Tuesday, 23 August 2016

Publishers Weekly: Ultra Queer Book Review

I'm excited to report that Publishers Weekly reviewed my book, Where's the Mother: Stories from a Transgender Dad.

And, the reviewer appreciated the ways that I draw attention to varying degrees of privilege, including my own. It's a rad, queer review!

From Publishers Weekly: "MacDonald’s debut memoir tells a tale noticeably absent from the plethora of parenting and breastfeeding books available: that of a transgender man in a gay marriage to a cisgender man who was himself adopted, both desperately trying to feed their biological child nothing but human milk... MacDonald owns his identity, using his elevated platform to call attention to issues faced by transwomen and transmen, people of color, and those living in poverty. Most importantly, his story of transitioning is frank, clever, and easy to process, providing plenty of parallels to his later struggles with nursing for curious cis readers... a refreshing and insightful narrative."

Thursday, 16 June 2016

Parenting Through a Vigil for Orlando

As queer parents, my partner and I carefully discussed whether to attend our local vigil in Winnipeg, Canada for the LGBT people of colour who were victims in Orlando. I’m a gay, transgender man, married to a gay man, and we are privileged to be raising a five-year-old boy, Jacob, and a twenty-month-old girl, Emily. We needed to consider how to talk to our children about what happened, if the event would be safe for them, and if we could convince our kids to behave appropriately given the circumstances that were the reason for the vigil.
Our twenty-month-old toddler is going through painful teething and prefers my arms at all times, so leaving her with someone else during the vigil was not an option. The event started at 8:30pm, when our kids would usually be winding down for bed. But we wanted desperately to be there, to find our community and exchange hugs, and to show our support for the victims who were mostly young, LGBT, Latinx people.

My partner and I decided that we must get there. We talked to our five-year-old about what happened using simple but honest language. We emphasized that the violence occurred in another country, and that as white people living in Canada, we are lucky to have more privilege than those who were killed or injured in Orlando. It is important for us to stand up in support of our queer siblings of colour.

But as we said these things, we were also aware that other LGBT events could be targeted. A trans friend of mine who lives in Philadelphia told me that he and his partner decided not to risk taking their own young child to any pride events due to safety concerns. One parent or the other might go, but not both, and never their child. The calculations we make about personal safety and risks feel dramatically different now that we are parents.

At the vigil in Winnipeg, hundreds of queer people and allies gathered, surrounded by a heavy police presence as well as ambulances and fire trucks that lined the block. I felt deeply moved by the words of an officer who spoke on behalf of police to let us know that they and other first responders are here for our community, doing their best to keep us safe.
Simultaneously, I thought of trans friends I know who have experienced discrimination and violence at the hands of police. I’m not talking about decades ago at the Stonewall riots, but personal friends in Canada and in the US who continue to endure police brutality.

As politicians and community leaders spoke and lit candles, we struggled to find the right balance as parents at the event. A family sitting next to ours on the grass had brought ninja turtles for their children to play with. After a few minutes of trying to listen to the speeches whilst our children gazed with rapt attention at the other children’s sickeningly inappropriate gunplay, we moved elsewhere. My toddler needed to pee about half a dozen times, so I kept whisking her over to some nearby bushes and then returning to the crowd. She and her brother ran up and down a small hill, but didn’t make too much noise, and hopefully didn’t disturb others. At one point, a man with a walker came through and I hastily grabbed both children to prevent them from tripping him, while listening to a community organizer speaking out against Islamophobia.

After the main speeches were over and some balloons released to the sky, our kids were absolutely finished. It was 10 pm. A lawyer we hadn’t seen for years approached to greet us but we had to hurry away. During the car ride home, when all I wanted to do was reflect quietly, I sang cheerfully to our toddler who was constantly on the verge of screaming from exhaustion but could not seem to fall asleep.

