title: Puerperal alactogenesis with normal prolactin dynamics: is prolactin resistance the cause?
abstract: OBJECTIVE
  To determine the cause of puerperal alactogenesis in a young woman.
  
  
  METHODS
  After proper clinical assessment, a definitive investigative protocol was followed to determine the cause of alactogenesis.
  
  
  METHODS
  Tertiary care medical center in Kashmir, India.
  
  
  METHODS
  A young married woman with three full-term deliveries, all characterized by puerperal alactogenesis.
  
  
  METHODS
  An investigative protocol to document prolactin reserve and mammography to demonstrate presence of normal breast tissue.
  
  
  METHODS
  Prolactin secretory reserve.
  
  
  RESULTS
  The patient had normal breast development and an adequate pituitary prolactin reserve.
  
  
  CONCLUSIONS
  Prolactin resistance may have caused alactogenesis.
authors.affiliation: Department of Endocrinology, Sheri-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India. abdulhamidz@vsnl.com
authors.forename: A H
authors.initials: AH
authors.lastname: Zargar
authors.forename: M
authors.initials: M
authors.lastname: Salahuddin
authors.forename: B A
authors.initials: BA
authors.lastname: Laway
authors.forename: S R
authors.initials: SR
authors.lastname: Masoodi
authors.forename: M A
authors.initials: MA
authors.lastname: Ganie
authors.forename: M H
authors.initials: MH
authors.lastname: Bhat
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007775:Lactation Disorders / Q000150:complications / Q000209:etiology*; D009765:Obesity / Q000150:complications; D011388:Prolactin / Q000502:physiology*; D011981:Receptors, Prolactin / Q000502:physiology
chemical_list: D011981:Receptors, Prolactin; D011388:Prolactin