'Give Me Children or I'll Die!' Is it Time to Consider the Uterus as a Non- vital Organ Transplant?

摘要

Organ transplantation and assisted reproduction have inhabited separate ethical domains. Since they have evolved disparately, neither has found it necessary to overlap the other-either technically or ethically. That status quo is changing. Organ recipients are now biological parents. The journal Clinical Transplantation has been reporting pregnancy outcomes after solid organ transplantation. Included are parents and children sharing the burden of immune suppression.1 A portion of the organ recipient cohort was most likely assisted by reproductive technology, although this data is confidential. In this solitary context, minimal overlap has not been problematic. Informed titration of immune suppression has protected parent, transplanted organ, and child. The risks of organ rejection, cancer, or teratogenicity have not been untoward.