I would suggest she needs to have her breasts examined, are they hypoplastic for example? Has she had any breast surgery? Then I would ask about PCOS and if she does not think she has this or has never been diagnosed I would ask about some of the physical characteristics and metabolic issues (gestational diabetes or "borderline" on her glucose test during pg), and there are lab tests that go along with that esp. testosterone levels but not sure when they should be tested, or anytime I'd guess? If she has indications for PCOS, she might benefit from taking metformin during pg and lactation, and using galactagogues asap after the birth. Laurie Wheeler RN MN IBCLC Mississippi USA *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome