>>I have permission to post on this issue.  I have a pt today, first baby,
with a hx of what she describes as a "macro tumor" of the pituitary gland,
that was removed in 2003.  She had lactated spontaneously for several years
before this.  The tumor was reportedly "very large", and wrapped around
entire gland.  Mom has not lactated since removal.  She reports no leakage
of colostrum during the pregnancy, and very little breast changes.  She is
unsure of any other medical detail. She is planning to Breastfeed her baby.
After researching the issue, I'm more confused than ever.  Will this affect
lactation, and to what degree?  What advise should I give her?<<

Jamie, was the [posterior] pituitary gland or any portion of it removed?
This detail is pretty important to your question. The prolactinoma was the
reason for her galactorrhea, so cessation of milk implies at least a return
to normal, though possibly subnormal prolactin levels.

How far into pregnancy is mom?  How do her breasts look to you?  Did she
require assistance to get pregnant? More information is needed to make an
assessment.

~Lisa Marasco

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