Tuesday, 19 Feb 2019

First in the world, a transgender woman is able to breastfeed until six weeks


Transgender womanTransgender woman - A transgender woman has become the first person in the world to gives exclusively breastfeed her baby, despite not giving birth. The 30-year-old woman, who has not been identified, told to the doctor at the Mt Sinai Transgender Treatment and Transformation Center that her partner is pregnant but does not want to breastfeed, and she hopes she can try it. For three and a half months before birth, the transgender woman was given a dose of hormone replacement therapy obtained from Canada, as well as breast pumping, until she could produce eight ounces of milk for every day.


And when the child is born, the woman can to producing enough milk to be able to exclusively breastfeed for six weeks, then continue breastfeeding with other food sources for six months. Uniquely, she does not perform surgeries such as breast enlargement or vaginoplasty to make the vagina or vulva, which can alter a person's hormone levels and in theory affect the ability of breastfeeding. The study that published in the journal Transgender Health is the clearest evidence that DIY hormone therapy can allow transgender women to experience childbirth and pregnancy.


"We believe, this is the first formal report in the medical literature on induced lactation in transgender women," the authors say.

As quoted by the Daily Mail Online, the transgender patient doctor named Tamar Reisman, MD, said: "We are glad to share our experience with patients, and we are happy to help our patients to build a healthy and happy transgender family."

Patient, who are in good health without medical problems, have started hormone regimens independently since 2011. She uses a testosterone supresor called spironolactone, an estradiol that is almost identical to hormones produced by the ovaries, and micronized progesterone. When the transgender woman came, she told Dr. Reisman and the program manager Zil Goldstein that she had obtained domperidone from Canada.


Domperidone is a drug commonly used worldwide for gastric procedures and to induce lactation, but is not approved by the FDA because it is often used by Americans in 'DIY hormone therapy'.


Dr Reisman said that FDA's reluctance to approve domperidone is partly related to reports of patients who intravenally injected intravenous drugs, because would be make a risk for heart problem. The medical team provided the patient with a dose of 10 mg per day of domperidone, as well as five minutes a day for breastfeeding.

Within a month, she produced a few drops of water.

They then raised the dose until 20mg a day, and increased the feminization hormone (micromized progesterone and estradiol), plus an extra breast pump per day. A month later, they increased their dose of progesterone and estradiol once again.


In the third month, two weeks before the baby's birth, she produces eight ounces of milk every day, and is able to lower her dose of progesterone and estradiol. The baby born weighing around £ 13 oz are then exclusively breastfed for six weeks and doctors report that the child is healthy and growing at the same rate as other infants.


Dr Reisman says that maybe the mother can produce breast milk with her own breast pump, and that domperidone is just a complement. For now, Dr Reisman says he is happy to have achieved a breakthrough with his patient.


"We know that breastfeeding has many benefits," he said, referring to a number of study showing a baby get breastfed for six months is tend more healthy and have better digestive immunity.



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