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Date: | Mon, 27 Nov 2006 20:30:49 -0600 |
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<<I feel really sad that she is unable to get an answer about what has gone
wrong - even if it can't be put right.>>
But, Hilary, I think you CAN give her an answer.
Her hormonal imbalances, most likely resulting from her PCOS, were
significant enough to keep her from becoming pregnant on her own, and were
also enough to keep her from developing milk-making tissue on her own during
the pregnancy as well. I assume she noticed a difference in the amount of
breast changes she had during this pregnancy vs prior experience(s) when she
had plenty of milk.
I am sorry her endocrinologist is not willing to talk to her about
this...but I don't think you really need him or her at this point. You can
explain to the mom what it appears has happened, and if she is thinking of
getting pregnant in the future, I would encourage her to find an
endocrinologist willing to be a bit more aggressive in treating her, even if
she has to travel somewhere.
For what it is worth, I have not found metformin to be helpful in PCOS
ladies who did not have breast changes during pregnancy. But my numbers are
small (4 or 5 women).
Kathy Leeper, MD, IBCLC
MilkWorks- Lincoln, NE
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