Hey fellow breast detectives,
I'm wondering if anyone has ever worked with a woman who has an ovarian 
dermoid cyst that interferred with establishing a milk supply. I am woirking 
with a woman who is only producing a half ounce per feeding at two weeks 
despite pumping, fenugreek, all the usual interventions. She does have a 
dermoid cyst that she has had for 10 years. Apparently they can sometimes 
produce testosterone  and other hormones. I am trying to convince the OB in 
this case to do a blood workup  to determine if the cyst is causing problems 
and would be curious to have any input. Also suggestions for other hormones 
to check besides testosterone and thyroid panel, because apparently these 
cysts can produce a whole array of hormones.

I am aware of the issues with PCOS and theca lutein cysts but haven't found 
anything specifically in the literature about breastfeeding and dermoid cysts 
though I have been reading about their ability to occasionally lead to 
virilization. BTW, this woman had no infertility issues.

Thanks for any input.
Kathy Lilleskov RN IBCLC

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