I sent this privately before, but there have been several requests lately
and this article may help.
Querida David IBCLC


Last December's JHL has a case
study describing a woman diagnosed with insufficient glandular tissue with
her first baby, who could not produce more than a very small amount of milk
despite being prescribed metoclopromide (Maxolon).
This mother, after treatment with natural progesterone during a subsequent
pregnancy, was able to fully breastfeed her second child.
It is a very interesting case study. This mother had other fertility related
issues, and miscarriages related to what was diagnosed as a luteal phase
defect.

The reference, for those who have access to JHL is Volume 15, number 4,
December 1999
page 339. Case Report
Patient with insufficient glandular tissue experiences milk supply increase
attributed to progesterone treatment for luteal phase defect.

I hope this reference helps the mother that you are working with.

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