PISA efficiency

[soozy87]

When I was nearly EPing I would try to have my son nurse and clear it out. Sometimes it worked, sometimes it didn't. I don't know what your reasons are for EPing but maybe give that a try.

[Velar Fricative]

Do you have a manual pump too? My output would often be better with that so maybe you could use that after double-pumping to see if it goes away?

[everafter07]

I'd get those and would massage the hard spots to get them to release. They weren't clogs, just hard knots that didn't hurt.

[longtimenopost]

I had one similar to yours, and I would just try to really empty it at least once a day because I didn't want to get a clog. I used to pump for 15 minutes, stop and massage (pain to unhook, but worth the extra milk) then suit up and start again using the letdown button. Hot shower beforehand also helped.

[jewel]

Heat helps me a lot. I use reusable heat packs and stick them in my pumping bra to keep the breast warm throughout the session. like this: smile.amazon.com/Hand-Warmers-HotSnapZ-Reusable-Pocket/dp/B004CV2YXE/ref=sr_1_3?ie=UTF8&qid=1423773435&sr=8-3&keywords=reusable+heat

I also think the had pump does a better job of a complete empty.

[Deleted]

Yay! Glad that worked. Are you taking lecthin to prevent clogs? It might help the hard areas too.

[orangeglow]

@astrid - I have these www.toysrus.com/product/index.jsp?productId=13193346&cp=2255957.2273447.20384276&parentPage=family

if you want them.  I can mail them to you.

[gingerjar]

Are you doing breast compressions when you pump? That really helped me fully empty.

[july]

Change the membranes every couple of months.