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How to treat PCOS while breastfeeding?

Understanding PCOS and Breastfeeding
Polycystic Ovary Syndrome (PCOS) is a hormonal disorder that affects many women of reproductive age, and it can present unique challenges during breastfeeding. Women with PCOS may experience difficulties with milk supply and hormonal imbalances, which can complicate the breastfeeding experience. However, with the right strategies and support, many can successfully navigate these challenges.
Challenges Faced by Breastfeeding Mothers with PCOS
One of the primary concerns for mothers with PCOS is the potential reduction in milk supply. This can stem from hormonal disruptions associated with the condition, which may affect lactation. Research indicates that women with PCOS often face more significant challenges in establishing and maintaining breastfeeding compared to those without the syndrome.
Additionally, medications commonly prescribed for PCOS, such as metformin, can influence breastfeeding. While metformin is generally considered safe for breastfeeding mothers, it is crucial to consult healthcare providers, especially if the infant has specific health concerns, such as poor kidney function.
Strategies for Successful Breastfeeding
To enhance breastfeeding success while managing PCOS, several strategies can be employed:
1. Frequent Nursing: Encouraging the baby to nurse often can help stimulate milk production. Staying in bed with the baby for a few days and allowing them to nurse as much as they want can significantly boost milk supply.
2. Hydration and Nutrition: Maintaining proper hydration and a balanced diet is essential. Mothers should focus on nutrient-rich foods that support overall health and lactation.
3. Myo-Inositol Supplementation: Some studies suggest that myo-inositol, a natural substance that helps regulate insulin levels, may be beneficial for mothers with PCOS. It has been shown to reduce androgen levels and may support lactation.
4. Relaxation Techniques: Stress can negatively impact milk supply. Techniques such as infant massage can help increase oxytocin levels, promoting relaxation for both mother and baby, which may improve breastfeeding outcomes.
5. Consulting Lactation Experts: Working with a lactation consultant who understands the nuances of PCOS can provide tailored support and strategies to overcome specific breastfeeding challenges.
Medication Considerations
When it comes to medication, metformin remains a common treatment for PCOS and is generally deemed safe during breastfeeding. However, mothers should always discuss their medication regimen with healthcare providers to ensure it aligns with their breastfeeding goals.
Conclusion
Breastfeeding with PCOS can be challenging, but with the right support and strategies, many mothers can successfully breastfeed their babies. By focusing on frequent nursing, proper nutrition, and stress management, mothers can enhance their breastfeeding experience while managing the symptoms of PCOS. As always, personalized advice from healthcare professionals is invaluable in navigating this journey.

Does PCOS affect the baby?

Maternal PCOS status may negatively influence offspring infant and childhood growth, cardiometabolic health, reproductive health, and neurodevelopment.

Can you take metformin for PCOS while breastfeeding?

Metformin passes into breast milk in tiny amounts and has not been linked with side effects in any breastfed babies. Metformin would not be expected to cause side effects but contact your health visitor, midwife, pharmacist or doctor as soon as possible if your baby: is not feeding as well as usual.

How do I control PCOS while breastfeeding?

How To Regulate Milk Production With PCOS

  1. Diet. Losing 5% of your body weight can have a positive effect on your milk production.
  2. Exercise. If you’re having trouble lactating, try incorporating some exercise into your daily routine.
  3. Stress management. High levels of stress have a negative impact on your milk production.

Can PCOS symptoms worsen after having a baby?

It is important to remember that some of the symptoms of PCOS, such as hormonal imbalance and associated weight gain, can return and even worsen after pregnancy if you disregard your health, especially if you are busy with your baby– and that being pregnant and successfully giving birth does not mean that PCOS has gone …

What does PCOS do to breasts?

Because there is a distinct degree of hyperandrogenism in PCOS, this hyperandrogenism can exert inhibitory effects on progesterone and consequently leads to increase mammary epithelial cell proliferation, breast growth, and fibrocystic breast formation [25,26,27,28,29].

What is the best age to get pregnant with PCOS?

Best age to get pregnant with PCOS
It’s possible to conceive up to the age of 37, but fertility declines after the age of 32 with steeper decline occurring after age 37. The highest odds of natural conception for women with PCOS occurs before age 35 with regular ovulation and lack of other fertility challenges.

Can PCOS affect milk supply?

PCOS can cause a low milk supply. This is due to hormonal imbalances, which occur with the condition, and can interfere with milk production. Excess estrogen or testosterone from PCOS can work against milk production.

What does a PCOS belly look like?

PCOS belly looks different to other types of weight gain, with PCOS sufferers reporting they have an enlarged belly, while the rest of their body remains the same size as it has always been. This may be due to bloating, excessive weight gain, or both. Women with PCOS will often find it difficult to lose belly fat.

What is a PCOS belly shape?

Common Symptoms That Might Indicate A PCOS Belly:
High Waist-to-Hip Ratio: Many women with PCOS have a waist-to-hip ratio of >0.87, which is often referred to as an apple body shape. No Noticeable Stomach Changes: Some women with PCOS may not experience any noticeable changes in their stomach size or shape.

Why you shouldn’t take metformin with PCOS?

Because metformin can help regulate periods, people with PCOS may become pregnant more easily. If you are sexually active and not trying to become pregnant, be sure to also use a reliable form of birth control. Metformin can cause lower levels of the vitamin B12.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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