This is pretty interesting, in particular in relation to Freddie O’Connell. I thought it was worth quoting at length.
“Although her surgeon did not discuss breastfeeding, Elizabeth believed that if he had she would not have welcomed the conversation, “I don't think I would have been receptive, I would have felt insulted and I would have said it was triggering my gender dysphoria.” However, Elizabeth explains that this response would have been an avoidance tactic, “That wouldn't really have been true. It would have been because…maybe I did want children… but it's like this trump card, gender dysphoria, meaning you can't have any conversation.” That is, mention of gender dysphoria stops health professionals from further exploration. She explains, “I was conflicted about[possible future motherhood]… because part of me actually did want children. I was very confused about, could I be an OK mother? Or would I be a bad mother? And so to me, rather than having to deal with those questions, the easiest thing was to make it impossible… take the choice away.””
www.frontiersin.org/journals/global-womens-health/articles/10.3389/fgwh.2023.1073053/full