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Tissue Transplantation01:24

Tissue Transplantation

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Tissue transplantation is a significant medical procedure involving the transfer of cells, tissues, or organs from a donor to a recipient, with the primary aim of restoring lost functions. This procedure is crucial in treating a broad spectrum of diseases, including kidney diseases, liver failure, heart disease, and certain types of cancers.
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
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Ethical considerations for non-procreative uterus transplantation.

J Y Lee1

  • 1Department of Public Health, University of Copenhagen, København, Denmark.

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Uterus transplantation (UTx) is currently for uterine infertility in cisgender women. This paper argues for including non-procreative reasons, like gender identity, for UTx eligibility.

Keywords:
UTxassisted reproductive technologiesorgan transplantationprocreationreproductive ethicsuterus transplantation

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Area of Science:

  • Medical Ethics
  • Reproductive Medicine
  • Transgender Health

Background:

  • Uterus transplantation (UTx) is increasingly sought after, prompting ethical discussions on its definition of success and recipient eligibility.
  • Current UTx practices primarily serve cisgender women of childbearing age with uterine infertility, aiming for pregnancy and a biogenetically related child.
  • This focus on procreation overlooks diverse motivations for UTx, including those related to bodily integrity and gender identity for both cisgender and transgender women.

Purpose of the Study:

  • To critically evaluate the current criteria for uterus transplantation (UTx) eligibility.
  • To explore the philosophical implications of UTx beyond its procreative applications.
  • To advocate for the inclusion of non-procreative motivations in UTx considerations.

Main Methods:

  • Philosophical analysis of existing UTx practices and justifications.
  • Examination of ethical frameworks concerning non-discrimination and bodily autonomy.
  • Review of potential applications of UTx for diverse patient populations.

Main Results:

  • The dominant medical justification for UTx (treating uterine infertility) is insufficient to encompass all valid reasons for seeking the procedure.
  • Non-procreative motivations, such as affirming gender identity and restoring bodily integrity, represent significant and valid reasons for uterus acquisition.
  • Current eligibility criteria may perpetuate discrimination by excluding individuals with non-procreative goals.

Conclusions:

  • Uterus transplantation (UTx) should be considered for individuals with non-procreative motivations, including transgender women seeking to align their bodies with their gender identity.
  • Expanding eligibility criteria promotes non-discrimination and ethical consistency in reproductive medicine.
  • Further dialogue is needed to redefine the scope and success of UTx to be more inclusive.