<<I feel really sad that she is unable to get an answer about what has gone 
wrong - even if it can't be put right.>>

But, Hilary, I think you CAN give her an answer.

Her hormonal imbalances, most likely resulting from her PCOS, were 
significant enough to keep her from becoming pregnant on her own, and were 
also enough to keep her from developing milk-making tissue on her own during 
the pregnancy as well.  I assume she noticed a difference in the amount of 
breast changes she had during this pregnancy vs prior experience(s) when she 
had plenty of milk.

I am sorry her endocrinologist is not willing to talk to her about 
this...but I don't think you really need him or her at this point.  You can 
explain to the mom what it appears has happened, and if she is thinking of 
getting pregnant in the future, I would encourage her to find an 
endocrinologist willing to be a bit more aggressive in treating her, even if 
she has to travel somewhere.

For what it is worth, I have not found metformin to be helpful in PCOS 
ladies who did not have breast changes during pregnancy.  But my numbers are 
small (4 or 5 women).

Kathy Leeper, MD, IBCLC
MilkWorks- Lincoln, NE

The contents of this message may be privileged and confidential. Therefore, 
if this message has been received in error, please delete it without reading 
it. Your receipt of this message is not intended to waive any applicable 
privilege. Please do not disseminate this message without the permission of 
the author.

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET email list is powered by LISTSERV (R).
There is only one LISTSERV. To learn more, visit:
http://www.lsoft.com/LISTSERV-powered.html