Puerperal alactogenesis with normal prolactin dynamics: is prolactin resistance the cause?
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.
Zargar
A H
AH
Department of Endocrinology, Sheri-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India. abdulhamidz@vsnl.com
Salahuddin
M
M
Laway
B A
BA
Masoodi
S R
SR
Ganie
M A
MA
Bhat
M H
MH
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
D011981:Receptors, Prolactin; D011388:Prolactin