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Journal of Human Lactation
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Polycystic Ovary Syndrome: A Connection to Insufficient Milk Supply?

Lisa Marasco, BA, IBCLC

4452 Village Knoll Drive, Santa Maria, CA 93455, USA

Chele Marmet, MA, IBCLC

Ellen Shell, MA, IBCLC

Lactation Institute in Encino, California; lactation at Pacific Oaks College, Pasadena, California

Despite advances in lactation skills and knowledge, insufficient milk production still continues to mystify mothers and lactation consultants alike. Based on 3 cases with similar threads, a connection is proposed between polycystic ovary syndrome (PCOS) and insufficient milk supply. Described are the etiology and possible symptoms of PCOS such as amenorrhea/oligomenorrhea, hirsutism, obesity, infertility, persistent acne, ovarian cysts, elevated triglycerides, and adult-onset diabetes, along with possible pathological interference with mammogenesis, lactogenesis, and galactopoiesis. Clinical suggestions include guidelines for screening mothers and careful monitoring of babies at risk. Further research is necessary to confirm the proposed association and to develop therapies with the potential to improve lactation success.

Key Words: breastfeeding • lactation • infertility • polycystic ovary syndrome • Stein-Leventhal syndrome • hyperandrogenic chronic anovulation syndrome • lactogenesis • insufficient milk supply • insufficient mammary tissue • failure to thrive

Journal of Human Lactation, Vol. 16, No. 2, 143-148 (2000)
DOI: 10.1177/089033440001600211
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