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A transgender woman has become the first in the world to exclusively breastfeed her baby despite not giving birth nor undergoing gender-reassignment surgeries.
The 30-year-old woman, who has not been identified, told doctors at Mt Sinai's Center for Transgender Medicine and Surgery that her partner was pregnant but did not wish to breastfeed, and she hoped to try instead.
Regulators also harbor unsubstantiated concerns that we do not know how it affects breast milk, though no studies have found reason for concern.
The medical team started the patient on 10mg a day of domperidone, as well as five minutes a day of breastfeeding. They upped the dosage to 20mg a day, while doubling her increasing her 'feminizing hormones' (micronized progesterone and estradiol), plus an extra breast pump per day.
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Uniquely, she hadn't had any gender reassignment surgeries like a breast augmentation or a vaginoplasty to construct a vagina or vulva, which can change a person's hormone levels and in theory affect the ability to breastfeed.