Why do pregnant women's breasts enlarge without secreting milk, factors or causes

Patient's question:

Why do pregnant women's breasts enlarge but do not secrete milk? What are the factors or causes?

Doctor's answer:

This is a normal natural phenomenon, and you don't need to worry about it. Before you had a baby, your prolactin levels would remain low, so you wouldn't produce milk. After the baby is born, prolactin secretion increases, so milk is produced to satisfy the baby's feeding needs.

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