Transexuals Lactating
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Transexuals Lactating
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Affiliations
1 Division of Internal Medicine, Kingston Health Science Center, Queen's University, Kingston, Ontario, Canada.
2 Division of Endocrinology, Kingston Health Sciences Center, Queen's University, Kingston, Ontario, Canada.
Rachel Wamboldt et al.
J Clin Endocrinol Metab .
2021 .
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1 Division of Internal Medicine, Kingston Health Science Center, Queen's University, Kingston, Ontario, Canada.
2 Division of Endocrinology, Kingston Health Sciences Center, Queen's University, Kingston, Ontario, Canada.
Flores-Antón B, García-Lara NR, Pallás-Alonso CR.
Flores-Antón B, et al.
J Hum Lact. 2017 May;33(2):419-421. doi: 10.1177/0890334416682007. Epub 2017 Jan 5.
J Hum Lact. 2017.
PMID: 28056181
[No authors listed]
[No authors listed]
2021 Dec 20. Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006–.
2021 Dec 20. Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006–.
PMID: 30000430
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Reisman T, Goldstein Z.
Reisman T, et al.
Transgend Health. 2018 Jan 1;3(1):24-26. doi: 10.1089/trgh.2017.0044. eCollection 2018.
Transgend Health. 2018.
PMID: 29372185
Free PMC article.
Lopez-Bassols I, Duke LO, Subramaniam G.
Lopez-Bassols I, et al.
J Hum Lact. 2021 Nov;37(4):697-702. doi: 10.1177/0890334421999327. Epub 2021 Apr 22.
J Hum Lact. 2021.
PMID: 33887977
International Planned Parenthood Federation IPPF. International Medical Advisory Panel IMAP.
International Planned Parenthood Federation IPPF. International Medical Advisory Panel IMAP.
IPPF Med Bull. 1990 Apr;24(2):2-4.
IPPF Med Bull. 1990.
PMID: 12316285
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Context:
Breastfeeding is known to have many health and wellness benefits to the mother and infant; however, breastfeeding in trans women has been greatly under-researched.
Objective:
To review potential methods of lactation induction in trans women wishing to breastfeed and to review the embryological basis for breastfeeding in trans women.
Design:
This article summarizes a case of successful lactation in a trans woman, in which milk production was achieved in just over 1 month.
Setting:
This patient was followed in an outpatient endocrinology clinic.
Participant:
A single trans woman was followed in our endocrinology clinic for a period of 9 months while she took hormone therapy to help with lactation.
Interventions:
Readily available lactation induction protocols for nonpuerpural mothers were reviewed and used to guide hormone therapy selection. Daily dose of progesterone was increased from 100 mg to 200 mg daily. The galactogogue domperidone was started at 10 mg 3 times daily and titrated up to effect. She was encouraged to use an electric pump and to increase her frequency of pumping.
Main outcome measure:
Lactation induction.
Results:
At one month, she had noticed a significant increase in her breast size and fullness. Her milk supply had increased rapidly, and she was producing up to 3 to 5 ounces of milk per day with manual expression alone.
Conclusions:
We report the second case in the medical literature to demonstrate successful breastfeeding in a trans woman through use of hormonal augmentation.
Keywords:
breastfeeding; hormone therapy; lactation induction; sex hormones; trans woman; transgender.
© The Author(s) 2021. Published by Oxford University Press on behalf of the Endocrine Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
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Update: Read my interview with Jenna, another trans woman, here . Read my interview with health care providers who have assisted trans women with lactation here .
So far, this blog has exclusively addressed issues faced by
transmasculine folks. I started writing it from my personal experience, and I
am transmasculine. However, I've received several questions from trans women
who are interested in breastfeeding. After doing some Google searches, I
realized that just as there is little to no information for trans men on this
topic, there is not much written for trans women. In particular, I haven't
found any personal accounts or interviews. I will try to do my part to fill a
little bit of this gap. This is part one of a mini-series on trans women and lactation. Enjoy!
I don't monetize my work with ads, so please consider a donation if you appreciate the content.
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Breastfeeding and parenting from a transgender perspective.
I am very proud of these moms for the wonderful start on life they have given their son. I am sorry you encountered difficulties and am so happy for you that you were able to overcome them. I was raised to know that breastfeeding is not something only women can do. Scientific studies have documented men who successfully breastfed, it's time that the scientific community put that information to use for the transgender community. You are a pioneer and a hero and your son will thank you both for the wonderful benefits you've given him someday.
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This is so limited and encouraging to read. Thank you for sharing. I look forward to the rest of the pieces in this series!
oops - I meant to type "informative",not "limited". Dern voice-recognition software!
