SM AD Network

Wednesday, August 14, 2013

Teach Me How To Breast Feed Music Video

This song and video was inspired by the many moms who I have helped breastfeed and my own breastfeeding experience. This is an effort to promote breastfeeding as a healthy and normal way of life for mothers and is also intended to teach new moms some basic tips for successful breastfeeding. We had fun making the video and hope you enjoy it. Happy Breastfeeding. World Breastfeeding Week 2013

Thursday, June 13, 2013

Mother's Milk Tea

Mother's Milk Tea
Mother's Milk Tea
Increasing low milk supply is one of the most common breastfeeding concerns. The best way to increase milk supply is to breastfeed frequently and on demand, drinking lots of liquid and making sure that you get enough sleep!

Nonetheless, for various reasons, that isn't always possible for some nursing moms, and something like mothers milk tea can help establish breastfeeding when it would not be otherwise successful, or it could help maintain a longer breastfeeding relationship in the face of challenges.

Organic Mother's Milk Tea

Nursing Baby
Nursing Baby
The herbs in mothers milk herbal tea can imitate female hormones as they contain phyoestrogens. Phytoestrogens, which are plant estrogens, that perform a lot like human estrogen.

This tea is a combination of herbs namely fennel, coriander, fenugreek, blessed thistle and aniseed believed to increase or maintain a healthy milk supply. It tastes like black licorice because of the aniseed although different brands contain different ingredients. Commonly said to have a “pleasantly aromatic balance of sweet, spicy and slightly bitter tastes” True mothers milk tea is organic and does not contain any caffeine.

Does Mother’s milk tea work?

This tea does work for most moms, but then everyone is different. Most moms agree that they can see a direct effect from the tea.

Using the tea
  • - The tea should be seeped and covered for at least 10 minutes before drinking.
  • - Some honey or sugar can be added for taste.
  • - Generally drank just before nursing.

Other advantages of using this tea

Many moms have reported that their babies have less gas and colic symptoms

General recommended amounts

Remember some moms might need more or less than others
  • - For moms who need a little milk boost for night feedings, 1 cup of tea in the evening should be efficient.
  • - For moms who notice a decrease in milk supply during menstruation, they can take two cups per day.
  • - If you or your baby has been sick and you have noticed a decrease in supply due to medication or change in nursing frequency, I would recommend three cups of tea per day.
  • - Some moms do find that the tea takes a few days to start working but once the tea starts doing its job, moms use the tea during the whole duration of the breastfeeding period (up to 2 or three years)
  • - If you feel that you have a true milk supply deficiency then you will need to take the tea in conjunction with other herbs and you can also read the following pages on low milk supply...

  • - If your mother s milk tea contains Fenugreek, watch out for a dip in blood sugar levels. Moms who are diabetic should be careful when taking anything containing fenugreek.
  • - Some moms will need to discontinue use of a nursing tea if they find that their milk supply is increasing too much. Remember an oversupply of milk can also cause problems. Sometimes its best to use the tea only until you find your supply is up.
  • - Some herbs may interact with other medications taken, so first talk to your doctor before taking mothers milk tea with any other medications.



Monday, March 18, 2013

Sakura Mahal’s Protocols for Induced Lactation


Sakura Mahal
Sakura Mahal
Hi, I am Sakura Mahal and while I am not a physician, doctor of any kind, or a certified lactation consultant, I have had years of practice and research that I have done on lactation. I have successfully lactated, stored my milk, and even re-lactated without ever being pregnant. I feel I am qualified to give advice and help you induce lactation so that you and / or your baby can enjoy and reap the benefits of breast milk and the bonding and magical experience that comes with it.

It’s not an easy process and isn’t for everyone. It takes time, patience, practice, and does cost money. I will explain the things you will need in whole, and in parts, in different sections of this guide.

Things You Will Need
Hormones, a GOOD double electric breast pump, time, bottles to store milk, bags for mass storage in the freezer, pads to put in your bra to catch leaking, heating pads or hot water bottles (usually the red ones that comes with enema or douche kits), bottle cleaners, extra spare parts for your pump like membranes, flanges (and different sizes), privacy, a comfortable, back supporting place to sit, lansinoh or nipple cream for soreness, a hands free pumping bustier, a good mind set, stress free environment, a picture of the baby you will adopt, peaceful music, herbs, oatmeal.

Some of the items listed here are not needed but are precautionary or helpful if applicable. Having confidence in yourself helps as well and others around you who support you in your lactation will help push you forward when it gets difficult and can help prevent you from giving up.

Simulating Pregnancy

Getting Started
Pregnant Belly
Pregnant Belly
The way that we will be inducing lactation is by simulating pregnancy first, just as it happens naturally. Simulating pregnancy can be a very real experience including morning sickness, ankle swelling, mood changes, tender breasts, breast changes, no periods, and even changes in sex drive, and your uterus. You’ll need to be aware that the hormones you take will make you moody, so it’s important that others understand and support you even when you are moody, crying, or angry. Being tired all the time is a common symptom along with being really hungry. Your body will think there is a baby inside of you! You’ll need to make sure you eat properly but not under eat. In fact, you’ll want to consume at least 200 extra calories every day to help your body develop your breasts properly. This is especially important when your milk comes in.

