Hi All, There is a difference between glandular hypoplasia and women with normal glandular tissue who have poor glandular response to the hormone environment. Many women with glandular hypoplasia ( think bonsai tree) respond appropriately to the hormones of pregnancy, delivery, prolactin, etc, and will have engorgement, but the total amount of milk made is very small due to having insufficient amount of glandular tissue. Women with hormone issues such as PCOS have the potential to make enough milk if the hormone situation is right. For example, if they lose a bunch of weight before pregnancy such that their androgen levels are lower going into pregnancy, they should respond better to hormones of pregnancy and make more milk. I is important to distinguish what the woman is dealing with. Overstimulation of breasts that are responding well, as in glandular hypoplasia, can lead to engorgement and mastitis. Anne Anne Eglash MD, FABM, IBCLC Clinical Professor Dept of Family Medicine University of Wisconsin School of Medicine and Public Health 600 N. 8th St. Mount Horeb, WI, 53572 608-437-3064 (O) 608-437-4542 (fax) *********************************************** 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