Hello to all, I am finished with my part of the book that Kay Hoover and I are working on, and my husband and I have finished our pump tracking program, so I can drop back in on Lactnet without feeling so guilty about taking time away from those two projects. I was interested in the discussion on polycystic ovaries. Some years ago I had a client who had been diagnosed with Stein-Leventhal syndrome (a type of polycystic ovary). She had been treated with clomid and had become preg. All of this may have been mentioned earlier in this thread, but in reading up on it in a GYN textbook, I learned that it is characterized by recurrent anovulation with persistent estrogen and an absence of progesterone. Lack of progesterone could negatively influence growth of lobes, lobules and alveoli during preg. Excess estrogen could inhibit lactation postpartum. Polycystic ovaries "may produce a variety of endocrine dysfunctions." according to the text. It also speculated that this is a "pluri-glandular disorder with the pituitary as the primary culprit." My client had great difficulty making a normal milk supply, and her supply was resistant to any improvements that we tried. Barbara Wilson-Clay, BSEd, IBCLC Austin Lactation Associates, Austin, Texas http://www.jump.net/~bwc/lactnews.html