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Transgender Woman Breastfeeds Baby In First Recorded Case

Transgender Woman Breastfeeds Baby In First Recorded Case

Safer told New Scientist that transgender women don't need to undergo surgery to lactate because the cells in their breasts should produce milk in the same way as non-transgender women. Now, in the wake of this success, the world of transgender health has been changed forever. A case study by a medical team from Mount Sinai in New York City, US, reports on the details of an experimental therapy.

According to the doctors at the Icahn School of Medicine at Mount Sinai, the 30-year-old transgender woman underwent a three and half months of a regimen of domperidone, estradiol, progesterone, and breast pumping. While her partner was expecting a baby, she did not wish to breastfeed.

With only about three and a half months left in her partner's pregnancy, Reisman and Goldstein jumped into action and began giving the patient domperidone three times a day.

"Domperidone has been safely used in Canada as a medication to increase milk supply for decades", explained Weeks. The patient had been taking feminising hormone treatments for the past six years to develop fully grown breasts (Tanner stage v, according to the standard sexual maturity rating) using spironolactone, progesterone, and a type of estrogen. By about three months in, she was able to produce about 8 ounces of milk per day. Wanting to ramp things up a little more, Reisman and Goldstein increased both her hormones and her domperidone intake.

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Looking ahead, Reisman and Goldstein would like to get a better handle on the dosing requirements, and the optimal frequency and duration of breast pump use. She was able to exclusively breastfeed her child for six weeks.

What's also unclear are the long-term effects the breastmilk could have on children, such as subtle effects on cognitive development. During that time the child's pediatrician reported that the child's growth, feeding, and bowel habits were developmentally appropriate.

The document also shared that after six weeks, the patient began supplementing with formula every day to due concerns about milk production. At the time that the study was published, the baby was approaching six months old. "The patient continues to breastfeed as a supplement to formula feeding". For mothers who can not produce milk on their own, or for mothers who are adopting or using a surrogate, there is a protocol that includes hormones and pumping to induce lactation.

Still, they remain happy with the results they have found as of now. "It will be very important for the many transgender women who want to breastfeed but do not feel they have the opportunity to do so".


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