Milk Farm: Lesbians, Lactation & Luxury

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Autumn Fiester, PhD is the director of education in the Department of Medical Ethics and Health Policy at the Perelman School of Medicine at the University of Pennsylvania in Philadelphia. and nurse as much as humanly possible during the first few weeks- that’s when you’re body is set up to establish your milk supply. However, the latter is illegal in some states due to concerns regarding crossing immune systems or the lack of a screening process for donors.

Experiences of stigma and discrimination, both in and outside of health care contexts, have led to both severe psychological pain and disparate health outcomes.Evidence-based revisions are made within 5 years or sooner if there are significant changes in the evidence. Plus: The plus sign represents the ever-growing list of terms people use to describe their sexual orientation or gender identity. Patients AMAB who have transitioned will likely already have a medication regimen including estrogen, progesterone, and an androgen blocker (often spironolactone) if they have not had a bilateral orchiectomy.

The viewpoints expressed on this site are those of the authors and do not necessarily reflect the views and policies of the AMA. It’s important to work closely with both an LGBTQ-informed endocrinologist and an IBCLC regarding which lactation induction method may work best for you, and success varies from woman to woman, depending largely on how completely developed a woman’s breasts are before she begins the process of inducing lactation. Consulting with members of LGBTQ+ advocacy communities in such areas, where possible, may be helpful to ensure that language is respectful and inclusive. Parental stress has neurodevelopmental consequences for their children, and any benefit of human milk must be weighed against this risk. If you nurse on demand, not supplementing with any formula at all…and continue to exclusively nurse until your milk supply is established (about 4 months before it’s established).For patients with low milk supply, a supplemental feeding tube attached to a bottle, syringe, or specific supplemental device with human milk or artificial human milk substitute (infant formula) may be applied to provide nutrition to the infant at the same time as stimulation and milk transfer from the parent.