The surgical removal of both ovaries should not affect milk production other than the usual issues of interruption from separation, length of time w/o nursing or pumping, HCP concerns abt meds. Prepare w/pumping in adv, esp shortly bef leaving your room. Have hosp provide a pump or bring your own. Have an adult bring one or both babies to "visit" as soon as you are back in your room. Have an advance talk w/surgeon & anesthesiologist abt all meds WITH your M&MM by Hale in your hands. Anything used during a c/s delivery is likely used during this surgery also. Esp review the med Versed in case the anesth only reads the PDR. No, you don't have to pump & dump for 24 hrs because of Versed! Place an advance rqst for the hosp's LC to visit you. 
I can't comment about your future surgery at this time. I think you might bebefit bwst from some of our good physicians ln this list for your later issues.
Best wishes to you.
Phyllis Adamson

Hilary Pollock <[log in to unmask]> wrote:

>Hello -
>
>I am a lurker who is considering becoming an IBCLC and greatly
>appreciates
>that you let us non-certified types learn from your wealth of
>knowledge. I
>now have a question and I'm hoping you can help me out. I searched the
>archives and found two questions similar to mine but no answers.
>
>I learned yesterday that I tested positive for a deleterious mutation
>on
>the BRCA2 gene. Part of the recommended treatment plan is removal of my
>ovaries, and obviously it would be good to get it done sooner rather
>than
>later. The wrinkle is that I'm still tandem nursing my 2 and 4 year
>olds
>and would like to let them determine when they are ready to stop
>completely. This means that I'm likely to be nursing for at least two
>more
>years if my youngest follows the pattern her sister has set. I was
>wondering if anyone knows anything about the effect of oophorectomy on
>well
>established breastfeeding. Is it likely to decrease my supply? If they
>recommend HRT are there any levels at which it would be considered
>unlikely
>to mean an end to nursing?
>
>I'm also likely to have to undergo a mastectomy at some point or go on
>tamoxifen, both of which would obviously mean the end of nursing, but
>I'm
>hoping to be able to wait on that until my girls are done on their own
>schedule. I'm 40 years old so I don't have a huge amount of time, but
>my
>mother and her mother weren't diagnosed until in their 50's, so as long
>as
>my girls wean before they are in their teens I should be ok. :)
>
>I appreciate any help or information you ladies can offer. And thanks
>again
>for letting folks like me learn from you!
>
>Hilary Pollock
>[log in to unmask]
>
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