An Echelon Media Company
Sunday February 25th, 2024

Transgender women can breastfeed, first case study shows

AFP – The first scientific case study has been published describing how a US transgender woman was able to breastfeed her adopted infant by taking hormones that induce lactation.

But experts say more research is needed to determine if the milk is nutritious and safe for babies.

The report in the journal Transgender Health describes a 30-year-old transgender woman who was born male and had been taking feminizing hormone therapy for six years. She had not undergone any genital or breast surgeries.

She sought medical advice because her partner was pregnant but was not interested in breastfeeding "and she hoped to take on the role of being the primary food source for her infant," said the report, led by researchers at Mount Sinai Icahn School of Medicine in New York.

The patient followed a regimen previously shown to induce lactation in women, including increased estradiol and progesterone, and was told to use a breast pump for five minutes per breast three times a day.

She also obtained an anti-nausea drug called domperidone from Canada that is used off-label to boost milk production.

Domperidone is not approved in the United States, due to the US Food and Drug Administration’s concern that it may lead to cardiac arrest — and its unknown risks to breastfeeding infants.

"Three and a half months after she started the regimen, the baby was born," said the report.

"The patient breastfed exclusively for six weeks," then began to supplement feedings with formula due to "concerns about insufficient milk volume."

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

Experts say infants should be breastfed exclusively for the first year of life and longer if possible, due to the health benefits of mother’s milk which far exceed formula.

But it’s too early to say whether the transgender approach is safe and nutritious for infants, said Madeline Deutsch, clinical director of the University of California, San Francisco Center of Excellence for Transgender Health.

"I wouldn’t do it," said Deutsch, herself a transgender woman and parent to a six-month old baby who is breastfed by Deutsch’s wife, who was also the gestational carrier.

"The number one concern for me would be the nutritional quality," she told AFP.

Also, the hormones involved in inducing lactation can lead to mood swings and weight gain, which can be a deterrent for some people, she said.

A bit more research could easily shed light on the nutritional quality of the breast milk, and the safety of the hormones needed to produce it.

Besides, Deutsch said, efforts to coax transgender women to lactate have been going on informally within the transgender community for some time.

"I need to be honest with you, this has been happening for at least 10 to 15 years at least to my knowledge," she told AFP.

"This is just the first time somebody wrote it up."

As for whether fathers might one day decide to produce breast milk for their babies, Deutsch said that prospect seems far-fetched.

"I think it would be pretty unlikely that there would be too many men who are happy as men lining up to induce lactation," she said.

"Because the hormones involved would feminize the body significantly."

FILED UNDER:

Leave a Comment

Your email address will not be published. Required fields are marked *

Leave a Comment

Leave a Comment

Cancel reply

Your email address will not be published. Required fields are marked *

Sri Lanka could get US$500mn from ADB in 2024

ECONOMYNEXT – Sri Lanka could receive 500 million US dollars in support from the Asian Development Bank in 2024 based on the progress of policy reforms, Country Director of the Manila-based lender, Takafumi Kadono said.

The ADB expect to go to its Board around March or April with a 100 million US dollar power sector loan subject to the cabinet of ministers of approving a revised electricity reform bill.

A 100 million dollar loan to support SMEs could also be approved in the early part of the year. Sri Lanka is setting up a credit guarantee agency to support credit for small firms.

A 200 million dollar credit for financial sector was also slated for the year. The ADB gave the first tranche of the financial sector policy loan late last year.

A $100mn for the water sector could also be approved later in the year.

Sri Lanka could get around 200 to 300 million US dollars a year at the lowest rate, or concessional ordinary capital resources (COL) rate of 2 percent.

The balance of would come at the ordinary capital resource rate linked to SOFR.

The ADB has also started work on a ‘Country Partnership Strategy’ for Sri Lanka covering the 2024-2028 period, Kadodo said. (Colombo/Feb25/2024)

Continue Reading

Sri Lanka’s multi-aligned foreign policy based on friendship: Min

ECONOMYNEXT – Sri Lanka’s multi-aligned foreign policy is based on friendship to all and enmity to none, its Minister of Foreign Affairs has said.

“Non-alignment means not becoming a bystander. Non-alignment means you are not forced or coerced into a camp to take sovereign decisions… you make your own choices. Whether it is commercial, security, regional or otherwise,” M U M Ali Sabry said on X (twitter).

“I have repeatedly stressed that sovereignty is the right to have your own opinion on what’s right and wrong, and to stand by your principles. Our multi-aligned foreign policy is based on friendship to all and enmity to none,” Sabry was quoting from his speech at the Lakshman Kadirgamar Institute of International Relations and Strategic Studies (LKI) Foreign Policy Forum, on the theme ‘Reassessing Non-Alignment in a Polarised World’.

Sri Lanka is one of the founding members of the Non-Aligned Movement.

The strategically located island has been increasingly walking a fine line between opposing global factions as it seeks to come out of a financial crisis. (Colombo/Feb24/2024)

Continue Reading

Sri Lanka’s Commercial Bank Dec net down on tax provisions

ECONOMYNEXT – Sri Lanka’s Commercial Bank of Ceylon reported profits of 6.9 billion rupees from the December 2023 quarter down 21 percent, despite an improvement in net interest income and lower provisions, amid a change in tax provisions.

Pre-tax profits were 8.89 billion rupees up from 2.4 billion rupees. There was a 6.4 billion tax reversal last year compared to a 1.7 billion rupee tax charge this year.

Commercial Bank reported earnings of 5.26 rupees for the quarter. For the year to December 2023 earnings were 16.07 rupees per share on total profits of 21.1 billion rupees, down 11.3 percent.

Net fee and commission income was down 1.2 percent to 6.1 billion rupees.

Net interest income went up 16.8 percent to 25.5 billion rupees, with interest income rising marginally by 1.3 percent to 73.0 billion rupees and interest expense falling 5.45 percent to 47.5 billion rupees.

Loans and advances to customers grew 4.06 percent to 1.17 billion rupees in the year to December. Debt and other financial instruments fell 10.5 percent to 649 billion rupees.

Financial assets measured and fair value through other comprehensive income was at 287 billion rupees, up from 117 billion rupees.

Impairment charges were 13.1 billion rupees, down from 19.6 billion rupees last year.

Gross assets were up 6.45 percent to 2.36 billion rupees. Net assets were up 5.51 percent to 214 billion rupees. (Colombo/Feb24/2024)

Continue Reading