Hello -

I personally would think that a good step for her to take would be to
undergo genetic testing to find out if the family history of
ovarian/uterine cancer truly applies to her. If she doesn't carry the genes
that put her at higher risk for gynecologic cancer, then exposing herself
to more estrogen isn't an issue.

Can she take a lower dosage and still see effect? Could she only take it
when she has a plug instead of taking a daily maintenance dose? Is there
anything else she can take that will have the same effect as the lecithin
without the soy/estrogen? Since it's only on one side, can she slowly
decrease how much she uses that breast with a long term goal of one sided
nursing on the side that doesn't seem to have problems?

Hilary Pollock

------------------------------

>
> Date:    Fri, 2 Aug 2013 21:52:46 +0000
> From:    "Duret, Anne" <[log in to unmask]>
> Subject: Lecithin and cancer risk
>
> Out loud thinking encouraged here.  We have a patient with a 3 month-old
> who has had one-sided recurrent plugged ducts and mastitis.  She has had
> repeated blebs that she has had to open herself with a sterile needle.  We
> started her on 1200mg four times a day which was working well for her until
> she started spotting.  Because this woman has a family history of
> ovarian/uterine cancer, her OB asked her to immediately stop taking the
> lecithin, stating that the estrogen in the lecithin was too great a risk
> for her.  Her spotting did stop but she is again experiencing plugs.
>
> We can and will counsel her through symptom management and optimize the
> breastfeeding but my question is, has anyone ever heard of lecithin being a
> risk factor for cancer because of its inherent estrogen component?
>
> Anne Duret, RN IBCLC
> Springfield, OR
>
>
>
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