I have read the archives regarding breast surgeries, free nipple grafts, and 
goat's rue but wondered if people had any other thoughts.  

There was a good explanation about interruption of sensory nerves with free 
nipple grafts leading to difficulty having MERs even if ducts are intact and milk 
glands are functioning.  I understand this connection to maintaining a milk 
supply that might initially seem okay but then not being able to keep up 
without this release of prolactin to keep increasing supply.  At what point can 
you think that this is okay if supply and weight gain are going smoothly?

What about absence of visible Montgomery glands?  I read the article that 
was posted that explained a much more detailed review of Montgomery gland 
functioning.

Also wondering about use of goat's rue when there have been free nipple 
grafts?  Is there any danger of engorgement/mastitis issues if you are 
increasing glandular tissue in ducts that are not connected to nipple openings?

Thanks for any thoughts or experiences you have.
Amy Slotten, RN, IBCLC
Ann Arbor, MI

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