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Delayed Lactogenesis II Secondary to Gestational Ovarian Theca Lutein Cysts in Two Normal Singleton PregnanciesPhiladelphia Department of Public Health, Division of Early Childhood, Youth and Women's Health in Philadelphia, PA; 613 Yale Avenue, Morton, PA 19070-1922 khoover{at}icdc.com
Mountainside Hospital in Montclair, NJ
Temple University Medical School Hyperreactio luteinalis is an unusual condition in which, during pregnancy, both ovaries are enlarged by multiple theca lutein cysts that produce a high level of testosterone. Several weeks postpartum, the cysts resolve and testosterone level returns to normal. Two case studies are presented in which mothers with gestational ovarian theca lutein cysts experienced delayed lactogenesis II. The elevated testosterone at the time of birth suppressed milk production. Once the testosterone level dropped to approximately 300 ng/dL, milk production began. After the initial delay, both mothers breastfed their infants without supplementation.
Key Words: breastfeeding lactation insufficient milk supply gestational ovarian theca lutein cysts hyperreactio luteinalis
Journal of Human Lactation, Vol. 18, No. 3,
264-268 (2002) This article has been cited by other articles:
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