Debbie,
We've all been there. Sometimes revealing bad news is bonding, and 
sometimes the mom wants to get as far away as possible as fast as she can.
I generally downplay PCOS at an initial consult unless the breasts look 
or palpate abnormal, or the baby is not getting sufficient milk by test 
weights and history. I do warn moms to keep their eyes open, but don't 
want every mom with PCOS to think she won't make enough milk, when 
Lisa's preliminary research showed it was only about 1/3 who had 
insufficient milk supply. It can be really hard to convince a mom with 
large but "empty" breasts that she has a problem. Moms with significant 
hypoplasia usually know they don't look like everyone else, and are more 
prepared. Also, moms with PCOS are very sensitive to "yet another" thing 
going wrong with their bodies, as you so empathetically expressed.
Hang in there!
Catherine Watson Genna, IBCLC  NYC

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