Liver transplantation for pregnancy-related liver diseases, pregnancy and sexual function after liver transplantation: What do we know?

摘要

Orthotopic liver transplantation (OLT) has now reached the stage of an accepted procedure with 1-year survival exceeding 85% and excellent long-term quality of life. Young recipients are expecting to lead a full and normal life including the possibility of becoming pregnant and having a normal sexual life. Not much has been written on this topic, probably because, until not too long ago, OLT was followed by a number of negative events, which rendered such quality of life issues of minor importance. Additionally, sexual problems in either women and men following OLT may have been seen as a taboo by many.In this Eleventh forum, or the second with the new for-mat of a single article combining the opinion of different experts, Michael Heneghan, in collaboration with a number of experts, broadly covers issues related to pregnancy and sexual function in OLT patients. Dr. Markus Selzner from the University of Toronto, Canada, describes various liver conditions which may affect pregnancy including acute fatty liver of pregnancy (AFLP) and the haemolysis, elevated liver enzymes, low platelet count syndrome (HELLP).