Simulating pregnancy is not very involved as much as it is extreme changes. You won’t be pumping your breasts at all. So all you need to do is concentrate on being positive, taking care of your body, and completing these protocols as closely as possible. You’ll be taking hormones for nine months when you officially start the protocols. There are protocols out there that are shorter but I highly recommend doing the simulated pregnancy for the full nine months. Make sure you have a good supply of the hormones you’ll need as interruptions in taking them could cause you to break from the protocols and be a hindrance in the effectiveness of these protocols.

Things You’ll Need
The things you’ll need to begin your pregnancy are:
Provera 10mg (progesterone)
Motilium 10mg (domperidone)
Estrofem 1mg (Oestradiol / Estrogen)

These hormones will interrupt your period (usually) and people with issues with periods or heart conditions should be aware that there is always a risk involved with taking hormones. These hormones can be replaced with other equivalents of the same strength; however, I highly recommend using these. The important thing to remember is the Motilium. It’s the pill that will help you simulate pregnancy, develop your breasts (into milk making breasts), and building up your milk.

Beginning the Process
Positive Pregnancy Test
Positive Pregnancy Test

When you are ready to start being “pregnant” make sure you are ready. Stopping, going, stopping will only result in you failing in inducing lactation and will cause serious problems with you emotionally. Start by taking 1 “10mg” Provera and 1 “1mg” Estrofem once a day, every day, for nine months. Mark it on your calendar. That’s your delivery date! We will ease into the Motilium. Start out by taking 1 “10mg” Motilium 4 times a day for the first week or two. Choosing to spread them out throughout the day is highly recommended and is more effective. After 1 or 2 weeks, take 2 “10mg” Motilium (will be 20mg) 4 times a day, spreading them out the same way you did when only taking one, 4 times a day. You will continue this regimen for the entire length of your simulated pregnancy and even after you “give birth”.

During these nine months you should notice changes in your breasts. Your nipples enlarging, areolas becoming bigger or darker, or both. Breasts will become heavy feeling, tender and sore, and increase in size. While not everyone will experience all of these things, you should know your breasts well enough to know if any changes are occurring. It’s important to remember, you will not be pumping during this stage. If leaking occurs from your nipples use some pads to help. Massage the breasts if they hurt but don’t try to pump milk or hand express at this time.

Breasts During Pregnancy
Breasts During Pregnancy
Why is Simulating Pregnancy Important?
Why is simulating pregnancy important? It is important because during these nine months your body, and more importantly, your breasts, will be going through a new growth and maturity level that non pregnant adult women do not have. This simulated pregnancy will develop milk glands, tissues in your breasts, form all of the needed “components” in the breasts so that your breasts can store and release milk correctly, just like in a natural pregnancy. Simply grabbing the breast and pumping or hand expressing wont yield any milk. Simulating pregnancy is like building a house. You can’t have the roof before the walls and you wouldn’t start moving into your home with nothing but the frame up. Allow the breasts to develop without pumping, suckling, or trauma to them. The pain you may feel in your breasts is them growing, changing and building the things it needs.

Progesterone Levels During Pregnancy
Progesterone Levels During Pregnancy
How Does Simulating Pregnancy Work?
Basically these three hormones are the three out of four a naturally pregnant woman has. The fourth being un-simulatable because it actually requires a fetus in the womb. However, these three hormones are just what you need to “trick” your body and to get those breasts developing. When a woman is naturally pregnant her estrogen and progesterone levels raise considerably. Progesterone being the most notable hormone for pregnancy since a progesterone birth control treatment is more recommended over a mixture of progesterone and estrogen. Estrogen stimulates prolactin production. Progesterone triggers milk secretion. These two work in conjunction to help begin the development of your breasts and mammary tissues. You may notice that when you are on or near your period your breasts can become tender. This is due to these elevated hormones. You may also notice that even a progesterone only birth control can prevent pregnancy because the cervix is coated in a thick mucus that can also kill sperm. Domperidone increases prolactin levels by manipulating the pituitary gland. Prolactin stimulates milk production and secretion from alveolar cells. As you can see all of these “components” aid in developing, assisting, and promoting breast milk production. When taking this combination of these three hormones it will grow the needed tissues to help your breasts store milk and lactate. That’s also why we ask you not to pump at this time. You could un-knowingly damage the sensitive growing tissues and ducts inside your breasts. Also, estrogen acts as a milk suppressant which also aids in the development of the tissue, so pumping at this time may not yield any milk at all.

Baby Inside of a Woman
Formed Baby Inside Your Body
Delivery Time
Ending your simulated pregnancy is easy. Once you have reached nine months simply stop taking the provera and estrofem while maintaining the “20mg” dosage of Motilium 4 times a day. You should allow for about 20 hours to pass after ending your pregnancy before starting the next “phase” which will be discussed below. You should also be aware that when you stop taking your estrofem and provera to do it instantly. You want to trick your body into thinking you actually delivered a baby. This drastic hormone change will also boost your prolactin levels. You should also note that you can become severely depressed or have drastic mood shifts after stopping the hormones. Make sure you have plenty of support from your friends, partner, or loved ones. Again make sure you immediately stop the hormones, lowering the dosage little by little will ruin the process.

