Uterine Transplant: A Risk to Life or a Chance for Life?
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Being inherently different from any other lifesaving organ transplant, uterine transplantation does not aim at saving lives but supporting the possibility to generate life. Unlike the kidneys or the liver, the uterus is not specifically a vital organ. Given the non-lifesaving nature of this procedure, questions have been raised about its feasibility. The ethical dilemma revolves around whether it is worth placing two lives at risk related to surgery and immunosuppression, amongst others, to enable a woman with absolute uterine factor infertility to experience the presence of an organ enabling childbirth. In the year 2000, the first uterine transplantation, albeit unsuccessful, was performed in Saudi Arabia from where it has spread to the rest of the world including Sweden, the United States and now recently India. The procedure is, however, still in the preclinical stages and several ethical, legal, social and religious concerns are yet to be addressed before it can be integrated into the clinical setting as standard of care for women with absolute uterine factor infertility.
KeywordsHuman organ transplantation Uterine transplant Human organ donation laws Ethical and legal aspects
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no competing interests
- Arora, M. (2017). Mom donates womb to daughter in India’s first uterus transplant. CNN News. http://edition.cnn.com/2017/05/19/health/india-uterus-womb-transplant/index.html. Accessed 29 August 2017.
- Brannstrom, M. (2015). Uterus transplantation. Current opinion in organ transplantation, 20, 621–628.Google Scholar
- GBD 2015 Healthcare Access and Quality Collaborators. (2017). Healthcare access and quality index based on mortality from causes amenable to personal health care in 195 countries and territories, 1990–2015: A novel analysis from the global burden of disease study 2015. Lancet, 390, 231–266.CrossRefGoogle Scholar
- Joshi, Y., & Pandit, S. (2017). 21-year-old Pune woman gets mother’s womb in India’s first uterus transplant. Hindustan Times. http://www.hindustantimes.com/mumbai-news/21-year-old-pune-woman-gets-mother-s-womb-in-india-s-first-uterus-transplant/story-4jIBAKjxtx89So9VFdDEBJ.html. Accessed 29 August 2017.
- Wranning, C. A., El-Akouri, R. R., Lundmark, C., Dahm-Kahler, P., Molne, J., Enskog, A., et al. (2006). Auto-transplantation of the uterus in the domestic pig (Sus scrofa): Surgical technique and early reperfusion events. Journal of Obstetrics and Gynaecology Research, 32, 358–367.CrossRefGoogle Scholar