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Recurrence of lactation

Recurrence of lactation

Question:

- I have 27 years and a child of 1 year and 5 months which I breastfed until the age of 5 months because I remained lactation free. Last night I was very surprised because I noticed that my breasts started to flow milk (not abundantly but if the water is flowing). I am very scared and I would like to ask you why this is happening (pregnancy I do not think it is because I had menstruation this month).

Answer:


Do not specify why you came to a situation where you no longer have enough milk production to breastfeed, but, as a rule, even if acute conditions greatly alter the milk secretion, once the acute episode has been exceeded the milk secretion can be resumed. .
In any case, the milk production does not have to stop abruptly, the milk secretion being triggered and maintained by certain hormones that include in the systems of regulation and the nervous regulation (responsible for the secretion of the oxytocin triggered when reaching the nipple or sucking, at the hearing of the weeping of the baby, the various psychic stimuli); also including thyroid hormones are involved in this process.
As long as these factors are used (mechanical stimulation of the nipples), or these stimuli persist, they will maintain milk secretion. At the advice of the gynecologist, there are certain types of contraceptives (low in progesterone) that could balance the values ​​of the sex hormones in your blood, and that would also result in the disappearance of the milk secretion.
Also, there are products specially designed for ablation (eg dostinex, bromcriptin, etc.); But the opportunity of using them and how to use them will be determined by the doctor.
There are also conditions that manifest with nipple leaks (galactorrhea), leaks that may resemble the milk secretion (the difference can be made by analyzing that secretion); also, there are conditions in which hormonal medication is contraindicated.
In the absence of significant data regarding your health status, I cannot guarantee that the presence of this secretion is normal; therefore, a clinical consultation and a series of additional investigations are required for a complete diagnosis and effective therapeutic conduct.
Dr. Ciprian Pop-Began
- Obstetrics and Gynecology - Clinical Hospital of Obstetrics-Gynecology Prof. Dr. Panait Sarbu

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