Bring In Your Breast Milk

Things to Consider
Medela Pump N Style Double Electric Breast Pump
Medela Pump N Style Double Electric Breast Pump
Every woman is different and I know you have heard this before. However, it is very true in this situation. After being pregnant your breasts may still be very sore, your breasts may not have changed as much as you would have liked, and many other factors. It is important that you start pumping 12 – 20 hours after ending your simulated pregnancy. Being sore or not feeling like pumping yet is unacceptable. You’ll have to be strong. That breast pump might have felt interesting before you started this endeavor but now you may notice that it feels kind of painful. Hang in there; don’t give up. We’ll discuss many things below to help you bring in your milk and relieve your aching breasts.

Things You Will Need
Motilium 20mg 4x Daily
A good double electric breast pump

Getting Started
The above will help you get started bring in your breast milk. You should start taking herbs listed here on the website to aid in this process. Most notably Fenugreek and Blessed Thistle, or Milk Thistle as it is sometimes called, which have been used by women for years to aid in bringing in and or building up a milk supply. Eating oatmeal at least 3 – 4 times a week has also been known to help as well. Inducing lactation can be very difficult, so depending on how easy it is for you to obtain these things you should exhaust all these possibilities. Any help is better than no help. I would at this time, recommend readers to watch and be very familiar with the hand expression videos before trying to express your milk by hand. In fact, I recommend not doing hand expression until you have actually begun to make and bring in milk. It is extremely easy to hurt your breasts and nipples if you do hand expression incorrectly.
Bringing In The Milk

Let’s assume you are taking your Motilium, any herbs you can, eating your oatmeal, and drinking plenty of water. Your day at the point of waking up should consist of pumping first thing. For the first and second day you should pump every hour for about 10 minutes. After that time you should start pumping your breasts every two hours for 15 – 20 minutes. You’ll also need to get up multiple times in the early AM to pump as if you really had a baby. It’s important to show your body that it’s “real” that you need to feed. Lazy pumping won’t work. This is probably the hardest thing about bringing in your milk is the amount of dedication and time it will take. You’ll be sleepy and tired and it won’t take long to get sick of pumping. Be strong! Your early AM pumping is actually VERY important! Your serum prolactin levels (natural occurring) are highest at this time and many women have best results getting milk in the AM. Basically, you should get in (counting the early AM) about 8 – 12 pump sessions a day. Be random as well. Pump every two hours, then do it a few times every hour as if your baby is very hungry. Let’s not just jump into pumping your breasts let’s talk about a good pumping session first.

The Pregnant Breast
The Pregnant Breast
How Breast Pumping Works
You may be wondering why I recommend using a double electric breast pump? Let’s clear a few things up. Breast milk works on a supply and demand basis accompanied by oxytocin, which is that good feeling you have when your nipples and areolas are stimulated. Pumping and stimulating BOTH breasts simultaneously not only tells the body “I have two babies to feed” but also releases more oxytocin. In non-lactating women, oxytocin can just be a sense of euphoria and can be great when with your lover and can aid in sexual climax. When oxytocin is released in lactating women it does the same thing however, it also triggers “let down” or milk flow. By stimulating both breasts you get more of this oxytocin, which will help trigger your breasts to release milk. Oxytocin is responsible for “milk ejection” which is what leaking / lactating is. The pumping itself and feeding actions send signals to your brain and breasts to increase prolactin. The prolactin is what increases milk production. Since breast milk works on a supply and demand basis you can now see why persistent pumping is very important.

Medela Lactina Woman Breast Pumping
Simple Pumping Station
Before Putting Breast To Pump
I’d like to take this time to explain a few other things. First, pumping is only for those who don’t have a baby yet. If you have access to a nursing child or you were able to time your simulated pregnancy with your adoption date you should put baby to breast as soon as you can! Absolutely nothing can stimulate milk production like a baby. Babies drink from your breast in a special way. There is also nothing like skin on skin contact with your baby or how your baby’s mouth and suckling sounds can affect your milk let down. However this guide is more aimed towards those women who are using a pump as their primary way to bring in their breast milk. However, another alternative suggestion would be your partner or someone you feel comfortable with feeding from your breast. If this is the case these same rules and scheduling still applies so the other party will need to be as dedicated as you.

You should create a pumping area in your home where you will always go to pump (or feed your baby). Make sure you keep everything you will need handy. Keep your pump cleaned and ready for the next session at your “station”. Keep some water handy and other things that can help you stimulate your milk let down like a laptop with nursing videos, sounds of babies suckling, or photos of your baby. Even an article of clothing from your child can help you. It’s important to be comfortable and not in pain from lack of back support. Always keep your station ready and always try to do it in the same spot. By returning to the same spot over and over again it will program into your mind that it’s time to feed and this habit will make the let down come easier. Even doing things like drinking a glass of water while pumping can trigger your mind to think it’s time to release milk. This is also why some women experience leakage when they hear a baby cry. During this time there really isn’t a “wrong” or “right” way to do things. Listening to music, watching TV, the videos mentioned above, or just concentrating on the sensations of pumping and thinking about a baby are all great ways to relax while pumping. The important thing is to be relaxed and happy while pumping. It might not be a good idea to watch that sad episode of ________ while pumping or trying to pay the mortgage and other bills while pumping. It’s okay to do things if you want just make sure you are calm and relaxed. Try to mentally reach for that euphoria of nipple stimulation. While bringing in your milk you’ll have to work much harder at it than women who have tons of milk and breast feeding for ‘forever’. Their bodies can just do it because of the experience and habits. Some women can begin lactating just by touching their nipples. Don’t let this discourage you!

