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Presented in Partnership with Fertility and Sterility

Live from the 2023 Australian and New Zealand Society for Reproductive Endocrinology and Infertility Conference in Sydney, Australia

Journal Club Global: Absolute uterine infertility a Cornelian dilemma: uterine transplantation or surrogacy?

Live from the 2023 Australian and New Zealand Society for Reproductive Endocrinology and Infertility Conference in Sydney, Australia


Absolute uterine infertility presents as a Cornelian dilemma for patients and providers: which option out of a range of treatments, all with upsides and downsides, should be chosen?  Surrogacy versus uterine transplantation are two options, as well as adoption and childless living among others.  Uterine transplantation allows a patient to carry her own child and outcomes continue to improve, as surgical techniques and experience evolves.  However, the technique has all the incumbent risks of organ transplantation and requires future Cesarean delivery and removal of the uterus after childbearing is completed.  Surrogacy avoids these risks and allows a patient to still have a genetically related child, but the process is expensive and legally complicated, with laws varying from country to country. 

This Journal Club Global will discuss the article “Absolute uterine infertility a Cornelian dilema: uterine transplantation of surrogacy” recently published in Fertility and Sterility as the April 2023 Fertile Battle.

Questions and issues to be discussed include:
  • What are the most recent outcomes reported with uterine transplantation?
  • What are the pros and cons of uterine transplantation?
  • How do surrogacy laws impact surrogacy in various countries?
  • What are the pros and cons of surrogacy?


Panelists:

Jason Abbott, Ph.D.
Professor of OB-GYN at University of New South Wales, Sydney
Director of the GRACE Team

Phill McChesney, BHB, MBChB, MRMed, FRANZCOG
Fertility Subspecialist (CREI) and Laparoscopic Surgeon, Fertility Associates, Auckland, New Zealand
Deputy Chair and Incoming Chair of the RANZCOG CREI Committee

Rebecca Deans, Ph.D.
Gynaecologist at The Royal Hospital for Women
Fertility Specialist at the RHW Fertility Research Center

Shadi Khashaba, MBBch CABOG FRANZCOG
Fertility Specialist/Consultant
Sydney CBD, Alexandria, Kogarah, Miranda, Prince of Wales Hospital, Hurstville Hospital

 

Moderator

Eve Feinberg, M.D.
Associate Professor, Obstetrics and Gynecology
Northwestern University

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