Breast lump excision and breastfeeding?
Hello doctor, I have a lump located about 1 cm below the right nipple and areola, and I have decided to undergo surgical removal.
After the surgery, will there be any impact on future fertility and breastfeeding? Will I be able to breastfeed normally? Thank you.
Linglan, 20~29 year old female. Ask Date: 2009/02/17
Dr. Wu Jingtang reply Breast and Thyroid
Dear Ms.
Ling-Lan: The impact is minimal! Wishing you peace and health! Sincerely, Dr.
Wu Ching-Tang, Attending Surgeon, Taoyuan Hospital, Department of Health.
Reply Date: 2009/02/17
More Info
When considering the impact of breast lump removal on future breastfeeding, it is essential to understand both the surgical procedure and the anatomy of the breast. Breast surgery, including lump removal (lumpectomy), can have varying effects on a woman's ability to breastfeed, depending on several factors.
Firstly, the location of the lump is crucial. If the lump is situated beneath the nipple-areola complex, there is a higher risk of affecting the milk ducts that lead to the nipple. The surgical removal of tissue in this area may disrupt the normal flow of milk, potentially leading to difficulties in breastfeeding. However, if the lump is located further away from the nipple, the impact on breastfeeding may be minimal.
Secondly, the surgical technique used can also influence breastfeeding outcomes. A skilled surgeon will aim to preserve as much of the surrounding tissue and milk ducts as possible during the procedure. If the surgery is performed conservatively, many women can still produce milk and breastfeed successfully. It is important to discuss the surgical approach with your surgeon to understand how it may affect your breastfeeding capabilities.
Additionally, the healing process post-surgery can play a role. After any surgical procedure, the body requires time to heal, and this may temporarily affect milk production. Hormonal changes during the recovery period can also influence lactation. However, most women are able to resume normal breastfeeding after they have healed, provided that the milk ducts were not significantly compromised.
Another consideration is the psychological aspect of breastfeeding after surgery. Some women may experience anxiety or concern about their ability to breastfeed, which can impact milk supply. Support from healthcare providers, lactation consultants, and family can be invaluable in addressing these concerns and ensuring a positive breastfeeding experience.
It is also worth noting that if you have a history of breast surgery, it may be beneficial to discuss your plans for breastfeeding with your obstetrician or a lactation consultant during your pregnancy. They can provide tailored advice and strategies to help you prepare for breastfeeding, taking into account your surgical history.
In summary, while breast lump removal can potentially impact future breastfeeding, many women are still able to breastfeed successfully after surgery, especially if the procedure is performed carefully and the milk ducts are preserved. Open communication with your healthcare team about your concerns and plans for breastfeeding is essential to ensure the best possible outcome for both you and your baby. If you have specific concerns about your situation, it is advisable to consult with your surgeon and a lactation specialist for personalized guidance.
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