John Libbey Eurotext

Médecine de la Reproduction


Ethical aspects of uterine transplantation Volume 15, issue 2, Avril-Mai-Juin 2013


The desire to experience pregnancy, involvement of gender roles in individual's identity, social pressure on procreation are difficult arguments to consider against the risks ran by the recipient, the donor and the future child of a human uterine transplantation (UT). Thereby, is raised an ethical debate about the justification of this non vital organ transplant, at the intersection of two medical areas : assisted reproductive and transplant technologies. The principles of non maleficence, beneficence, autonomy, justice as well as the evaluation between risks and benefits have been extensively discussed these last ten years, when considering this new possibility to restore the damaged physiological function of women with an absolute uterine factor infertility. After a long scientific, technical and ethical progress, some well-known researchers in animal UT and their institutions seem to consider that UT might be brought to reality for patients, provided that defined criteria for any surgical innovation and accepted bioethical principles are satisfied. We will review the ethical aspects of human UT, while waiting the results of the new attempts recently performed in the world.