: first 6 weeks?? Shorter or longer?  None of the specialists I have
>asked so far know the answers to any of these questions, and the mom is
>very anxious to breastfeed if the IVF works.


Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet, Indep. Consultant
http://together.net/~kbruce/kbbspin.html
LACTNET Archives http://peach.ease.lsoft.com/archives/lactnet.html

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