Stop replying while driving..... :-P
or maybe they aren't driving and it's possible that is how they use a computer? ;)
May not want to make assumptions about that one - I know some people use voice recognition software because of carpal tunnel syndrome or other conditions that limit the use of their hands. . . just fyi ...
I think "replying while driving ;-P" was a joke.
This is very informative and helpful! I am so sorry the response you had from LLL was not helpful, though. Is it okay if I share this story with other Leaders? I think it could open some eyes! Teresa
So glad you found it helpful! Absolutely, share it far and wide, wherever you please :) I'd love for more people to learn abou this.
Thank you for this article. As a medical student, I know that I would never learn stuff like this (and I'm trans myself)! Bravo, truly, and may you have continued prosperity.
I can only hope I am merely ignorant on this matter, but wouldn't being a trans healthcare provider pose more barriers than searching for trans healthcare? I mean in terms of the sheer amount of ignorance you encounter.
Thank you so much for sharing this. I am a cis-woman who did the Newman/Goldfarb protocol so I could breastfeed my daughter who we adopted at birth. Like you I found the LLL to be completely useless. I attended one meeting, where the leader strongly discouraged me from attempting adoption lactation. She said she thought it would be upsetting to the baby's "real mother" for me to breastfeed and that I should save some money for psychotherapy bills for my daughter later in life because being breastfed by someone not her "real mother" would mess with her head. (for the record, I had discussed my plans to breastfeed with our daughter's birth mother and she was fully on board with the idea) Unfortunately due to lack of support I gave up after three days and switched to the bottle. I'm so happy for you and your wife that you both were able to successfully breastfeed your child. :-)
I am so sorry you had that experience. This is truly the worst thing I've ever heard LLL do. It would have been more of service to say nothing at all, rather than be insulting if there is no solid knowledge behind their words.
..."real mother"? I am incredibly sorry you were treated this way.
I hate to say it, but are you sure she was a leader?! I know many leaders who are very knowledgeable about inducing lactation and adoptive nursing.. It just doesn't sound like something coming out of the leader's mouth at a meeting!! May be it was just an active member or something?! It's just so odd!
I appreciate all of this very geeky level of detail. :D You are planning on writing a book eventually, right? You'd better!!
Aw, thanks!! I actually *have* written a book. It's just that my nerdy, geeky side is not letting me finish editing it for good. Sigh. I keep finding things to improve. I hope I'll be ready to put it out there some time next fall.
If you need a copy editor who's also a lactation professional, look me up! :D
The nice thing about writing a "text" book is that you can send out another addition later on as information changes. Having this book out now would be great. I am about to begin studying to be a lactation consultant and I am thankful to have read this article. A Trans Woman's lactation never would have occurred to me. I am excited to see the possibility take form!
Love love love this! I have insisted for years that this was possible, but most people just wrinkle their noses at the idea. Milk or no milk, the nursing relationship can be lovely and important, and no one need be excluded from it for arbitrary reasons.
Disgusting story about creepy people.
What you say to others shall be said about you :)
dont read it then and keep being and ignorant close minded fool.
A mother feeding her baby is disgusting and creepy?! How? Remember, women breastfeeding babies they didn't give birth to has been part of human culture since the dawn of our species and indeed is present in almost all mammals - we've just refined the process a bit.
This comment has been removed by a blog administrator.
because feeding human babies with cow's milk is "natural" but breastfeeding your own baby is creepy and disgusting? Some people is really stupid! Excellent interview!
But they're not women. They're sick men. So it IS creepy and disgusting.
This comment has been removed by the author.
Chicken Author....Can't stand reading the truth? Don't publish it and ask for responses.
says the commenter hiding behind internet anonymity. Why don't you publish your name and photo so we know what bigotry looks like? What a coward.
I have to remove TONS of spam. 99% spam.
This comment has been removed by a blog administrator.
I really enjoyed this article, thank you for writing it! It is too bad that LLL couldn't give you any support. I wanted to mention that LLL groups are made up of breastfeeding mothers in that particular neighbourhood, which makes each group unique. Possibly you would have found better support with a different group, so I hope that other mothers in your situation still reach out to LLL. The only way to make LLL better is for all breastfeeding mothers to become members - could you imagine the knowledge they would have then to share? Happy Mother's Day!
I agree. I'm sorry you didn't find what you are looking for, by LLL is a volunteer service. People give of their free time to help others. They are not paid lactation consultants. If you feel there isn't enough educated support for couples with you specific lactation needs you should def. start a group. It sounds like you have a great handle on the experience. The best teachers are those who have gone through it before themselves. There is no need to bash another group.
This comment has been removed by the author.
Reading this reminds me of how primitive humans still are. We have so much to figure out yet and to work through, that I feel all of us who have been born so far have been given the short end of the stick here. I envy those who will live when our society will be far more advanced than it will likely ever be in our lifetime. Hopefully, our society will get pas
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