Breast Pumping
Breast Pumping
Breast To Pump
Before putting the pump to your breast, let’s do some other things that can help.

First, let’s get really comfortable get some water or another beverage (not alcohol!) and head over to your pumping station. Hopefully it’s all setup and ready to go. Let’s begin by sitting and relaxing and taking a sip of your beverage. Concentrate on releasing all tension. Gently massage your breasts with your hands directly on the breasts. Go around the entire breast almost like you are giving yourself a breast exam. Lean over and gently shake your breasts allowing gravity to help move the milk closer to your areolas and nipples. Now, stimulate your nipples. This can be with the tips of your fingers or with something soft. Tickling and teasing the nipples will not only help make them ready for pumping (making them perky) but will also more prepare your breasts and will also produce oxytocin to help release the milk. Now, once you feel comfortable and ready, get your pumps and apply them to your breasts. Pumping both breasts at the same time will more effectively stimulate milk making and oxytocin production. Make sure you center your nipple as best as possible in the flange. Begin pumping on a low suction and a fast speed which will mimic a baby’s rapid quick sucks which gets the milk flowing. Even with no milk flow you should get into this habit. Allow this to go for about one minute. This will also allow your nipples and breasts to adjust themselves to the pump. Now, turn the suction up to a medium setting. Most websites say “as high as you can comfortably stand” I would recommend against this. You are pumping to induce lactation. It’s different than women who have a large supply already. Find that “highest comfortable setting” and then turn it down a bit. You have a lot of pumping sessions ahead of you. There’s no need to rush by trying to do the highest setting. All this will accomplish by pumping on the high setting is making your nipples sore. The action of the areolas getting pressed and nipples suckled is what will stimulate your milk production not how hard you suck them. If you do have some milk coming in already (good for you!) be sure to lean forward slightly and situate the pumps so that the milk can drain into the bottle and not collect around the nipple. Halfway through your pumping session you may want to take the pumps off and massage and stimulate the nipples again. If you have an easy time doing this then by all means do it. It can help move more milk down the breast. Reapply the pumps and finish your session. Remember 15 – 20 minutes every 2 hours and if you do it every hour, 10 – 15 minutes. More than 20 minutes will only serve to make your nipples sore. If after your session you have milk on your nipples, simply leave it. Your breast milk will serve as a natural soothing agent and will help keep them from feeling sore. If after pumping you have no milk, don’t panic. I repeat, do not panic. It can take 1 – 5 weeks to bring in your milk. Inducing lactation can be difficult. It took me almost a month before I saw a single drop. Staying dedicated is important. Staying calm is important. If you want your breast milk to come in as bad as I did, then staying calm may be easier said than done, however, worrying only serves to delay the process and only hinders.

Got Milk?
Great! We would love to hear from you. Congratulations. Inducing Lactation can be extremely difficult but very rewarding! Be sure to read our articles and guides on storing your breast milk. We also have other things you can do with your breast milk, like baking!

I wrote this guide in my whole hearted attempt to help you reach your goal of breast feeding and experiencing this amazing accomplishment. If you have any questions or testimonials please write to us! We would love to hear from you!


Sakura Mahal

Monday, March 11, 2013


Effects on milk production

Fenugreek Herb
Fenugreek Herb
Fenugreek (Trigonella foenum-graecum L.) appears to be the herb that is most often used to increase milk supply. It has been reported to be an excellent galactagogue for some mothers, and has been used as such for centuries. The few studies that have been done have had mixed results [Swafford 2000, Reeder 2011, Turkyılmaz 2011] . Keep in mind that in almost all cases, non-pharmaceutical methods of increasing milk supply should be tried first, as there can be significant side effects from both herbal remedies and prescription medications used to increase milk supply. See the Academy of Breastfeeding Medicine’s protocol #9 on the use of galactogogues.

Mothers generally notice an increase in production 24-72 hours after starting the herb, but it can take two weeks for others to see a change. Some mothers do not see a change in milk production when taking fenugreek.

Dosages of less than 3500 mg per DAY have been reported to produce no effect in many women. One way reported to determine if you’re taking the correct dosage is to slowly increase the amount of fenugreek until your sweat and urine begin to smell like maple syrup. If you’re having problems with any side effects, discontinue use and consider alternative methods of increasing milk supply.

Fenugreek has been used either short-term to boost milk supply or long-term to augment supply and/or pumping yields. There are no studies indicating problems with long-term usage. Per Kathleen Huggins “Most mothers have found that the herb can be discontinued once milk production is stimulated to an appropriate level. Adequate production is usually maintained as long as sufficient breast stimulation and emptying continues”


Fenugreek is used to flavor artificial maple syrup, and is used as a common food ingredient (curries, chutneys, etc.) and traditional medicine in many parts of the world, including India, Greece, China, north Africa and the Middle East. It is a basic ingredient of curry powder (often used in Indian cooking) and the Five Spice mixtures (used in Asian cooking). It is also eaten as a salad and sprouted.

