see I told you

So when the topic of breastfeeding comes up and I say I would love to exclusively breastfeed but just don’t have enough milk glands they look at me like I’m insane (*cough* mother in law) and it’s just an excuse to not be good at it. I tried very hard with Trinity. There is nothing I would love to do more then to solely breastfeed my babies especially cause of the digestive problems they have. well I finally looked up the issue I have. Which if you know me is odd that I didn’t come home that day from the lactation specialist and look it up but seeing as I was in the middle of a mental break down from being inadequate and trying to nurse a 6 day old I just didn’t seem to have time or the desire. Well today I finally found the time and the desire to look it up so about 10 seconds on google and I had my answer. It’s called tubular hypoplastic breast/mammary hypoplasia/breast hypoplasia/hypoplastic breasts

do you think the use of plastic in my boobie issue means I need to get breast implants. I think it’s a good argument. 😉

heres what I got from the 1st site I checked out. (beware you will learn more about my breasts then you ever wanted to know. 😉 )

Tubular hypoplastic breast

There is one exception to the rule about breast size/shape and breastfeeding ability, and that is that few women have insufficient glandular tissue in their breasts. In other words they simply don’t have enough milk producing cells, and these women can then experience milk supply problems. This condition is called breast hypoplasia or hypoplastic breasts.

This kind of breast is underdeveloped (hypoplastic) in terms of the milk glands. They lack normal fullness and may look like ’empty sacks’, and may seem bulbous or swollen at the tip.  Many times hypoplastic breasts are widely spaced from each other, and narrow at the chest wall. Due to lack of glandular tissue, they have an elongated or tubular form, and often are quite small. The areola can be enlarged. There may be a significant asymmetry.  The breasts don’t grow during pregnancy and there is no engorgement when the milk is supposed to come in after giving birth.

Scientists don’t yet know for sure the reason(s) for this underdevelopment. One theory is that at least in some women it would be linked to too little progesterone, since progesterone mediates the growth of alveoli (milk making glands).

In a 2006 study in Mexico, teenage girls who lived in the agricultural valley with heavy pesticide use had poor mammary gland development, and 18.5% of them had NO milk glands.

Other issues include PCOS and other insulin metabolism issues, hypothyroidism, and testosterone overload. Fixing the metabolic issues may help, as might pushing lots of stimulation to increase prolactin levels after birth.

There is also one interesting case reproted in the medical literature where a woman with such underdeveloped breasts was able to successfully nurse her second child, after being given natural progesterone during her second pregnancy. Progesterone stimulates the growth of the glandular tissue in breasts during pregnancy.

If you happen to have these tubular hypoplastic (under-developed) breasts, talk to a lactation consultant before giving birth. Even better, talk to a doctor before pregnancy about a possible natural progesterone treatment. There are measures you can take to try increase your milk supply and your chances of breastfeeding, such as

  • have an unmedicated birth if possible, and put the baby to the breast right after birth
  • nurse often and on cue
  • start to pump about three days after birth
  • try the herbs fenugreek and blessed thistle or the drug domperidone
  • breast compression technique to stimulate more letdowns
  • Correct underlying metabolic or hormonal issues (PCOS, hypothyroidism). One lady has posted her success story below; she was able to see breast changes during her 2nd pregnancy and subsequently breastfeed, after taking Metformin to correct her PCOS.

(which I did all of these religiously with Trinity and it did nothing)

Discuss these and other options with the lactation consultant.  You may need to supplement with formula,so it is important to observe the baby’s output of wet and dirty diapers and weight gain to make sure the baby is getting enough nutrition. Remember also to be happy for whatever breast milk you produce and not blame yourself – even a little is better than none!  And if you don’t get any milk at all (which does happen), remember it’s not your fault.  For this kind of situation we are thankful that the baby formula exists.

Plastic surgeons try to take the most out of women with hypoplastic breasts. Since it is a true medical condition, they try to push these women to get implants to correct the deformity. Having hypoplastic breasts is not any dangerous condition. They look different, and as explained above, women with hypoplastic/tubular breasts often have difficulties in producing enough milk.

It is understandable to feel bad when you have deformed breasts, and there’s nothing wrong if you wish to have it corrected. Unfortunately the implants will only lessen the milk supply and the probability of successful breastfeeding, besides forcing the woman to go through several surgeries throughout her lifetime, and putting her to a high risk of serious complications and diseases.

