Re: Lactation knowledgeable endocrinologist in Seattle area

[Guest guest]

Nice talking with you today . I look forward to chatting with your client! Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comwww.facebook.com/thesecond9months.--- Subject: Lactation knowledgeable endocrinologist in

Seattle areaTo: Date: Tuesday, February 28, 2012, 3:18 PM

Hi all -- I have a patient (permission to post). She has a hx of hormonal issues, will be moving to the Seattle area, and wants to get linked up with an endocrinologist who understands lactation as well as infertility and will help her manage her body most effectively for the rest of this round of lactation and for subsequent babies.

She will probably need ongoing LC support once she moves to Seattle (they are there house shopping now.) , you are in that area aren't you?

I don't think they know where in Seattle they will be yet. Any suggestions on a doc that could work with her would be great.

Thanks -- Carroll

Here is an excerpt from her history (as written by mom):

I have a low milk supply.

I have suspected since I was a teenager that I have had some sort of hormonal imbalance. I had very irregular periods up until I started birth control continuesly from 2004-2010. After that my periods seemed very regular although I had a luteal defect. My periods were a bit longer than normal and my eggs were released within a day or two of the start of my next period. I had been told I had PCOS by a nurse practitioner in 2008 and was prescribed metformin to help me loose weight. I stopped taking it after a while, because I saw it more as something I was taking to loose weight then that it had other effects. In 2011 I went to see a fertility Dr. and was placed on Metformin and diagnosed with a luteal defect. He also suspected I had PCOS. He also sent me to have a procedure done where they shoot thick sticky readioactive material through your fallopian tubes where they can see a picture and check to make sure they were not clogged. At the time the Dr that

did the procedure said he wasn't sure he was going to get the liquid up one of them and got it at the last second. It was possible it was blocked because that side was more painful also. I had some labs done in March of 2011:

free testorone .8 (normal >2.2)

total testorone 44 (normal >48)

blood sugar 84 (normal >100)

insulin 11 (normal >24, but they treat if <10)

The dr prescribed me progesterone at the beginning of the pregnancy because I did not produce enough progesterone. However, the pills he gave me I did not digest and my blood work came back at about 11's (just enough to sustain pregnancy but only barely) when if I had digested the medication it would have come back in the hundreds. He switched me to vaginal pills for the last 2 weeks of the time period before the placenta takes over the production of progesterone.

I stopped taking the Metformin when I got pregnant. Yet again did not know there were any other concequences, just thought it had done it's job.

[Guest guest]

I would suggest referring this mom to someone who uses bio-identical hormones and does saliva testing--either an ND or integrative medicine doc, not an endocrinologist. There are so many in the area.

Here is one:

http://naturopathic.com/

Tow, IBCLC, USA & France

Intuitive Parenting Network, LLC

Lactation knowledgeable endocrinologist in Seattle area

Posted by: "sandbc1a"

5carrolls@...

sandbc1a

Tue Feb 28, 2012 3:18 pm (PST)

Hi all -- I have a patient (permission to post). She has a hx of hormonal issues, will be moving to the Seattle area, and wants to get linked up with an endocrinologist who understands lactation as well as infertility and will help her manage her body most effectively for the rest of this round of lactation and for subsequent babies.

She will probably need ongoing LC support once she moves to Seattle (they are there house shopping now.) , you are in that area aren't you?

I don't think they know where in Seattle they will be yet. Any suggestions on a doc that could work with her would be great.

Thanks -- Carroll

Here is an excerpt from her history (as written by mom):

I have a low milk supply.

I have suspected since I was a teenager that I have had some sort of hormonal imbalance. I had very irregular periods up until I started birth control continuesly from 2004-2010. After that my periods seemed very regular although I had a luteal defect. My periods were a bit longer than normal and my eggs were released within a day or two of the start of my next period. I had been told I had PCOS by a nurse practitioner in 2008 and was prescribed metformin to help me loose weight. I stopped taking it after a while, because I saw it more as something I was taking to loose weight then that it had other effects. In 2011 I went to see a fertility Dr. and was placed on Metformin and diagnosed with a luteal defect. He also suspected I had PCOS. He also sent me to have a procedure done where they shoot thick sticky readioactive material through your fallopian tubes where they can see a picture and check to make sure they were not clogged. At the time the Dr that did the procedure said he wasn't sure he was going to get the liquid up one of them and got it at the last second. It was possible it was blocked because that side was more painful also. I had some labs done in March of 2011:

free testorone .8 (normal >2.2)

total testorone 44 (normal >48)

blood sugar 84 (normal >100)

insulin 11 (normal >24, but they treat if <10)

The dr prescribed me progesterone at the beginning of the pregnancy because I did not produce enough progesterone. However, the pills he gave me I did not digest and my blood work came back at about 11's (just enough to sustain pregnancy but only barely) when if I had digested the medication it would have come back in the hundreds. He switched me to vaginal pills for the last 2 weeks of the time period before the placenta takes over the production of progesterone.

I stopped taking the Metformin when I got pregnant. Yet again did not know there were any other concequences, just thought it had done it's job.

[Guest guest]

Hi ,

I don't believe there is one in Seattle. 

Amy Wells is a ND with a special interest in PCOS.  She has done hormone testing and treatment for some of my clients.

Healy

 

Hi all -- I have a patient (permission to post). She has a hx of hormonal issues, will be moving to the Seattle area, and wants to get linked up with an endocrinologist who understands lactation as well as infertility and will help her manage her body most effectively for the rest of this round of lactation and for subsequent babies.

She will probably need ongoing LC support once she moves to Seattle (they are there house shopping now.) , you are in that area aren't you?

I don't think they know where in Seattle they will be yet. Any suggestions on a doc that could work with her would be great.

Thanks -- Carroll

Here is an excerpt from her history (as written by mom):

I have a low milk supply.

I have suspected since I was a teenager that I have had some sort of hormonal imbalance. I had very irregular periods up until I started birth control continuesly from 2004-2010. After that my periods seemed very regular although I had a luteal defect. My periods were a bit longer than normal and my eggs were released within a day or two of the start of my next period. I had been told I had PCOS by a nurse practitioner in 2008 and was prescribed metformin to help me loose weight. I stopped taking it after a while, because I saw it more as something I was taking to loose weight then that it had other effects. In 2011 I went to see a fertility Dr. and was placed on Metformin and diagnosed with a luteal defect. He also suspected I had PCOS. He also sent me to have a procedure done where they shoot thick sticky readioactive material through your fallopian tubes where they can see a picture and check to make sure they were not clogged. At the time the Dr that did the procedure said he wasn't sure he was going to get the liquid up one of them and got it at the last second. It was possible it was blocked because that side was more painful also. I had some labs done in March of 2011:

free testorone .8 (normal >2.2)

total testorone 44 (normal >48)

blood sugar 84 (normal >100)

insulin 11 (normal >24, but they treat if <10)

The dr prescribed me progesterone at the beginning of the pregnancy because I did not produce enough progesterone. However, the pills he gave me I did not digest and my blood work came back at about 11's (just enough to sustain pregnancy but only barely) when if I had digested the medication it would have come back in the hundreds. He switched me to vaginal pills for the last 2 weeks of the time period before the placenta takes over the production of progesterone.

I stopped taking the Metformin when I got pregnant. Yet again did not know there were any other concequences, just thought it had done it's job.