Fenugreek is considered safe for nursing moms when used in moderation and is on the U.S. Food and Drug Administration’s GRAS list (Generally Recognized As Safe). As with most medications and herbs, various side effects have been noted; see the side effects and safety information below.

Per Hale [Hale 2012], “The transfer of fenugreek into milk is unknown, untoward effects have only rarely been reported.” Hale classifies it in Lactation Risk Category L3 (moderately safe).

Possible side effects and cautions

  •     Sweat and urine smells like maple syrup; milk and/or breastfed baby may smell like maple syrup.
  •     Occasionally causes loose stools, which go away when fenugreek is discontinued.
  •     Use of more than 100 grams of fenugreek seeds daily can cause intestinal distress and nausea (recommended dose is less than 8 grams per day).
  •     Repeated external applications can result in undesirable skin reactions [Wichtl 1994].
  •     Ingestion of fenugreek seeds or tea in infants or late-term pregnant women can lead to false diagnosis of maple syrup urine disease in the infant due to presence of sotolone in the urine. See [Korman 2001] and other studies on fenugreek and maple syrup urine smell.
Use with caution or avoid if you have a history of:

  •     Peanut or chickpea allergy: Fenugreek is in the same family with peanuts and chickpeas, and may cause an allergic reaction in moms who are allergic to these things. Two cases of fenugreek allergy have been reported in the literature. [Patil 1997, Ohnuma 1998, Lawrence 1999]
  •     Diabetes or hypoglycemia: Fenugreek reduces blood glucose levels, and in the few studies using it as a hypoglycemic, also reduces blood cholesterol. Dosages higher than the recommended one (given above) may result in hypoglycemia in some mothers [Heller]. If you’re diabetic (IDDM), use fenugreek only if you have good control of your blood glucose levels. While taking this, closely monitor your fasting levels and post-prandial (after meals) levels. Mothers with hypoglycemia should also use fenugreek with caution. For more on fenugreek and glucose levels, see the references below.
  •     Asthma: Fenugreek is often cited as a natural remedy for asthma. However, inhalation of the powder can cause asthma and allergic symptoms. Some mothers have reported that it worsened their asthma symptoms. [Dugue 1993, Huggins, Lawrence 1999].
Possible side effects for baby

Most of the time, baby is unaffected by mom’s use of fenugreek (except that more milk may be available for baby). Sometimes baby will smell like maple syrup, too (just like mom). However, some moms have noticed that baby is fussy and/or has green, watery stools when mom is taking fenugreek and the symptoms go away when mom discontinues the fenugreek.

Fenugreek can cause GI symptoms in mom (upset stomach, diarrhea), so it’s possible for it to cause GI symptoms in baby too. Also anyone can have an allergic reaction to any herb, and fenugreek allergy, though rare, has been documented.

Another reason for these types of symptoms –and perhaps more likely than a reaction to the herb– may be that mom’s supply has increased due to the fenugreek and the symptoms are those of oversupply, where baby is getting too much foremilk. Fussiness, gas and green watery stools are classic symptoms of an overabundant milk supply.

For more information, please visit the source.


Kelly Mom

Sunday, March 10, 2013


What is Provera used for?

Provera 10mg tablets are used to treat several menstrual and uterine problems to re-establish a regular menstrual cycle. These conditions are:

  •     secondary amenorrhoea (menstrual periods that have stopped, are absent or irregular)
  •     abnormal uterine bleeding during the menstrual cycle instead of at the end
  •     endometriosis (growth of endometrial tissue outside the uterus) causing pain and bleeding.

Provera 10mg tablets are also used to counteract the stimulating effect of oestrogen on the endometrium, therefore reducing the risk of endometrial cancer, which can develop in response to oestrogen in women taking hormone replacement therapy (HRT) for menopausal symptoms. Adding a progestin with an oestrogen is thought to help the feminisation process for male to female transsexuals and Provera 10mg tablets are used as a component of transgender hormone therapy, to help stimulate breast development and reduce the production of testosterone.

How does Provera work?
Provera Hormone
Provera Progesterone Hormone

Provera 10mg tablets contain medroxyprogesterone, a synthetic derivative of the female sex hormone progesterone, which means that its chemical structure closely resembles that of naturally produced progesterone and it therefore works in a similar way. Endogenous (naturally produced) progesterone is produced by the ovaries during the second phase of the menstrual cycle. It acts on the endometrium (lining of the uterus) converting the proliferating phase to the secretory phase. This causes the endometrium, which has thickened in response to oestrogen during the first half of the cycle, to stop growing and start secreting hormones and other proteins needed to maintain a pregnancy, if conception occurs; if not, levels of oestrogen and progesterone fall and the endometrium is shed (menstruation). This action helps re-establish a regular menstrual cycle in the treatment of secondary amenorrhoea and abnormal uterine bleeding during the menstrual cycle. Provera 10mg tablets act on the endometrium in all its locations to stop it growing, which alleviates symptoms of endometriosis including pain and bleeding.

