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Experience of Induced Lactation in a Transgender Woman: Analysis of Human Milk and a Suggested Protocol.
Delgado, Daniela; Stellwagen, Lisa; McCune, Sydney; Sejane, Kristija; Bode, Lars.
Afiliación
  • Delgado D; Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California, USA.
  • Stellwagen L; University of California Health Milk Bank, San Diego, California, USA.
  • McCune S; Human Milk Institute (HMI), University of California, San Diego, La Jolla, California, USA.
  • Sejane K; Human Milk Institute (HMI), University of California, San Diego, La Jolla, California, USA.
  • Bode L; Larsson-Rosenquist Foundation Mother-Milk-Infant Center of Research Excellence (MOMI CORE), University of California, San Diego, La Jolla, California, USA.
Breastfeed Med ; 18(11): 888-893, 2023 11.
Article en En | MEDLINE | ID: mdl-37910800
Background: A growing number of diverse familial structures wish to colactate their infant. For transgender and gender diverse (TGD) individuals, chestfeeding or breastfeeding may be within their goals of parenthood. There is limited evidence on how to induce lactation for a nongestational parent on gender affirming estrogen treatment. Case Presentation: We report the case of a transgender woman who successfully underwent lactation induction following a protocol using the galactogue domperidone plus use of a breast pump. The patient had modifications to her hormone therapy with estrogen and progesterone while remaining on antiandrogen therapy with spironolactone. A description of the protocol, medications, laboratory monitoring, human milk analysis including macronutrients, oligosaccharides, and hormones is presented. Discussion: This is the fourth case to date known in the literature of a transgender woman with successful lactation induction, and the third case to remain on antiandrogen therapy during this process. Our report is the second to demonstrate comparable macronutrients, and the first to report on human milk oligosaccharides and hormones in induced milk compared with term human milk of a gestational parent. Conclusions: The opportunity to chestfeed or breastfeed an infant can be profound for many parents. Further research is needed to meet the needs of TGD individuals who wish to induce lactation as part of their parental goals.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Personas Transgénero / Leche Humana Límite: Female / Humans / Infant / Male Idioma: En Revista: Breastfeed Med Asunto de la revista: CIENCIAS DA NUTRICAO Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Personas Transgénero / Leche Humana Límite: Female / Humans / Infant / Male Idioma: En Revista: Breastfeed Med Asunto de la revista: CIENCIAS DA NUTRICAO Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos