37. Sexual Function and Fertility after Liver Transplantation

  1. Pierre-Alain Clavien MD, PhD3 and
  2. James F. Trotter MD4
  1. Andreas Geier MD1 and
  2. Beat Müllhaupt MD2

Published Online: 28 MAR 2012

DOI: 10.1002/9781444398441.ch37

Medical Care of the Liver Transplant Patient, 4th edition

Medical Care of the Liver Transplant Patient, 4th edition

How to Cite

Geier, A. and Müllhaupt, B. (2012) Sexual Function and Fertility after Liver Transplantation, in Medical Care of the Liver Transplant Patient, 4th edition (eds P.-A. Clavien and J. F. Trotter), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444398441.ch37

Editor Information

  1. 3

    Department of Surgery, Swiss HPB (Hepato-Pancreato-Biliary) and Transplantation Center, University Hospital Zürich Zürich, Switzerland

  2. 4

    Baylor University Medical Center, Dallas, TX, USA

Author Information

  1. 1

    Division of Gastroenterology and Hepatology, Swiss HPB (Hepato-Pancreato-Biliary) Center, University Hospital Zürich, Zürich, Switzerland

  2. 2

    Swiss HPB and Transplantation Centers, Division of Gastroenterology and Hepatology, University Hospital Zürich, Zürich, Switzerland

Publication History

  1. Published Online: 28 MAR 2012
  2. Published Print: 10 APR 2012

ISBN Information

Print ISBN: 9781444335910

Online ISBN: 9781444398441

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Keywords:

  • pregnancy;
  • sexual function;
  • contraception;
  • maternal complications;
  • fetal complications

Summary

Over the past 40 years, orthotopic liver transplant (OLT) has evolved from an experimental surgical procedure with a low likelihood of success to a universally accepted treatment of both acute liver failure and end-stage liver disease. The 1-year post-transplant survival rate is usually >85% and therefore most liver transplant recipients expect to achieve long-term survival in conjunction with a significantly improved quality of life.

For younger patients who have undergone successful OLT, the expectation today is to be able to have a near-normal life including the ability to have children, and enjoyment of normal sexual relations. This chapter discusses the issues pertaining to sexual health and function, contraception, and pregnancy in the OLT recipient.