What does Provera contain?

Provera 10mg tablets contain medroxyprogesterone, a synthetic derivative of the female sex hormone progesterone, used for treating several menstrual and uterine problems. Provera 10mg tablets also contain lactose, sucrose, maize-starch, liquid paraffin, purified talc, calcium stearate, purified water, and the colouring agents sunset yellow FCF CI15985.


Provera 10mg tablets contain medroxyprogesterone, a synthetic derivative of the female sex hormone progesterone, which means that its chemical structure closely resembles that of naturally produced progesterone and it therefore works in a similar way. However, unlike natural progesterone it is easily absorbed and can be taken in tablet form at relatively low concentrations, whereas natural progesterone is not well absorbed by the gastrointestinal system and until recently could only be administered by injection. A new form of micronized progesterone (reduced to tiny particles so that it is better absorbed) is now available. Provera 10mg tablets are used as part of a hormone replacement therapy (HRT) regime to counteract the effect of oestrogen and reduce the risk of endometrial cancer, however, unlike micronized natural progesterone, Provera can interfere with the beneficial effects of oestrogen, such as preventing bone loss and regulating cholesterol. 

What are the side effects of Provera?

The most frequently reported side effects when taking Provera 10mg tablets, include acne, menstrual changes (breakthrough bleeding, spotting, or missed periods) dizziness, drowsiness, fever, headache, nausea, nervousness, skin rash and itch, sleeplessness, stomach pain, weight gain or loss. More severe side effects include jaundice.

What are the health risks of using Provera?

Long-term HRT with Provera 10mg tablets does have associated health risks, particularly increased risk of breast and ovarian cancer compared with oestrogen alone HRT, but it does reduce risk of endometrial cancer. Combined HRT with oestrogen and progestin therapy has been associated with an increased risk of cardiovascular events such as myocardial infarction and stroke, as well as venous thrombosis and pulmonary embolism. If you are pre-menopausal and particularly if you have a family history of brittle bones (osteoporosis) you may be at risk of losing bone mineral density and developing brittle bones.

This applies to Provera 2.5, 5, & 10mg oral tablets

Please visit the Source for more information


Inhouse Pharmacy

Tuesday, March 5, 2013

Pregnancy & Breast Feeding. My Story

I got pregnant at 18 right after marrying my high school sweetheart. The pregnancy was exciting and scary news all at once. We were young, it was exciting to know our family was growing, and kind of scary thinking about everything that my body was going to go through and the little life we would then be responsible for.

I knew I was preg fairly quickly due to how in tune I was to my body. I was in fairly good shape due to playing basketball for the last three years of highschool. I started suspecting something about 6 weeks after my wedding. I felt dehydrated, couldn’t drink enough water. Some slight cramping in my lower abdomen, my breasts were tender. However, being newly married the possibility of being pregnant scared me. My husband was very excited when I told him, after I took 6 tests at home and one at the dr office. Lol

I had a very normal pregnancy, gained weight, had morning sickness, but it always hit me at night as soon as I would lay down. I’d have to jump up and run to the bathroom. It seemed like it would never end, but about half way through my second tri-mestor it went away. . I craved spicy food, ate Taco Bell and Mexican food at home often, my son loves spicy food now.

My delivery was long, 23 hrs and 42 minutes. I had my son at a midwifery. No drugs or pain killers of any kind. I had an amazing shower and hot tub in my room and utilized both many times through out the day.

I had a difficult time breast feeding and only did it for about three months before moving on to bottle feeding, I continued to pump and give my son breast milk for another three months or so before converting totally to formula. I didn’t mind breastfeeding around family and close friends, but breast feeding in public was somewhat uncomfortable and seemed to attract much negative attention.

If I have another baby I wouldn’t really change anything. I would happily give birth at a midwifery again. I am not opposed to breastfeeding for a longer amount of time if it works out better the next go round. I also think experiencing it as a 30+ year old would be interesting so that I can kind of compare the differences from the first time to the next one.


Jennifer Nielsen

Monday, February 25, 2013

Successful Re-Lactation & Thoughts

Symphony Electric Breast Pump
Symphony Electric Breast Pump
After getting over being sick which took over a week and running frequent 103 degree fevers multiple times a day, I was able to get back into my rhythm of pumping and expressing. I did get more milk than I was in my last post “To Leak or Not to Leak”, but it seems like it would take forever for me to build my supply back up again.

I think one of the biggest things about inducing lactation that makes the whole process difficult has got to be flange sizes. I don’t have access to a baby nor can my fiancé nurse from me in the needed time slots to bring in my milk. Inducing lactation requires a lot of dependency on your breast pump. It might as well be your baby. If you have the money I would suggest getting the Symphony double electric breast pump off of eBay or similar site. Even though I have a Medela pump it is older and the newer models have better setting that help mimic the suckling of a baby. With that said, I still had problems with the “small” flanges being too large for my nipples. I have scoured the internet for hours and days trying to find a smaller flange size. There are none. I am going to the to enlarge my nipples as discussed in the guide “Advanced Solutions for Nipple Sizes & Non-Matching Flanges”.

