Journal Club Global: Absolute uterine infertility a Cornelian dilemma: uterine transplantation or surrogacy?
Date: August 14, 2023
Author: Fertility and Sterility
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.