Hello to all, I am finished with my part of the book that Kay Hoover and I
are working on, and my husband and I have finished our pump tracking
program, so I can drop back in on Lactnet without feeling so guilty about
taking time away from those two projects.

I was interested in the discussion on polycystic ovaries.  Some years ago I
had a client who had been diagnosed with Stein-Leventhal syndrome (a type of
polycystic ovary). She had been treated with clomid and had become preg.
All of this may have been mentioned earlier in this thread,  but in reading
up on it in a GYN textbook, I learned that it is characterized by recurrent
anovulation with persistent estrogen and an absence of progesterone.  Lack
of progesterone could negatively influence growth of lobes, lobules and
alveoli during preg.  Excess estrogen could inhibit lactation postpartum.

 Polycystic ovaries "may produce a variety of endocrine dysfunctions."
according to the text.  It also speculated that this is a "pluri-glandular
disorder with the pituitary as the primary culprit."  My client had great
difficulty making a normal milk supply, and her supply was resistant to any
improvements that we tried.

Barbara Wilson-Clay, BSEd, IBCLC
Austin Lactation Associates, Austin, Texas
http://www.jump.net/~bwc/lactnews.html