Before I decide to induce lactation again, I have decided to enlarge my nipples and so far I have been using basic nipple suckers that you can buy off of adult websites for $5 - $10. I can see a huge improvement already. I use them almost like a breast pumping schedule, putting them on for 10 – 15 minutes every couple of hours or so and now I can go over 24 hours and still notice that my nipples are much larger, even when they aren’t “perky”. This tells me that if I keep trying and gradually build up and use better equipment like the Mustang Nipple Enlarger, that I could indeed permanently have larger nipples.

What’s so important about nipple size? Not much if you aren’t pumping. Breast pumping however, you’ll want a good fit. My flange is too large. The diameter of my nipples ranges between 13 – 15mm and the smallest available flange is 21mm (considered small). I get a bunch of areola tissue that pulls into my flange tunnel and it hurts, becomes uncomfortable, and has slightly made my nipple look a little weird. I really feel strongly that this incorrect fit is preventing me from lactating correctly; especially to bring in my milk initially.

If you have any stories or experiences that you think could benefit other moms and women inducing lactation please contact us!


Sakura Mahal

Thursday, December 6, 2012

To Leak or Not To Leak

Breast Pumping
Breast Pumping
Well, I have been pumping pretty aggressively, about every hour sometimes 2 and once during the night. I have been taking Fenugreek and Blessed Thistle 4 times a day in the dosage of pills each. It's been over a week and I was really wondering if this owuld work. Can I really re-lactate? Well, apparently I can! I noticed after my pumping sessions today that I did have leakage and was slightly white. I even did some expression techniques and was able to get a very tiny droplet. This is exciting even though it's not much and it means that I am on the right track.

There's always a catch though, right? Well, all day I have felt strange and my fiance is sick, so apprently I am catching it. This is going to make pumping difficult.

It's affirmative, I am sick I am so sick, coughing and running an insane fever, I really don't feel like pumping through the night now.

Stayed up all night coughing and gagging, I think I have pneumonia. This really couldn't have come at a worse time when I had results from my pumping.

Went to bed at 9 PM, did not pump though the night, fever was so bad I was shaking. I felt so bad. My head felt like it was going to explode. Now I am taking some medicines and it might hinder my milk production.

Sick With Fever
Sick With Fever
Got up the next day after  along night of misery, finally pumped at 10 AM, which is terrible. I didn't get a single drop, the breasts are so sensative and really does work on a demand basis. Apperntly either the medicines are inhibiting my milk flow or the lapse in pumping time (probably) and now my breasts probably think there isn't a demand for the milk now, and I may have a set back of days to put my body back into that milk making mode. Let's hope I don't relapse with the fever and insane head aches.

This is proof that skipping your pumping can really interfere with your milkd production, especially when inducing or attempting to re-lactate.

Monday, December 3, 2012

Breastfeeding Benefits For You & Your Baby

Breast is Best For Baby
Breast is Best For Baby
There’s no doubt that breastfeeding can be a challenge, but understanding the benefits of breastfeeding can help motivate moms to provide the best nutrition for baby. So, read our list of health benefits and share it with your fellow moms and moms-to-be. We all can spread awareness about the incredible nutritional advantages of breastfeeding.

Breastfeeding Benefits for Baby:

  •     Right after delivery, your colostrum helps gently clear your baby’s intestine, decreasing the chance of jaundice.
  •     Breastmilk contains antibodies, enzymes and white blood cells that protect your baby from viral, bacterial, and parasitic infections and illnesses during breastfeeding. These benefits may even continue after your baby is weaned.
  •     Breastmilk encourages the growth of probiotics in the baby’s digestive tract, reducing the risk of diarrheal diseases.
  •     Breastfeeding supports brain development, improving IQ scores later in life.
  •     The immune components in breastmilk provide protection against milk allergy, eczema, and wheezing early in life.
  •     Breastfeeding may prevent obesity and encourage a healthy lifestyle as your child grows older.
  •     Breastfed babies are less likely to suffer from ear infections, vomiting, diarrhea, pneumonia, urinary tract infections, or certain types of spinal meningitis.
  •     Breastfeeding lowers the risk of SIDS.
  •     Breastfeeding facilitates a special bond between mom and baby.
  •     The sucking motion of breastfeeding strengthens oral muscles, facial bones, and supports ideal dental development.
  •     Breastfeeding increases the effectiveness of immunizations such as polio, tetanus, and diphtheria vaccines.
  •     Breastfed infants are more protected against chronic conditions like celiac disease, inflammatory bowel disease, asthma, and some childhood cancers.

Breastfeeding Benefits for Mom:

  •     Breastfeeding may reduce the risk of breast and ovarian cancers in mothers.
  •     Oxytocin levels increase while breastfeeding, stimulating postpartum uterine contractions and minimizing blood loss.
  •     Many breastfeeding moms report an increase in weight loss during the first 3 to 12 months postpartum.
  •     Breastfeeding moms can experience psychological benefits such as increased self-confidence and a stronger bond with their little one.
  •     Exclusive breastfeeding can delay the return of fertility, working as a natural contraceptive.
  •     Breastfeeding releases hormones that promote bonding and maternal instincts. The release of oxytocin while breastfeeding encourages a more relaxed demeanor and may prevent the onset of postpartum depression.

