I'm with you now, MFM, thanks for clarifying. I didn't mean to address that last post directly to you (though re-reading it I can see that I did), I was just responding to what I read in previous posts on this thread.
In the end, we're all on the same side here! :) I'm sorry to be a bit defensive, but obviously we all speak from our personal experience so sometimes these discussions feel a bit... personal, particularly when it seems the "really really wanted to but genuinely couldn't no matter what support we might have had" contingent is not being acknowledged.
I actually don't know too much about the causes or treatments of hypoplasia. It's a matter of the milk ducts not maturing during puberty, so I would imagine it has something to do with either structural or hormonal irregularities, though that's strictly a layperson's guess. Supplements like fenugreek can improve supply, but it's estimated that only about 40% of women with the condition will ever be able to ebf, and that's usually in second or subsequent children. There's a lot of anecdotal evidence (I've seen some on MN as well as other places) that each pregnancy and each bf child seems to stimulate some "late bloomer" milk ducts, so that the condition can improve significantly in some women.
If you google, though, you come up with references to the condition on many different websites on breast health or breastfeeding, but there's nowhere specific that I've found to go for a repository of information on this condition in particular.
One of the reasons it's not a well known and accepted condition, again in my opinion, is that we don't live in a bf culture and therefore there is little or no money spent on research or the development of treatments for women with hypoplasia or other conditions that affect the capacity to breastfeed.
There is a condition affecting men in which a part of their anatomy - not vital to their survival, but extremely important to their sense of manhood and fulfillment - doesn't work as it should. Consider the money and research hours that have been put into developing Viagara or any of the many other treatments for male sexual dysfunction.
Meanwhile at least one in every hundred women - probably considerably more - has a condition in which part of her anatomy - not vital to her survival, but extremely important to her sense of womanhood and fulfillment - doesn't work as it should. And because it doesn't work, her children will all get what is widely acknowledged by the medical community to be a "second best" start in life in regard to nourishment and immune defenses. Yet most people don't know the condition exists (I didn't until I realized I had it), there are no treatments offered and, as far as I'm aware, no research into how any treatments might be developed.
Says something about how the needs of women and children are valued in our society, doesn't it?