Conflict of interest statement: No conflicts declared
THE ETHICS OF UTERUS TRANSPLANTATION
Version of Record online: 4 JUL 2011
© 2011 Blackwell Publishing Ltd.
Volume 27, Issue 2, pages 65–73, February 2013
How to Cite
CATSANOS, R., ROGERS, W. and LOTZ, M. (2013), THE ETHICS OF UTERUS TRANSPLANTATION. Bioethics, 27: 65–73. doi: 10.1111/j.1467-8519.2011.01897.x
- Issue online: 10 JAN 2013
- Version of Record online: 4 JUL 2011
- uterus transplant;
- transplant ethics;
- innovative surgery;
- reproductive ethics;
- reproductive autonomy;
- having children
Human uterus transplantation (UTx) is currently under investigation as a treatment for uterine infertility. Without a uterus transplant, the options available to women with uterine infertility are adoption or surrogacy; only the latter has the potential for a genetically related child. UTx will offer recipients the chance of having their own pregnancy. This procedure occurs at the intersection of two ethically contentious areas: assisted reproductive technologies (ART) and organ transplantation. In relation to organ transplantation, UTx lies with composite tissue transplants such as face and limb grafts, and shares some of the ethical concerns raised by these non-life saving procedures. In relation to ART, UTx represents one more avenue by which a woman may seek to meet her reproductive goals, and as with other ART procedures, raises questions about the limits of reproductive autonomy. This paper explores the ethical issues raised by UTx with a focus on the potential gap between women's desires and aspirations about pregnancy and the likely functional outcomes of successful UTx.