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Date Posted: 10:02:25 11/16/15 Mon
Author: Aelita
Subject: Uterus Transplants Soon To Be A Reality --- But
In reply to: Aelita 's message, "NY Times: Uterus Transplants Soon To Be A Reality" on 14:13:29 11/12/15 Thu

I suspect there is some cultural resistance that goes beyond the medical difficulties. We are going to have to educate them.


http://www.nytimes.com/2015/11/16/insider/will-uterine-transplants-make-male-pregnancy-possible.html


A reader writes, “The Times reported last week that surgeons at the Cleveland Clinic expect to become the first in the United States to transplant a uterus into a woman who lacks one, so that she can become pregnant and give birth. Is there any reason doctors could not implant a uterus in a man, so that he could become pregnant?”

Science writer Denise Grady responds:

Dr. Rebecca Flyckt, an obstetrician-gynecologist and expert in reproductive endocrinology, who is a member of the team that plans to perform a uterus transplant at the Cleveland Clinic, gave us an answer:

“Although theoretically this would be possible, it would be a huge surgical and endocrinologic undertaking and involve not just the creation of a vagina but also surgical reconstruction of the whole pelvis by someone skilled in transgender surgery. After this procedure and the grafting of a donor uterus, a complex hormone regimen would be required to support a pregnancy prior to and after embryo transfer (although this could be done, as we provide similar hormone regimens to menopausal women to support a pregnancy). The interesting thing is that these embryos would be created using the patient’s sperm (rather than eggs as in our protocol) and a partner or donor’s eggs. This sperm would have had to be frozen prior to their transgender surgery, which people are doing more routinely now.

I did anticipate that there would be interest in this application of uterine transplant from the Trans community; however, our protocol is limited at this time to women without a functioning uterus.”

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