What do you think is the most important benefit of breastfeeding? Share in the comments below.



Tuesday, November 27, 2012

Hand Expressing Your Breast Milk


It is easier to learn to express if someone guides you. Please ask for help when you start. This text based guide was set in place to help you learn easily. We also have a selection of hand expression videos available to aid you in successfully expressing your breast milk. If you need help or advice, please don't hesitate to contact us! You can also ask your local Lactation Consultant to guide you as they are usually on site at the hospital guiding new mothers to express their colostrum for their new borns and have a lot of experience hands on (if you prefer) training.

Look for videos of Hand Expression techniques and tips in the Hand Expression category.

How do I hand express?

Before you start, you need a wide-necked container (sterile for a baby under 6 months old), such as a feeding cup, wide-necked bottle, bowl or expressing funnel.

  1.     Wash your hands.
  2.     Sit comfortably, with your back straight, in a chair or on the edge of your bed.
  3.     Create a wide ‘C’ shape with your thumb and either your index or middle finger. Place them directly opposite each other, thumb on top, approximately 2.5-3.5 cm from the base of your nipple. This may be at or near the edge of your areola (the darker skin surrounding the nipple). Your other fingers will help support your breast tissue (see Fig. 1).

  4. First Step In hand Expression
    First Step In hand Expression. Make a "C" at the beginning or slightly before the areola

  5.     Your milk is stored in milk reservoirs under the areola. Press in towards your chest wall (see Fig. 2) and then draw your finger and thumb together, as though they would meet behind the areola, not behind the nipple (see Fig. 3). Some women can feel the milk reservoirs, like small peas, under their fingers. Droplets of colostrum stored in the reservoirs will be pressed out towards the nipple.

  6. Hand Expression - Push into the chest / breast
    Second, push into your breast / chest, supportying the breast with the other fingers

    Hand Expression - Compress Behind the areola
    Third, Gently "roll down" or compress the breast behind the areola

  7.     Release the pressure of your finger and thumb, then repeat the action: press and release, press and release. This should not hurt, and if it does, try to reposition your thumb and finger, and make sure you are not squeezing the nipple itself. Avoid rubbing or sliding your fingers along the skin as this may result in friction damage to the skin. The movement of your fingers should be more of a rolling action.
  8.     Repeat this action until you see drops of colostrum/milk appearing at the nipple. At first no milk may come, but after pressing a few times, milk will start to drip out, and may spurt as your supply becomes better established. Catch the droplets in your container. Be patient, it may take a minute or two for your efforts to be rewarded.
  9.     Press the areola in the same way all around your breast, to make sure milk is expressed from all lobes of the breast. You can use either hand.
  10.     Express one breast for about 5 minutes, or until the flow begins to slow, moving your finger and thumb around to remove milk from all areas of the areola. Express from the second breast in the same way for about 5 minutes. Return to the first breast for another 5 minutes and then finish with another 5 minutes on the second breast again. These timings are approximate; please be guided by your own milk flow and swap sides when the flow slows down. Some women swap sides more frequently. It is important to allow at least 20-30 minutes for preparation and expressing so that milk is removed well enough to stimulate the production of more milk.

Notes About Your Areola

Every woman has different areola sizes. If you have smaller areolas you might wish to go a centimeter or an inch or two past the areola. If you have larger areolas you can try starting an inch or two away from the nipple or you can start at the base of your areola and work your way out. This can be very confusing since areola sizes differ more than you might think.

Areolas, the skin around the nipple, usually darker or lighter than the nipples, is where a lot of the important tissue is for storing your milk are located. Behind the areola and into the breast. Milk doesn't come from the nipple, rather it passes through the nipple. In an ideal latch for a baby the nipple would be close to his/her throat, thus the nipple is more like an "aimer". The areola is a great self guide to where you should compress and manipulate the breast for the best milk ejection.

Hand Expression
Hand Expression of a real breast
Areola sizes range from and inch in diameter, too a 4 or 5 inch diameter. Many women shown in videos and pictures for hand expression ahve the average size areolas, however if yours are smaller or larger it doesn't men you are strange, sick, or deformed. It is simply your body, and the beauty of everyone is their differences. This sizing difference could be confusing, however. Simply use the areola as your base line of comparison for you. Some women with large areola may experience  great milk flow simply beng 2 inches away from the nipple while expressing, others may need to extend their fingers to widest parts of the areola even at a large size to achieve better milk flow from the nipple. If you have smaller areolas, or maybe even "average" going past the areola is also another great way to drain the breast.

Breast Compression & Draining The Breast

Breast compression is similar to the normal compression of the areola in hand expression. Simply wrap both hands around the breast. Get a good firm hold with boths hands, and gently squeeze as you go down your breasts. You would go all the way to the areola like when hand expressing. This will help drain the breast. This may be helpful for women with larger breasts.

Some other basic tips on draining your breasts for hand expression is:
  • A warm water bottle between your breasts
  • Taking a warm / hot shower
  • Compressing the breast
  • Massaging the breasts (like a breast exam)
  • Leaning over and gently shaking or "jiggling" the breasts

More detailed picture of Hand Expression
More detailed picture of Hand Expression


New Born Baby Hand Expression
Sakura Mahal Hands On