Hello everyone.  I am a hospital based LC in Austin, TX.  I0 have
permission to post from a mother I have seen recently.  She is 33 yrs old,
G3P1.  Wears a 36C.  Her child is now 2 yrs old.  She breastfed 4-5 weeks,
weaned and leaked for 6 to 8 months then stopped. She has since become a
single mom. 1 month ago while bathing, she noticed she had begun to leak
again.  She hadn't had any regular breast stimulation.  I advised her to
see her OB/GYN.  She has had a negative pregnancy test, neg MRI (no
pituitary adenoma) prolactin level 11.0, TSH 1.1, regular menses,
generalized pain that she describes as "like after jogging without a
bra".  Regular underwire wearer - "always have been".  Her only medication
is Lexapro.  She is a post partum/LD nurse.  We did discuss the
sympathetic nature of her work, exposure to cueing babies.  SHe is
awaiting an appointment with a breast surgeon.  I had suggested an
endocrinologist first but she feels the surgeon is the way to go.  She is
going to have a  mammography also.  I have searched the archives and found
a few older posts (96/97 one suggestion from Dr. Jack that someone should
do a study . . .), more recently a thread (2003)discussing the sympathy
relactation and multiple comments regarding some women being far more
sensitive to even low levels of prolactin and once you open the flood
gates gettin' em closed is harder.  Any more recent information? We'd
appreciate the collective wisdom of Lactnet. Thanks.

Kathy Amell IBCLC
Leander, Texas

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