After becoming parents we got busy and our priorities changed. We haven’t been to a gay bar in years. We connect to our queer community much more easily online than we do in person. Other queer parents we know posted to Facebook to say they were at the vigil in spirit but needed to stay home for bedtime. For any parent, often already tired from sleepless nights and working during the day, it takes a huge amount of energy to get kids out to an event like this one and address their many questions and various behaviors while paying one’s own respects. Add to this the daily stresses of being a trans or non-binary person and it can become overwhelming.

Yet, my partner and I are fearful of what our kids will face when they enter the public school system http://www.milkjunkies.net/2016/04/teaching-my-child-about-transphobia-our.html and broader society. Now more than ever, we feel motivated to do our best to be involved in our community and to promote tolerance and diversity. First, we must take care of ourselves and survive. And then when we can, for the sake of our own children and LGBT youth everywhere, we must attend the vigils, we must speak out, we must stand up for vulnerable people, we must lead by example, and change the world for the better.

Monday, 6 June 2016

Proud to be a New La Leche League Leader!

In 2014, La Leche League International changed its policy about the eligibility of Leader (volunteer) Applicants to be inclusive of all gender identities. As a result of the rule change, I was able to apply, and I went through La Leche League Canada’s (LLLC) thorough and fantastic training, becoming accredited as a Leader two weeks ago. I am grateful to the Leader who supported me and spent many hours answering my questions, and to the Leader at the Accreditation Department who guided me with patience and kindness and kept me on track.

LLL’s updated policy came in advance of federal legislation proposed by the Government of Canada to protect transgender Canadians from discrimination. This quote from a message sent by LLLC to its Leaders shows the confident position La Leche League has taken on this issue (reprinted here with permission):

 We recognize that any breastfeeding parent, regardless of whether they self-identify as a mother or father, should be - and is now - welcome to investigate LLL Leadership. There are other prerequisites that a potential Leader needs to satisfy, but being a woman isn't one of them.”

La Leche League is the world’s best breastfeeding peer support organization – this was the reason I wanted to become a Leader when I first asked about applying, and it is why I am so proud to join other Leaders in serving breastfeeding families. Leaders assist more than 20,000 families across Canada each year, using carefully compiled resources.

I feel I truly found my community when I found La Leche League. LLL is one place where I know I will be accepted with my breastfeeding toddler and where my nursing relationship with my child will always be valued. In fact, I believe I have felt more criticism around nursing an “older”* child in public than for nursing as a man. And that really speaks to why we still desperately need LLL, and why it was founded sixty years ago. We need to continue sharing information and resources around breastfeeding and the breastfeeding relationship with those who come in search of support in the context of a culture that continues to marginalize breastfeeding.

* “older” is in quotes, because we are talking here about anyone over the age of one. But let’s face it: two- and three-year-olds are simply not “older”!

Tuesday, 17 May 2016

Chestfeeding Research Published!

In this University of Ottawa study, funded by the Canadian Institutes of Health Research, I interviewed 22 transmasculine individuals.

Here’s a quick overview of what’s new and exciting about this paper:

1)     Discussion of pregnancy and chestfeeding after top surgery. Out of 22 participants, 9 had chest surgery before they became pregnant. They experienced different amounts of mammary growth during pregnancy. Some chose to chestfeed and others didn’t. This is the first paper to discuss experiences of chestfeeding after chest surgery!

2)     The paper includes the first academic reference to a transmasculine individual binding during the lactation period, and taking testosterone during the lactation period. As the paper states, the participant reported that his child had normal testosterone levels, i.e., it appears that the child was not exposed to any effects of testosterone through the milk. Also, the participant reported that there seemed to be no decrease in his milk supply. Binding and taking testosterone allowed the participant to chestfeed for longer because these actions helped mitigate his gender dysphoria.

3)     Zero of the participants’ surgeons discussed the potential for future chestfeeding before performing top surgery. Equally important, participants reported that they didn’t feel comfortable bringing the topic up, either. They cited their surgeons’ strong and obvious belief in the gender binary and the feeling that they needed to tell the right story in order to access chest surgery.

