Medical Physiology Reproductive Physiology

Lactation

Topic overview

Start with the big picture

Mammary glands contain lobules made up of alveoli and ducts. Epithelial cells produce milk, while surrounding myoepithelial cells contract to help eject it. During development, estrogen stimulates ductal growth and progesterone promotes alveolar development; prolactin and human placental lactogen support overall maturation. Milk secretion is restrained during pregnancy by high estrogen and progesterone. After delivery, their levels decline and prolactin supports the start of milk production. Nipple stimulation during suckling increases prolactin and oxytocin: prolactin supports production, while oxytocin triggers the let-down reflex. Prolactin also inhibits GnRH, reducing LH and FSH and contributing to natural contraception during exclusive breastfeeding.

Learning objectives

What you'll learn

  • Describe the roles of alveoli, ducts, epithelial cells, and myoepithelial cells.
  • Explain how estrogen, progesterone, prolactin, and human placental lactogen support breast development.
  • Outline why milk production begins postpartum.
  • Distinguish prolactin’s role in milk production from oxytocin’s role in milk ejection.
  • Summarize how prolactin influences GnRH, LH, and FSH during exclusive breastfeeding.
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