Barbara,

I am aware of a number of similar cases, women with a history of pituitary adenomas requiring medications to bring down prolactin so that she can ovulate and conceive. While you would think that this would set a woman up for lots of milk, that is not necessarily the case.  I will be very interested in hearing the results of the prolactin test. It would be even more useful if there could be both a baseline and a surge measurement, as a couple of published case studies found very poor surges.  No one has taken the time to dig into these cases and understand what is going on, but suffice it to say that when there is a pathology in the picture, it has the potential to cause problems even if we were able to leapfrog over the fertility impact.  



In some cases, stimulating prolactin is the last thing the physician wants to have happen, at least artificially.  But if prolactin comes back low and a decision is made to try dom, it would be interesting to see what does or does not happen.  Tough situation. 



Lisa Marasco







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