In first, transgender woman able to breastfeed


Deutsch has a child of her own and empathizes with transgender parents, but says that inducing lactation is "not something I would do". Earlier last year, a 21-year-old man became the first in Britain to give birth.

For little over three months before the child's birth, the woman was given a dose of hormone replacement therapy obtained from Canada.

This, combined with her dosage of hormones estradiol and micronised progesterone and her use of a breast pump, enabled her to lactate. Within a month, the patient was producing droplets of milk and by the time the baby was born, production was 8 ounces per day. "The human body is incredibly adaptable and milk production is a very robust system".

Though so many mothers want to breastfeed their little ones, many face challenges doing so initially, for an ongoing period of time, or altogether. Despite not going through any gender-affirming surgeries such as breast augmentation or vaginoplasty, Reisman and Goldstein were able to help their patient achieve lactation using "off-label" drugs - those which are developed for reasons other than their use.

The woman, who is unnamed, was able to feed her baby breastmilk for six weeks, after undergoing hormone treatment. However, the patient was forced to smuggle the drug from Canada because Domperidone is now banned in the United States due to the FDA's concerns about cardiac arrhythmias, cardiac arrest, and sudden death. Wanting to ramp things up a little more, Reisman and Goldstein increased both her hormones and her domperidone intake.

Another question arises: Did the induced milk have the same nutritional and immunologic properties as the milk that would have come from a pregnant woman? Domperidone has been illegal in the US since 2004 when the US Food and Drug Administration issued a health warning on the drug.

The baby was born three and a half months into the transgender woman's treatment. The patient breastfed exclusively for 6 weeks.

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The baby's growth and feeding habits were all normal, said the report.

As a result she was eventually producing 227 grams of breast milk a day. She continued breastfeeding along with formula feeds.

Doctors said the case shows "modest but functional lactation can be induced in transgender women", The Guardian newspaper in the United Kingdom reported.

She was prescribed a drug called domperidone, which she took three times daily.

The transgender woman was able to develop fully grown breasts.

The child, who was six-months-old at the time of the study's publication, is now being breastfed by the transgender woman.