Breastfeeding with PCOS

Polycystic Ovary Syndrome (PCOS) is a common condition that affects how a woman's ovaries work. It can impact many aspects of your health, including your fertility, and may bring challenges if you're breastfeeding. If you're dealing with PCOS, you might have questions about how it will affect your breastfeeding journey.

Understanding PCOS and breastfeeding

PCOS and Milk Supply

PCOS can sometimes lead to insufficient glandular tissue (IGT), which may result in a low milk supply. Not everyone with PCOS will experience this, but it's something to be aware of.

What to watch for:

• Difficulty in establishing a milk supply within the first few days after birth
• Baby not gaining weight or needing frequent feedings without seeming satisfied

Tips for managing breastfeeding with PCOS:

• Early and Frequent Breastfeeding: Start breastfeeding as soon as possible after birth and aim to feed your baby 8-12 times in 24 hours. This can help stimulate your milk production.
• Consider adding in some pumping during the first 2 weeks: This can also help to stimulate milk production
• Breastfeeding Support: Consider consulting an IBCLC (International Board Certified Lactation Consultant) who can provide personalized advice and support tailored to your situation.
• Monitoring Baby's Weight: Keep a close eye on your baby's weight gain and diaper output to ensure they're getting enough milk.

Common questions about breastfeeding with PCOS

Q: Will PCOS affect my ability to breastfeed?

• A: Not necessarily. Many mamas with PCOS breastfeed successfully. However, being proactive about potential challenges, like low milk supply, is key.

Q: Can medications for PCOS affect breastfeeding?

• A: Some medications might not be suitable while breastfeeding. It's important to discuss your medications with your healthcare provider to ensure they're safe for breastfeeding.

Q: What if I'm not producing enough milk?

• A: Don't hesitate to seek help. An IBCLC can offer strategies to increase milk supply, such as pumping techniques and supplements. Sometimes, supplementing with formula might be necessary.

When to seek medical advice

• If you're struggling to establish a milk supply within the first few days postpartum
• If your baby isn't gaining weight or has fewer wet/dirty diapers than expected
• If you experience severe pain while breastfeeding
• If you're concerned about the impact of PCOS medications on breastfeeding

Breastfeeding-related issues

Mamas with PCOS may also experience other health issues that can impact breastfeeding, such as hormonal imbalances, obesity, and diabetes. Managing these conditions with the help of your healthcare provider can also support your breastfeeding journey.

How an IBCLC can help

Dealing with PCOS can add an extra layer of challenge to your breastfeeding journey, but it doesn't mean you can't breastfeed successfully. With the right support and information, you can navigate these challenges.

Remember, every breastfeeding journey is unique, and what matters most is finding what works best for you and your baby. If you have concerns or need support, don't hesitate to reach out to an IBCLC or your healthcare provider.

Sources

• https://pubmed.ncbi.nlm.nih.gov/18446536/
• https://llli.org/news/breastfeeding-with-polycystic-ovary-syndrome-pcos/
• https://www.verywellhealth.com/can-a-woman-with-pcos-breastfeed-her-baby-2616652
• https://www.pcosnutrition.com/pcos-and-breastfeeding/