Hi All,
There is a difference between glandular hypoplasia and women with normal 
glandular tissue who have poor glandular response to the hormone 
environment.
Many women with glandular hypoplasia ( think bonsai tree) respond 
appropriately to the hormones of pregnancy, delivery, prolactin, etc, 
and will have engorgement, but the total amount of milk made is very 
small due to having insufficient amount of glandular tissue.
Women with hormone issues such as PCOS have the potential to make enough 
milk if the hormone situation is right. For example, if they lose a 
bunch of weight before pregnancy such that their androgen levels are 
lower going into pregnancy, they should respond better to hormones of 
pregnancy and make more milk.
I is important to distinguish what the woman is dealing with. 
Overstimulation of breasts that are responding well, as in glandular 
hypoplasia, can lead to engorgement and mastitis.
Anne

Anne Eglash MD, FABM, IBCLC
Clinical Professor
Dept of Family Medicine
University of Wisconsin School of Medicine and Public Health
600 N. 8th St.
Mount Horeb, WI, 53572
608-437-3064 (O)
608-437-4542 (fax)

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