Uterus transplantation: does procreative liberty encompass a right to gestate?
نویسنده
چکیده
The latest innovation in the arena of assisted reproductive technologies is uterine transplantation (UTx), described as ‘a new type of quality of life enhancing, as well as a lifegiving transplantation’.2 The world’s first live birth of a child after uterus transplant occurred using a female living donor and recipient in Sweden in 2013.3 The primary purpose of UTx is to restore fertility in female patients with uterus factor infertility (UFI), which it is claimed affects approximately 1.5 million women worldwide.4 In his insightful paper, ‘Other women’s wombs: uterus transplants and gestational surrogacy’,5 Robertson notes the ‘important ethical and legal concerns’6 this advance raises and examines some of the ‘medical, ethical, legal, and policy issues that arise’.7 The focus of the paper is onUTx inwomen to restore fertility. ComparingUTx and gestational surrogacy, Robertson argues ‘if UTx becomes safe and effective, the case for offering UTx to all womenwith UFI is strong’.8 One key question that remains unclear is whether procreative liberty encompasses a right to ‘gestate’, and controversially, if there is such a right, whether it is restricted to women suffering fromUFI. Whilst Robertson
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Background: Uterine factor infertility (UFI) refers to the refractory causes of female infertility stemming from the anatomical or physiological inability of a uterus to sustain gestation. Today, uterine factor infertility affects 3-5% of the population. Traditionally, although surrogacy and adoption have been the only viable options for females affected by this condition, the uterine transplan...
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Developments in uterus transplant put assisted gestation within meaningful range of clinical success for women with uterine infertility who want to gestate children. Should this kind of transplantation prove routine and effective for those women, would there be any morally significant reason why men or transgender women should not be eligible for the same opportunity for gestation? Getting to t...
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