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  1. Ethical considerations for non‐procreative uterus transplantation.Ji-Young Lee - forthcoming - Bioethics.
    The growing demand for uterus transplantation (UTx) invites continued philosophical evaluation of the function of UTx (and what constitutes its ‘success’), as well as the recipient eligibility for UTx. Currently, UTx caters to partnered, cisgender women of childbearing age looking to get pregnant and give birth to a biogenetically related child. The medical justification for this—the treatment of uterine infertility—explains the primacy of this practice. However, this dominant conceptualization of UTx does not necessarily capture the diverse needs for which both (...)
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  • Who should provide the uterus? The ethics of live donor recruitment for uterus transplantation.J. Y. Lee - forthcoming - Journal of Medical Ethics.
    Uterus transplantation (UTx) is an experimental surgery likely to face the issue of organ shortage. In my article, I explore how this issue might be addressed by changing the prevailing practices around live uterus donor recruitment. Currently, women with children – often the mothers of recipients – tend to be overrepresented as donors. Yet, other potentially eligible groups who may have an interest in providing their uterus – such as transgender men, or cisgender women who do not wish to gestate (...)
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  • The Moral Superiority of Bioengineered Wombs and Ectogenesis for Absolute Uterine Factor Infertility.Evie Kendal & Julian J. Koplin - 2022 - Cambridge Quarterly of Healthcare Ethics 31 (1):73-82.
    This paper argues that uterine transplants are a potentially dangerous distraction from the development of alternative methods of providing reproductive options for women with absolute uterine factor infertility. We consider two alternatives in particular: the bioengineering of wombs using stem cells and ectogenesis. Whether biologically or mechanically engineered, these womb replacements could provide a way for women to have children, including genetically related offspring for those who would value this possibility. Most importantly, this alternative would avoid the challenge of sourcing (...)
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  • An Ethics-Informed, Comparative Analysis of Uterus Transplantation and Gestational Surrogacy for Uterine Factor Infertility in High-Income Countries.Jeffrey Kirby - 2021 - Journal of Bioethical Inquiry 18 (3):417-427.
    Interest in the future, clinical implementation of uterus transplantation for uterine factor infertility was recently boosted by the demonstration of proof-of-concept for deceased uterus donation/transplantation. The ethical dimensions of living and deceased uterus transplantation are explored and addressed in the paper through their comparison to the ethical elements of an existing, legal, assisted reproduction practice in some high-income countries, i.e., gestational surrogacy. A set of six ethics lenses is used in the comparative analysis: reproductive autonomy and rights, informed choice/consent, relevant (...)
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  • Framing the diagnosis and treatment of absolute uterine factor infertility: Insights from in-depth interviews with uterus transplant trial participants.Elliott G. Richards, Patricia K. Agatisa, Anne C. Davis, Rebecca Flyckt, Hilary Mabel, Tommaso Falcone, Andreas Tzakis & Ruth M. Farrell - 2019 - AJOB Empirical Bioethics 10 (1):23-35.
    Background: Despite procedural innovations and increasing numbers of uterus transplant attempts worldwide, the perspectives of uterus transplant (UTx) trial participants are lacking. Methods: We conducted a mixed-methods study with women with absolute uterine factor infertility (AUFI). Participants included women who had previously contacted the Cleveland Clinic regarding the Uterine Transplant Trial and met the initial eligibility criteria for participation. In-depth interviews were conducted in conjunction with FertiQoL, a validated and widely used tool to measure the impact of infertility on the (...)
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  • “Whole Again”: Why Are Penile Transplants Less Controversial Than Uterine?Megan Allyse - 2018 - American Journal of Bioethics 18 (7):34-35.
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  • Uterus Transplantation: The Ethics of Using Deceased Versus Living Donors.Bethany Bruno & Kavita Shah Arora - 2018 - American Journal of Bioethics 18 (7):6-15.
    Research teams have made considerable progress in treating absolute uterine factor infertility through uterus transplantation, though studies have differed on the choice of either deceased or living donors. While researchers continue to analyze the medical feasibility of both approaches, little attention has been paid to the ethics of using deceased versus living donors as well as the protections that must be in place for each. Both types of uterus donation also pose unique regulatory challenges, including how to allocate donated organs; (...)
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  • A Call for Empirical Research on Uterine Transplantation and Reproductive Autonomy.Cristie Cole Horsburgh - 2017 - Hastings Center Report 47 (s3):S46-S49.
    Uterine transplantation could give women who suffer from uterine factor infertility the possibility of experiencing gestation. Much of the ethical discussion about uterine transplantation has focused on whether research on it should even be pursued, but researchers are nevertheless moving forward with several uterine transplant research protocols. Scholars should therefore already be identifying and engaging in an intimate examination of the ethical realities of offering uterine transplantation in a clinical setting. Given the potential for the procedure to expand reproductive options (...)
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  • Uterustransplantation. Ethisch gerechtfertigt?Claudia Bozzaro, Franziska Krause & Melanie Weismann - 2019 - Ethik in der Medizin 31 (2):113-129.
    ZusammenfassungDie Uterustransplantation ermöglicht Frauen mit einer absoluten uterinen Infertilität eine Schwangerschaft mit biologisch eigenem Kind. Das neuartige experimentelle Verfahren wirft eine Reihe von ethischen Fragen auf. Ziel dieses Artikels ist es, relevante ethische Problemkonstellationen im Kontext der Uterustransplantation überblickshaft darzulegen und kritisch zu diskutieren. Als systematischer Rahmen der Darstellung dienen die vier Prinzipien der Medizinethik Autonomie, Nicht-Schaden, Wohltun und Gerechtigkeit nach Beauchamp und Childress. Nach eingehender ethischer Betrachtung plädieren die Autorinnen mit Blick auf die Akkumulation schwerwiegender ethischer Probleme für die (...)
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  • Allocating Uterus Transplants—Who Gets to Be a Gestational Mother?Alix Rogers - 2018 - American Journal of Bioethics 18 (7):38-39.
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  • Uterus Transplantation: Response to Open Peer Commentaries on the Ethics of Using Deceased Versus Living Donors.Bethany Bruno & Kavita Shah Arora - 2018 - American Journal of Bioethics 18 (9):6-8.
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  • Toward the Ethical Allocation of Uterine Transplants.Michelle J. Bayefsky & Benjamin E. Berkman - 2018 - American Journal of Bioethics 18 (7):16-17.
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