LactMed is being unusually not helpful, so I turn to you.  (Permission to post) A client who has been exclusively pumping for 4 months and has a great supply and in fact pumps so much milk she has bought an extra freezer just for breastmilk has had some troubles healing from her delivery.  She has developed granular tissue in the vagina and her GYN has prescribed vaginal premarin cream for application 2-3 times a day for 2 weeks prior to surgery.  (I'm finding out the dosage now).  

She is very reluctant to start the cream because she doesn't want to negatively impact her milk supply and knows that estrogen can.  Nor does she want to negatively impact her daughter's development by introducing estrogen.  Baby is about 4.5 months and 18lbs.  Has anyone had experience with a mother in a similar situation?

Thank you in advance!

Lea Rivera Todaro, IBCLC
Brooklyn, NY

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