Cleveland Clinic Doctors Will Soon Transplant Uteruses

Cleveland Clinic Doctors Will Soon Transplant Uteruses - Within the next few months, a group of Cleveland Clinic doctors will become the first in the United States to transplant a uterus into a woman who was born without it. The main aim of the research is to allow a woman who lacks one to become pregnant and give birth.

According to a New York Times report, the clinical trial will involve ten women who were born without uteruses. Although the transplant surgery holds great promise, it is still considered highly experimental. Recipients will face the risks of the procedure and the anti-rejection drugs that they need to take after the operation.

The uterus transplant will be temporary, and the uterus would be removed after the woman has had one to two babies. Removing the uterus is important after one or two successful pregnancies because it will allow the recipient to stop taking anti-rejection drugs. 

The same report confirmed that eight women in the United States have begun the screening process. One unnamed applicant, 26 years old, with two adopted children, has told the paper that she still wanted a chance to carry her own baby and give birth. She was sixteen years old when she found out that she had ovaries but no uterus.

In a press release published Thursday, the hospital revealed that the exact incidence of uterine factor infertility or UFI is unknown, but estimates say that it affects thousands of women of childbearing age worldwide. Some women have congenital UFI, or the uterus is absent at birth, while others acquire UFI after hysterectomy or because of damage from infections, or pelvic and abdominal surgery.

Uterus transplant, researchers say, offers these women “a ray of hope.”

Tommaso Falcone, MD, chair of the Ob/Gyn & Women’s Health Institute said women with UFI have few options, like surrogacy and adoption. But such options “pose logistical challenges and may not be acceptable due to personal, cultural or legal reasons,” he said. He also added that although surrogacy is an option in the United States, it can become legally complicated.

In other countries, he said, surrogacy is often highly restricted or banned outright.

The Cleveland Clinic confirmed the first two uterus transplants were unsuccessful, and organ rejection during the pregnancy of the recipient was a major factor.

In 2014, Swedish doctors transplanted uteruses into 9 women. Similar to applicants at The Cleveland Clinic, the women were born without a uterus or had it removed because of complications and cancer. Most of the participants are in their 30s.

The Cleveland Clinic said the University of Gothenberg team in Sweden has performed nine uterus transplants, and has achieved five pregnancies and four live births. Source: StGist
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