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Sun, 28 Sep 2008 13:46:49 -0400 |
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I had a woman once who had been diagnosed with a single dermoid ovarian
cyst prior to getting pregnant - they had decided not to remove it because it
wasn't causing any major problems, though the plan was to probably remove it
sometime in the future. She had gotten pregnant uneventfully, but she could
not make milk, the most she ever got was one quarter ounce combined from
both sides despite all of our efforts to increase her supply. After about 2
months she gave up - I have always suspected that cyst was the reason she
couldn't make milk. I think a blood test for testosterone makes a lot of sense,
but I also wonder whether it would be possible to ultrasound the ovaries to
visualize what is going on. If it is a dermoid cyst for instance, which can have
identifying features like teeth and hair, then that would be a permanent
situation versus temporary cysts that might resolve in a month and a half. I
am neither a doctor nor an ultrasonographer, so I don't know how much one
can diagnose via ultrasound, or even how easy it is to see the ovaries on a
woman who has just delivered, but it might help refine the prognosis if one
could figure out whether there is a cyst, and if it is permanent or temporary.
Kathy Lilleskov RN IBCLC
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