I find a good approach to this is to have mom ask the doctor why he or 
she recommends this.

Clomid can markedly reduce prolactin surges so it may trash milk supply 
in breastfeeding mothers. (It works by binding tightly to estrogen 
receptors, which causes the hypothalamus to misread the amount of 
estrogen in the body and stimulate a surge of estrogen, which triggers 
increased LH and FSH, which triggers readiness of the uterine lining and 
ovulation, respectively.) I don't know of any reason that bf once a day 
would prevent Clomid from working. High estrogen levels from oral 
contraceptives can decrease milk production and change the protein 
content of human milk, so perhaps the doctor is trying to avoid that?

Asking is soo much easier than trying to mind-read. And it opens an 
opportunity for dialogue.

Catherine Watson Genna BS, IBCLC  NYC  www.cwgenna.com

On 7/9/2014 1:26 PM, April Rosenblum wrote:
> Dear wise ones,
>
> I am about to counsel a mother who conceived her first using Clomid and,
> because of her history, is quite certain she will need to use Clomid again
> now that she wishes to conceive a second time. Because of her age she does
> not want to delay the conception efforts.
>
> Her fertility specialist says she must go 2 months without breastfeeding
> before they will start Clomid. She has now almost fully weaned her
> 12-month-old but one last feeding remains.
>
> Can anyone shed light for me on the fertility doctor's reasoning - and
> whether this mother has any hope of conceiving without dropping the last
> feeding? Is it possible for instance that her hormone levels may have
> changed enough from mostly weaning, that going two months while maintaining
> one feeding would allow her to use Clomid effectively?
>
> Thank you all.
> April
>
> --
>
> "There isn't anyone you couldn't love once you've heard their story."
> - Mary Lou Kownacki
>
> April Rosenblum, IBCLC
>
> Give them the gift of worry-free breastfeeding!
> West Philly Lactation has gift certificates for baby showers.
> www.westphillylactation.com
> 267-888-MILK (-6455)
>
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