Breastfeeding FAQ for Trans and Non-Binary Parents: Couple with baby

We’re answering your most commonly asked questions about breastfeeding for trans and non-binary parents

No matter your gender identity, we are here to support you in reaching your breastfeeding or chestfeeding—a term for those nursing without breasts—goals. To dispel common myths and misconceptions, we answered your most pressing questions about the trans and non-binary breastfeeding experience and shared some of our favorite resources. 

Can I breastfeed if I’ve never given birth? 

Yes! You do not need to have given birth to be able to breastfeed. Many parents who adopt or are in a same-sex relationship where they are a non-gestational parent can successfully induce lactation. Because parents who haven’t given birth do not have pregnancy hormones to stimulate their milk production, they often need more information and support to make breastfeeding a reality. This can be in the form of nursing supplementers, medication, breast stimulation with a breast pump or other device and through hormone treatments. La Leche League has a great resource on breastfeeding without giving birth

Can I breastfeed if I was assigned male at birth? 

Yes, you can. You don’t have to have ovaries or a uterus to breastfeed. The hormones responsible for milk production (prolactin) and milk ejection (oxytocin) are released from the pituitary gland at the base of both the male and female brain. Some trans women and non-binary parents have a full milk supply. We recommend connecting with your healthcare provider about the best path forward considering your body and health. You can read a case study of induced lactation in a trans woman here.

How do I induce lactation?

To induce lactation, you have to stimulate and drain the breasts. This stimulation and emptying can happen with breastfeeding, an electric breast pump or manual expression. Some parents choose to supplement these physical techniques with the use of galactogogues: medications, herbs and homeopathic remedies that support the production of breast milk. There are generic protocols available, such as the Newman-Goldfarb protocols, or you can work with an International Board Certified Lactation Consultant (IBCLC) to develop a customized protocol that aligns with your health history, circumstances and values. While the use of medications, herbs or homeopathic preparations is an individual choice, you should always consult your healthcare provider beforehand to make the healthiest choice for your body. Learn more about induced lactation here.

Why would a non-gestational parent choose to breastfeed?

Breastfeeding helps parent and baby form a secure attachment, which may be of special concern for non-gestational parents. Breast milk also provides a host of health benefits for both parent and child. A parent may also decide to breastfeed alongside their partner to share caregiving responsibilities. 

Will I produce enough milk through induced lactation?

Milk supply varies from person to person. Trans or non-binary parents might have reduced milk supply if their milk-making tissue has been surgically removed, their ducts have been damaged in surgery or testosterone has interfered with prolactin, the hormone necessary for lactation. However, some trans women who induce lactation provide nearly a full supply to their babies. If you’re concerned about milk supply or currently taking testosterone and you still want to have a nursing relationship with your child, you can use an at-chest supplementer. Also consider talking with a healthcare professional such as a lactation consultant to make sure your baby is getting enough milk. Through a full checkup and with knowledge of you and your family’s medical history, these nursing experts can answer questions specific to your breast milk production concerns. The Lactation Network is an awesome resource that connects breast/chestfeeding people with insurance-covered lactation consultations.

Is breast milk produced through induced lactation as nutritious as the breast milk of someone who has given birth? 

The composition of the milk produced by inducing lactation is comparable to the milk produced after birth. Milk produced through induced lactation rarely contains any artificial hormones, and when it does, these hormones are not at dangerous levels. The most common artificial hormones used to induce lactation are estrogen and progesterone, which are naturally present during pregnancy.

Can I share breastfeeding responsibilities with my partner? 

You sure can! This is called co-nursing.  If you think co-nursing might be right for your family, you should consult with your healthcare provider or a lactation professional. You can request an insurance-covered lactation consultation through the Lactation Network. 

Where can I find an inclusive, genderqueer breastfeeding community?  

We’re glad you asked—every parent needs a village. We recommend La Leche League’s Inducing Lactation & Relactation Facebook Group, Birthing and Breast or Chestfeeding Trans People and Allies and Queer Liquid Gold as inclusive support groups for those inducing lactation. 

As you may have already experienced, safe spaces for non-binary and trans chestfeeding people can be difficult to come by. If you find that any breastfeeding community feels exclusionary or unsafe for your family, you may want to consider creating the community you need. Reach out to your friends, medical providers, doulas, midwives or IBCLCs and ask if they know of non-binary and/or trans parents who might want to connect. Building the support network you need can be a major help on your parenting and breastfeeding or chestfeeding journey.

Ashland Breast Pumps proudly supports ways to make the breastfeeding experience easier on trans and non-binary parents. Are you ready to breastfeed or chestfeed? Get started on the journey by ordering a breast pump covered by insurance today.