Probably the idea is to get progesterone effects on the breast as you would through pregnancy,
followed by prolactin stimulation.
Actually, far more rational, and more like pregnancy would be to put the mother on oral
contraceptives (both estrogen and progesterone) without the week break for menstruation,
plus Reglan (though domperdone is better), then withdraw the estrogen and progesterone and
continue the prolactin stimulant when the baby is born.
Jack Newman, MD, FRCPC