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Chapter 2: Questions and Answers Is it normal for my breasts to feel empty and saggy after breastfeeding? Yes. It's most prominent for the first six to twelve weeks. This is because the breasts actually do empty of milk during breastfeeding. The breast becomes hard, heavy, and can even hurt when it's full of breast milk so it's completely normal for the breast to feel less full, soft, empty, or all of these after breastfeeding. The feeling of 'fullness' or even engorgement a nursing mother experiences during the early weeks usually means that the mother's breasts haven't adjusted yet to the amount of milk their baby needs. Some women produce too much milk in the beginning. This can cause pain and leaking to happen. Thankfully, the breasts usually adjust themselves after the first six to twelve weeks to the amount that baby needs. Some more severe cases can take longer. By this point, your breasts will begin to feel less empty, full, and soft. The leaking may stop, and if you pump to get the excess out, you will probably find that you don't pump as much or even at all. This doesn't mean that you've stopped producing enough milk, but that you and baby have figured out how much milk baby needs. A lot of women will stop breastfeeding at this point because they feel they've 'dried up'. The process that causes this to happen is called 'milk synthesis'. Early postpartum hormone levels called prolactin are overproduced in the early weeks and months causing mom to have more milk than the baby needs. Most moms who give birth to one child can, in the beginning, produce enough milk for twins and even triplets in some cases! In the first few months, high baseline prolactin levels gradually decrease to lower baseline levels. At this point, it may be easier for mom's body to adjust milk production to baby's needs. 10