4)     Changes in secondary sex characteristics during pregnancy. References in the academic and medical literature state that a low-pitched voice and facial hair are permanent results of taking testosterone. However, in this paper, we report the experience of one participant who found that when he stopped taking testosterone and became pregnant, his facial hair literally fell out and his voice became higher in pitch. 

5)     Experiences of gender dysphoria. As you might expect, some study participants reported experiencing gender dysphoria when chestfeeding. Some of them stopped chestfeeding due to gender dysphoria. However, others did not gender the process of feeding their babies from their chests at all. Nine of 16 participants who initiated chestfeeding reported experiencing no gender dysphoria while chestfeeding. Three of them didn’t experience gender dysphoria during chestfeeding but they DID experience it after they weaned their babies. The usefulness of chestfeeding in terms of nutrition and bonding was cited frequently as a reason for doing it. 

6)     Unexpected and unwanted lactation. Several participants who had had chest surgery and chose not to chestfeed their babies experienced problems with milk coming in. One had early symptoms of mastitis. Both the participants and their health care providers were unprepared. 

7)     How gender dysphoria can be triggered by health professionals. We tend to think of gender dysphoria as something that a trans person experiences because of their body. In this study, we found dysphoria could be triggered, in a person who otherwise was not experiencing it, by the way they are treated by others. From the paper: “care providers and others are capable of causing gender dysphoria in a patient by misgendering them. Conversely, care providers can affirm a patient’s gender identity through appropriate language, respectful touch, and other intentional actions, and thus alleviate distress associated with gender dysphoria.” In other words, the act of chestfeeding itself might not cause gender dysphoria for a transgender guy, but a health care provider talking about putting baby to “mom’s breast” might do so. 

8)     Using donor milk. Seven of the 22 participants said they used or intended to use donor milk, and one donated milk to others. 

9)     The language. This study was trans led, and the language used throughout the paper is appropriate for our community. We didn’t say in this paper, “some trans men use this word chestfeeding” and then ourselves use breastfeeding or nursing after that when we wrote in our own words. We used chestfeeding throughout the paper, as THE word. Why? Some trans guys are okay with “breastfeeding,” but some are very triggered by it. We didn’t think any trans guys would be triggered by “chestfeeding,” so we decided to use that term throughout.

What a way to celebrate the International Day Against Homophobia, Transphobia and Biphobia!

With so much thanks to the study participants who made this possible, and my research team members Joy Noel-Weiss, Diana West, Michelle Walks, MaryLynne Biener, Alanna Kibbe, and Elizabeth Myler. Big thank you as well to Karleen Gribble for her detailed comments in the open peer review process!

Friday, 13 May 2016

Book Launch events!

"Where's the Mother? Stories from a Transgender Dad" is now available for preorder wherever books are sold. I'll be appearing at two launch events: one in Toronto and one in Winnipeg. I hope you and your friends can attend!

"Launch Event" Saturday June 4th at 11am:  Toronto Public Library
Yorkville 22 Yorkville Ave, Toronto, Ontario M4W 1L4

Trevor MacDonald reads from his book Where's the Mother: Stories from a Transgender Dad. Trevor founded the first online support group for transgender people interested in pregnancy, birth, and breast or chestfeeding. He shares his own parenting experiences on his blog,www.milkjunkies.net. Join us for a reading, Q&A, and signing session. This is a child friendly event so bring the whole family!

"An Afternoon With Trevor MacDonald" Sunday June 12 at 2pm: McNally Robinson Booksellers 1120 Grant Avenue, Winnipeg, Manitoba R3M 2A6

A book launch tour event with Trevor MacDonald, who will read from "Where's the Mother? Stories from a Transgender Dad". Trevor will be on hand for discussion and book signing afterwards.

Sunday, 24 April 2016

Teaching my child about the transphobia our family faces

Things were easier when my boy was a baby. If someone questioned my gender or asked where my baby’s mother was, my infant was unaware. Now, he just turned five years old, and he understands everything. He is perceptive. And he is due to go to kindergarten in September.

