Out loud thinking encouraged here.  We have a patient with a 3 month-old who has had one-sided recurrent plugged ducts and mastitis.  She has had repeated blebs that she has had to open herself with a sterile needle.  We started her on 1200mg four times a day which was working well for her until she started spotting.  Because this woman has a family history of ovarian/uterine cancer, her OB asked her to immediately stop taking the lecithin, stating that the estrogen in the lecithin was too great a risk for her.  Her spotting did stop but she is again experiencing plugs.

We can and will counsel her through symptom management and optimize the breastfeeding but my question is, has anyone ever heard of lecithin being a risk factor for cancer because of its inherent estrogen component?

Anne Duret, RN IBCLC
Springfield, OR



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