Decisions on second pregnancy after uterus transplantation and timing for removal of the uterus-DUETS (Dallas UtErus Transplant Study).

Abstract

Since the first live birth to a woman after uterus transplantation (UTx) was reported in 2014,1 the number of UTx procedures has increased and births have occurred in multiple centers worldwide.2 Despite the growth of UTx, it is a novel procedure, with most cases having been done under experimental protocols, and there remains much debate about the ethics of UTx. Centers have allowed recipients one or two pregnancies, limiting recipient-graft time (RGT), the time from UTx to hysterectomy, to 5 years. Few UTx recipients have delivered more than one baby to date.