I think the drug starting with M from Dr. Jack might be Metformin too, brand
name is Glucophage.

Women with PCOS have insulin resistance which leds to increased testosterone
and often contributes to lower milk supplies.  Some figure that because 10%
of women have PCOS, and only half of them will get pregnant and/or nurse a
baby due to infertility, this could be part of the low "unable to exclusively
nurse" percentage of women (2-3%?).  Metformin increases the body's
sensitivity to insulin so insulin isn't overproduced which in turn (ideally)
corrects other hormone imbalances throughout the body.

(I have PCOS and was diagnosed as a teenager.   We have adopted two baby boys
so far.  My oldest, I took domperidone and used a lact-aid with reasonably
good results (half milk supply.)  My youngest, I contacted Dr. Newman and did
a protocol to induce lactation, by building breast tissue and increasing
prolactin with domperidone.  I have been successful, and didn't need to
supplement our chubby boy.  He is now 13 months old, nursing 3-4 times a day
and eating table foods and water in a cup. )

I hadn't thought of metformin helping milk supply in PCOS patients.  I didn't
take it with my oldest, not knowing much about drugs and trying to be
careful.  But I did with my youngest, participating in a study with Dr. Hale
on its effects on milk quality and infant tolerance, etc.  I wonder if this
could have played a part in my improved output?  Interesting.  I know that
anecdotes aren't worth much, but I'll keep my eye out for anything further.

Warm Regards,

Kerri Smith
Chilliwack, BC
Breastfeeding Counsellor, IBCLC candidate

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