After heart, eyes kidney, lungs the latest organ which can be transplanted is the uterus, and this organ might soon be included to the transplant programme of Cleveland Clinic in Abu Dhabi, according to Dr. Tomasso Falcano, who is the Professor and Director of Surgery at the Cleveland Clinic in Ohio.
In Arabian Health Forum in Dubai World Trade Center, Dr. Falcone gave explanations about the reasons of uterus transplants were achieving ground.
Dr. Falcone told, “Women who are born without a uterus or undergo a hysterectomy due to excessive postpartum bleeding or endometriosis, are left with three options of either staying childless, going in for adoption or using surrogacy. So, a transplant is a good option as they get to conceive the baby, unlike surrogacy where they have to rent a womb which is banned in many countries. ”
Dr. Falcone is hopeful that once the ethical matters are resolved, it will make easy the way of uterus transplants in the UAE, giving bray of hope to many women born without a uterus. Since 2014, at least a dozen children have taken birth from the transplanted womb of the women from live donors in the US, Sweden, and Serbia.
In December 2018, according to the report of the medical journal Lancet the birth of a child from a woman who had a cadaver uterus transplant is as natural as a normal woman.
Dr. Falcone told, “Cadaver uterus transplants are less successful than live donor transplants. That is because when older, post-menopausal women die, their uterus cannot be used for transplant as there is a requirement to administer estrogen to the donor for two months. The chances of younger women dying are slim and their uterus can be transplanted immediately. So, we prefer live donor transplants such as a mother or sister who may have experienced motherhood already. This individual has to be treated with estrogen for two months to make the uterus fit to be transplanted in younger women. This is not possible in the case of deceased donors. ”
Dr. Falcone also added that a uterus transplant is to as an ‘ephemeral transplant’ – ephemeral meaning something which does not long last – that is because the recipient has to take drugs which are immunosuppressant until she has the donor organ. The recipient can bear her children by conceiving and then can remove the uterus and can stop completely the anti-rejection drugs, which is not the case with any other organ where the patient has to take medicines through entire life.