When it was simple: feed and hold the baby.
My partner and I have always been completely open with our kids about how they came into this world. They know that I carried them and gave birth to them, and they know I’m transgender and what that means. When I became pregnant with our second, we used CorySilverberg’s fantastic “What Makes a Baby” to explain conception, pregnancy, and birth. Silverberg’s book uses correct terminology like egg, sperm, uterus, and vagina but does not attach those terms to gender identities. Our son learned that to make a baby, you need an egg and sperm, and you need a place called a uterus for the baby to grow. Some people have eggs in their bodies, and some have sperm.

I transitioned before my kids were born. They are growing up knowing me as Trevor, their Dada. Since we live our lives this way every moment of every day, this is our normal.

So how do I explain to my kid that other people see our family as incredibly unusual (if not immoral)? How do I explain that it really isn’t a funny game to open the bathroom stall door at a crowded public market before I’ve got my pants up again after having a pee? How do I explain why people ask us over and over again where his mother is or where we got him from?

In “Like Me and You,” the renowned children’s entertainer Raffi sings that everyone is “the child of a mother and a father.” My partner and I frequently sang loudly over the lyrics, “the child of a Dada and a Papa!” One day, about a year ago, I pressed pause after that line, and said, “He’s forgetting some families, isn’t he?” My son nodded. We talked about our own family, and some of his friends who are raised by single mothers, or two moms. It was the beginning of an ongoing conversation.

We’re not religious, but we live in a conservative, rural area where most people attend church regularly. Last week, a lesbian mom made our local news because she asked her school board to lift its prohibition on classroom discussions of same-sex relationships and diverse family structures. She received some good public support and also a lot ofbacklash including a threat that she reported to police. 

Also last week, my son asked me what God is. Oh, the questions of a five-year-old! I tried to explain how different people have varying beliefs about God and evolution. And then I told him about the Bible. I told him that it says a “man shall not lie with a man.” I said that some religious people take that rule very seriously and others don’t. I also told him it says things like you shouldn’t wear clothing made from mixed materials, and that no one seems to pay attention to that particular rule.

I told my son that the law says it’s okay for two men to love each other and live together and have a family, even though some people don’t like that. I reminded him that we have family friends who believe in God, and that those friends also believe that the Bible tells them to love others and treat them kindly regardless of their gender identity. I reminded him that we have always been welcomed by that family. I did not tell him that the mom expressed to me how worried she is that attending school here could adversely affect her daughter’s current open acceptance of gender-diverse people like us.

My son heard me gasp aloud the other day when I saw a headline about the latest “bathroom bill” in the US. “What?” he asked. I said that some politicians passed a law that would require transgender men like me to use the women’s bathroom, and transgender women to use the men’s. His eyes widened and he said quickly, “But that’s in other countries, right?” Yes, I assured him.

It feels like a lot for age five. But don’t you dare tell me that I shouldn’t have had kids because I am transgender, because “look how hard it will be for them.” Instead, you can teach your kids that some families have two moms or two dads, and that some people transition. I don’t want to have to teach mine why certain families keep their distance from us, why we are treated by some like a curiosity, or why kids of LGBT parents are getting bullied at school.

If school kids aren’t proactively taught to respect diverse family structures equally, then I am left needing to teach my kids about the transphobia and homophobia that is directed at us. Calls to keep education about LGBTQ families limited to discussions within the home are in fact calls for LGBTQ families to teach their kids how to grapple with bullying and discrimination in schools without support from teachers or administrators. On the other hand, including classroom discussions about diverse family structures would remove some of that burden.

It sure feels much easier as a parent to explain love rather than hate in response to the endless ‘why’s that come from a young child.

Sunday, 17 April 2016

Questions Not to Ask a Pregnant Transgender Person*

* Or any pregnant person whose gender identity you are not absolutely 100% certain about, so really, ANY pregnant person.

I came out as a transgender guy and transitioned by changing my legal name, taking testosterone, and having top surgery. Friends and colleagues were generally awesome with that, and highly supportive. Virtually everyone I knew used male pronouns for me as I asked them to, and many made special efforts to help me feel accepted.