Published by Bethany

dont blog as much as I use to but I'm on facebook like you would not believe. I am the wife of Daniel Vizthum whom I've known since I was about 4 and mother of 4

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8 Comments

  1. I’d like to offer you my condolences for what you must have been going through physically and emotionally in those first few weeks with your baby. I am glad you had a lactation specialist who recognized what was going on and could help you. I came across this blog post while compiling resources for a teaching session I’m presenting on breast hypoplasia and how to help a new mother who has it. Hopefully, awareness of this issue will increase and we can help mothers who desperately want to breastfeed find their own success!
    I hope you’re enjoying that baby of yours. My 3rd is 10 months old this weekend and I’ll tell you, this sweet baby stage just flies by too quickly!
    Good luck,
    Diana

  2. Hi, I was just researching hypoplastic breasts and I came across your blog. I had a very similar experience to yours and have come away with a lot of questions. After two weeks of almost no sleep and my baby not gaining weight I began to wonder what was wrong with me so I did some research and self diagnosed the condition. I still have feelings of inadequacy and worries about my next pregnancy and breastfeeding experience. It would be great to know what you have found out about this issue and if you have any info about increasing chances of successful breastfeeding with a second baby. Do you know where I could find out more info about the natural progesterone therapy? Any info would be helpful! Thank you and take care!

  3. Hi…I have the same problems. When I had my daughter I just knew I was going to breatfeed. It was only after I failed at doing so that my mother told me my grandmother had “breast problems” and could not breastfeed her children. She told me that it was not my fault and apparently I had inherited this condition.

    I had no idea anything was wrong…my ob never told me that my breasts were supposed to change during pregnancy, so I never brought it up. I also live a state away from family and freinds, so it was not like I talked to previously pregnant women who would have asked/talked about this. I was in the dark that my breasts were supposed to change.

    I have always felt like there was something just not right about my breasts…and have asked a couple of ob’s that I have seen and I was always told that my breasts were fine. This makes me wonder…how can medical professionals who are supposed to know about women’s health not be able to tell me there was a problem with my breasts?

    I am now pregnant with my second child, and plan to start natural progesterone and barley juice when I am in my second trimester. These natural products are supposed to be safe to take during pregnancy, as stated on this site:
    http://allonhealth.com/natural-progesterone-pregnancy-sub.htm

    We will see how it goes!

  4. hopefully things will go better this time around for you.

    I’m having a little more success this time around. i wish i would have known about the things you can do during pregnancy so i could have done them myself. it really upsets me that it is not a well known issue. its so sad that so many women end up feeling like failures cause no one has heard of this issue.

  5. So I am 14 weeks pregnant, and I ordered my natural progesterone cream and barley powder. I have done a lot of research into natural progesterone, and come to find out they are not all equal. Supposedly you will not get results from wild yam extract creams (glad I found out the cream I bought is not wild yam extract cream):

    “Why Progesterone? Isn’t Mexican Wild Yam enough ?
    Wild yam, Dioscorea barbasco, is an herb that has been used historically in herbal medicine for women’s health. Some of the actions of wild yam include smooth muscle relaxation and a mild diuretic effect. Contrary to some information provided by companies producing wild yam products, wild yam does not convert into progesterone in the body. This conversion can only occur in a laboratory setting. The body may absorb wild yam extract through the skin, which may in turn have some effect on menopausal symptoms, yet research on both oral and topical applications of wild yam extract demonstrate no change in progesterone levels in the body.
    Only supplemental Natural Progesterone has been demonstrated to increase serum and saliva progesterone levels in women, a fact that is verified by ample clinical and published scientific research.”

    1. I too have tubular breasts and while I did produce SOME milk with my 1st, it wasn’t meerly enough. MAYBE one oz per feeding after 1 month. I have researched tubular breasts and have seen many recommendations for natural progesterone but I will be receiving progesterone injections weekly to prevent preterm labor… I assume its not safe to “double up” so would the injections serve the same “result” as natural would for my breasts? My High risk OB says he does not recommend natural progesterone cream for prevention of preterm labor… so that one is out 😦

  6. Oh yeah….and I have been going crazy trying to get in contact with a lacatation conultant who knows about breast hypoplasia and can help me. I have had no luck so far…..you would think lactation consultants would be more informed on this issue.

  7. I know this is an older topic, but I experienced very similar things with my first baby and went undiagnosed until my second baby with mammary hypoplasia. Now I’m in the process of researching and digging and reading. I’ve been tested for PCOS and am negative, so it’s back to square one with a treatment plan. We are hoping for #3 in the next year and I would like to have a plan in place to maximize my ability to breastfeed my baby.

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