Korean J Transplant.  2020 Jun;34(2):78-83. 10.4285/kjt.2020.34.2.78.

Ethical issues in uterine transplantation

Affiliations
  • 1Melbourne Law School, University of Melbourne, Parkville, Australia
  • 2Biomedical Ethics Research Group, Murdoch Children’s Research Institute, Parkville, Australia
  • 3Deakin School of Medicine and Alfred Deakin Institute, Deakin University, Melbourne, Australia

Abstract

Despite a recent surge of bioethical attention, ethical analysis of uterine transplantation is still in its early stages, and many of the key ethical issues remain underexamined and unresolved. In this paper, we briefly review some key ethical issues associated with uterine transplantation (beyond those associated with organ transplantation more generally). We structure our discussion in terms of Beauchamp and Childress’ four principles of biomedical ethics: beneficence, non-maleficence, autonomy, and justice. Our review highlights some ethical questions that require further bioethical attention before uterine transplantation can be fully embraced as a potential treatment for absolute uterine factor infertility. We close by arguing that the costs and benefits of uterine transplantation need to be considered in the context of other possible treatments for absolute uterine factor infertility and alternative methods of family creation.

Keyword

Organ transplantation; Medical ethics; Pregnancy; Infertility; Bioethics; Allocation

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