A few years later, I stopped taking testosterone and became pregnant, and my allies’ world was turned upside down. These are real questions that real people asked me. Let me explain why they are damaging, and what would be better. 

1.    Have you had surgery “down there”?

This one is a sign that somebody hasn’t thought things through, and I think it comes from the assumption that all transgender people want to transition “all the way.” Transition for a female-to-male individual must involve hysterectomy, right? Wrong! We transition in a variety of ways, to whatever degree makes us comfortable (or that we can afford). For some trans people, transition is not linear, either. You really don’t need to know whether your pregnant trans friend has had or desires any other kind of bottom surgery, such as clitoral release, urethral lengthening, or phalloplasty. Read about those procedures by Googling to your heart’s content.

2.    Are you going to keep the baby?

The person asking wants to know if the pregnancy was planned. Just like the rest of the population, some transgender people who become pregnant didn’t intend to have babies, but that’s not the case for all of us. The unpleasant implication behind the question is that a transgender person shouldn’t want to have (or shouldn’t have) a baby. A much better question would be “How are you feeling?” Your pregnant trans friend will disclose as much as they are comfortable with and might indicate how you can help.

3.    How do you know this is safe?

A lot of people assumed that because I had a beard and a low voice, I was still taking testosterone despite being pregnant. People asked me this as though I had never considered the issue before. To me, the question suggested that I was ignorant or didn’t care about my baby, or both. Even health care providers asked repeatedly if I was taking testosterone, seemingly not believing my answer.

Before trying to get pregnant, I talked to my endocrinologist (hormone doctor) and family doctor about any risks they could foresee. My endocrinologist advised me to stop taking testosterone and wait until my menstrual cycles became regular. He said that, in the form I was taking it, testosterone leaves the tissues quite quickly, typically within about ten days. He told me that my eggs should not be affected by my previous testosterone use. My family doctor just shrugged and reminded me to take folic acid!

If you have a transgender friend or acquaintance who is pregnant, you don’t need to ask this. If you’re a health care provider, knowing whether or not your patient is still taking testosterone is important. You also need to realize that for some of us at least, a beard doesn’t disappear when testosterone use is halted.

4.    Did you enjoy the process of making your baby?

This is just another way of asking a transgender person how they have sex. It’s weird and awkward. And for folks who don’t have simple access to sperm in their relationship, conceiving a baby might be separate from making love anyway.

5.    But what about breastfeeding?

I think breastfeeding is awesome, and I have been breastfeeding my kids for five years straight – but having a baby doesn’t hinge on it. I was asked about breastfeeding when I was pregnant, as if not being able to breastfeed should make me reconsider my pregnancy. The question itself put an immense amount of pressure on me. It turned out that I am able to make a small amount of milk despite having had chest surgery, and I deeply value my breastfeeding relationship with my child. However, lots of people, transgender or not, choose not to breastfeed, and that is their choice.

For friends and health care providers alike, a more open-ended question would be better, such as “how do you plan to feed your baby?” If you are lactating and interested in helping, you could ask if your transgender friend might wish to accept donated milk. 

6.    Do you know the baby’s gender?

During my pregnancies, people asked me this obsessively. I always thought to myself, do you know who you’re asking? Identifying a baby as male or female based on its genitalia has to do with its sex, not its gender. Furthermore, I never cared during my pregnancies about what my babies’ genitals might look like. I wondered if they would be healthy, happy, sleepy, curious, affectionate, serious, light-hearted, optimistic or any number of other characteristics before I thought about whether they had a penis or vulva. A better question to ask would be whether your friend has felt their baby move yet or heard the heartbeat – both are indescribably beautiful and intimate ways to connect with the being growing inside the belly.

Finally, I want to mention that a few friends have come out to me as transgender or genderqueer during or after their pregnancies. Friends, family, and health care providers interacting with a pregnant person might be unaware of that person’s gender identity. Be careful about the assumptions contained in your questions no matter who you’re talking to.