Hi Everyone,

 

So my client who was producing literally up to 96 ounces of milk per day
while pumping ONLY 4 times in 24 hours finally got her prolactin levels done
- much to the annoyance of her Dr who took one look at her and decided that
since she was about 25-30 pounds overweight that clearly the reason she was
making too much milk was due to her overeating and drinking too much water.
My client was told to cut her food and water intake in half.  Dr also
refused to make a referral for an MRI or endocrinologist because she'd get
laughed at.sigh.  This mom does NOT over eat by any stretch of the
imagination, works out 3-4 times per week and drinks to thirst only.  She
tried cutting back on her water intake for 2 days and ended up dehydrated
and ill as a result.  She is also have issue with weight loss.

 

Re: the prolactin test she took:

 

She pumped at 6:30 am

Blood drawn at 8:15am

She was 16 wks postpartum at the time of the test.

 

She only pumped 4 times per 24 hours.

 

Her LH/FSH/CBC levels were normal (no numbers given to me) no thyroid levels
drawn - Dr refused.  Yes - she just switched Dr's again.  Her Prolactin
Levels came back at 24.6.  She was told it was within normal.  However, my
Lawrence says that for this time period it should be upward of 50.  

 

Help?  I'm outta my league on this one but so seem to be her Dr's.  What say
you my esteemed colleagues?  What other information do you need to help this
mom figure out what is up?  Could this still be a pituitary tumor
possibility?  Why would she be producing this much milk with such a low
level?  

 

Thanks for all help and information!

 

Warmly,

Jaye

 

 

 

 

Jaye Simpson, IBCLC, CIIM

Breastfeeding Network

Sacramento, CA

www.breastfeedingnetwork.net

 


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