Marsha, Interesting case. I'm surprised that this mom was able to conceive and carry without intervention, do you know if she had "treatments" that enabled her to do so? This condition, over simplified, means that there is a blockage in the adrenals that prevents one hormone(A) from breaking down into the next hormone(B). This causes too little of "B" and too much of "A". Hormone A is testosterone. I can certainly see that this might have an impact on lactation, but don't know the relationship between prolactin and testosterone. Perhaps inhibitory? Certainly an estrogen/testosterone imbalance. If this condition was present, mildly, from childhood, perhaps it prevented her from developing normal breast tissue? I suppose a call to an endocrinologist is best, can you talk with hers? Please let us know what you find out. --- Denny Rice, RN, IBCLC --- Dallas, Texas *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html