Trans Identified Male Breastfeeding and 46XY CAIS
These protocols came from somewhere.
As many of you no-doubt recall, as is the reason I am on Substack now, I was canceled in 2022 for suggesting that people with the DSD 46XY CAIS, formerly known as testicular feminization syndrome are men, if we have agreed they are adult male humans, regardless of how they look or feel about this reality. There is no medical reason 46XX with complete androgen insensitivity cannot exist, but they would not have testicular feminization syndrome and would have (likely infertile) ovaries along with Mullerian structures (absent in CAIS unless there is a second DSD present). I understand many disagree, and I am not trying to relitigate it. Ironically, I find myself calling attention to the fact that stigmatizing this care will impact them, because the protocols being used by trans identifying men to induce lactation to breastfeed a mother’s child, were pioneered for a similar purpose of enabling 46XY CAIS patients to experience breastfeeding children they are not the genetic parent of.
The reason they need this protocol is that testicles do not produce the correct hormones in the correct complex rhythm over many years starting in infancy to grow fully functional breast tissue. The aromatized testosterone, now estrogen, does stimulate some forms of breast growth, resulting in breasts which can even be triggered to lactate slightly (much like other males who take estrogen). However, the lack of progesterone cycling impacts their ability to produce milk at adequate volume and consistency for a growing infant. The protocols being used in trans identifying men were developed to address this aspect of CAIS.
So my warning to all is that before you go condemning this protocol - especially if you’re a name-brand GC who does not want to step on the same third rail that I did - make sure you are comfortable with the implication that they should perhaps not being doing this in any males, simply for the purpose of emotional validation and “bonding,” at the possible expense of an innocent newborn’s nutritional adequacy, before you go full attack mode on this protocol. For the record, that’s still my take. Babies come first. That means adult validation comes second. And if you believe that this intervention and level of success (a small amount of milk for a very short time) is acceptable for one group of 46XYs and not the other, despite a similar reported outcome, please be prepared to show your work.
#ItsAFetish
Sorry to disappoint but I‘m not a supporter of „make any desired experience accessible to everyone.“ We are talking about babies here! A baby, having no choice, relying on parents to make responsible decisions for that fully dependent little one. If we start to focus on the parents‘ desire as priority, I‘m generally not in! Some conditions come with consequences and yes, that is tough in some cases. The individual problem is not solved by pretending that there is no problem bc the individual can be treeted to seem genetically normal for a while bc they look like any other woman in the mentioned case. What about the baby?!? Maybe a baby that isn‘t genetically the mother‘s just shouldn‘t be breastfed by that non biological mother. I‘m not supporting the surrogate „model“ either. If the wish to have a child is so huge although the man/woman can‘t produce a child, there‘s a way through adoption of one of the many children in orphanages in the own country.
I think to make everything possible for couples who want to have children by pretending „natural family“ can be dangerous because the focus is on thr adults only or mainly! We should stop pretending that everything we want is possible. It‘s the usual human arrogance and ignorance of nature which should give us a moment to think about when we are about to rush into anything we so madly wished to be true but is not…