Milk and Metabolism: The PCOS Connection

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Speaker:  Megan Dunn, BS, IBCLC, C-NDLS

This presentation focuses on Polycystic Ovary Syndrome (PCOS), a leading cause of infertility that affects up to 20% of birthing parents. The symptoms of PCOS, such as insulin resistance, raised levels of androgens, and irregular menses, can also impact lactation outcomes. The presentation will delve into the four types of PCOS and their connection to metabolic function and lactation, as well as provide guidance on interpreting lab results, safe and effective interventions to support milk production, and addressing personal biases that may negatively impact obese parents. The presentation will also examine the impact of ethnicity and socioeconomic status on PCOS risk and explore systemic changes that can improve lactation outcomes for all families, taking into consideration international recommendations and the elimination of explicit and implicit biases.

Learning Objectives

• At the end of the presentation, attendees will be able to accurately identify at least 3 symptoms and common findings of Polycystic Ovarian Syndrome (PCOS).
• Attendees will be able to assess lactation and milk production risks for patients with PCOS, including the connection to metabolic function, and identify at least 2 safe and effective interventions to support milk production.
• Attendees will be able to create individualized prenatal and postpartum lactation care plans for patients with PCOS, taking into consideration the impact of personal biases and addressing risk factors associated with the condition.

Keywords: insulin resistance, polycystic ovarian syndrome, PCOS, obesity, milk production, milk supply, hyperandrogenism, metabolic syndrome

IBLCE Competencies:  Physiology and Endocrinology; Development and Nutrition; Pathology, Ethical and Legal Issues, Pharmacology and Toxicology; Techniques; Clinical Skills; Education and Communication