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Thread: "Transgender Women 'Should Be Entitled to Womb Transplants' so They Can Have a Baby"

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    "Transgender Women 'Should Be Entitled to Womb Transplants' so They Can Have a Baby"

    A leading British surgeon has called for transgender women to be entitled to womb transplants so they can have their own babies.

    Late late year doctors in Brazil celebrated the birth of the world’s first baby born using a womb transplanted from a deceased donor to a woman.

    The healthy girl , weighing 5.6lbs, is a major breakthrough in fertility medicine.

    It comes just four years after the world’s first womb transplant baby from a live donor was born in Sweden in 2014.

    Surgeon Christopher Inglefield, founder of the London Transgender Clinic , says a successful uterus implant into a trans-female is achievable today.

    He says the procedure ‘essentially identical’ to that of ‘cis-women’ - aka females born in that gender.

    Mr Inglefield, a specialist in gender confirmation surgery as well as facial and body feminisation, said: “This pioneering birth is extremely important for any trans female who would like to carry her own child.

    “Because once the medical community accept this as a treatment for cis-women with uterine infertility, such as congenital absence of a womb, then it would be illegal to deny a trans-female who has completed her transition.

    "There are clearly anatomical boundaries when it comes to trans women but these are problems that I believe can be surmounted and the transplant into a trans-female is essentially identical to that of a cis-female.”

    The Human Fertilisation and Embryology Authority (HFEA) confirm there are no regulations in place to prevent a trans woman who has received a uterus transplant from having IVF treatment.

    And Mr Inglefield describes how a transplant would work.

    He explained: "The most important step is the harvesting from the donor as great care is required to avoid damage to the arteries and veins supplying the uterus.

    "The actual “plumbing in” is straight forward.

    "The donor vessels are connected to the pelvic artery and veins which are the same in both males and females.

    "With a uterus transplant in a trans-female, the neovaginal would be opened at the pelvic end to accept the donor womb.

    "And the same procedure is used in a cis-female transplant with the donor uterus being attached to the native vagina.

    “Trans females have a much narrower pelvis than cis-women of the same height, but there would still be room for them to carry a child.

    “Supplemental hormones could be taken to replicate the changes that occur in the body when a woman is pregnant.

    “Meanwhile it’s highly unlikely that a trans female would give birth naturally, but would be delivered via Caesarian section in order to safeguard the child.”

    Other experts have also endorsed Mr Inglefield’s claims.

    In November last year, Dr Richard Paulson, former president of the American Society for Reproductive Medicine, said there was no anatomical reason why a womb could not be successfully implanted into a transgender woman.

    He added: "You could do it tomorrow. There would be additional challenges, but I don’t see any obvious problem that would preclude it.

    "I personally suspect there are going to be trans women who are going to want to have a uterus and will likely get the transplant.”

    Womb transplant surgery is being seen as a major cause for hope for those who suffer from Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome.

    This is when a woman fails to develop a proper uterus and vagina yet has normal ovarian functions and normal external genitalia.

    Women who have MRKH will still go on to develop breasts and pubic hair, but they will not have a menstrual cycle.

    The syndrome is thought to affect around 1 in every 4,500 women.

    But Mr Inglefield, who appeared in ITV's fly-on-the wall documentary Transformation Street, says the demand among trans women could be far greater.

    He added: “According to some estimates, the prevalence of transgender females in the UK could be as high as 1,000 per 100,000 persons, around 1 per cent of the population.

    “Just looking at the potential number of trans females who might seek uterine transplantation surgery and it’s abundantly clear it could become a vital medical service.

    “As it stands, trans women face a tricky pathway to motherhood, which is often achieved through surrogacy, adoption or fostering.

    “But those pathways are not without their own pitfalls and many would-be mothers simply long to ‘carry’ their child, to be pregnant in the very real sense.

    “As womb transplant surgery is further improved and perfected, it’s vital trans women are not excluded from the conversation, at it could immeasurably improve a great many lives.”

    The Gender Recognition Act 2004 says that a trans female can apply for a Gender Recognition Certificate if they wish for their acquired gender to be legally recognised in the UK.

    Applicants must go before a panel, documenting any treatments they’ve had to change their sexual characteristics, such as hormone treatment or surgery.

    They must have lived in their acquired gender for at least two years if single, or six years if married or in a civil partnership.

    A spokesperson for the HFEA said: "I can confirm that to our knowledge there are currently no regulations in place which would prevent a person who has received a uterus transplant from having IVF treatment.

    "The law, as it currently stands, does not require the person who is carrying a child to have obtained a GRC stating that they are female before having their fertility treatment.

    And as stated in the Act the person who carries or has carried a child as a result of an embryo transfer, or artificial insemination, is considered as the mother of the child at birth."

    The new test case, which has made headlines across the world, saw a 32-year-old woman born without a uterus given one taken from a 45-year-old donor who died from a brain haemorrhage.

    The donor womb was implanted in a 10 hour surgery, which saw veins, arteries, ligaments and vaginal canals being connected.

    And she then received fertilised eggs produced by IVF.

    The birth took place in December 2017, but has only now been reported in journal The Lancet.

    There have been 39 womb transplants across the world and of these, 11 babies born.

    Until the Brazil transplant the surgery had failed 10 times.

    The womb donor was a mum-of-three, who was in her mid-40s and died from bleeding on the brain.

    Just six weeks after the surgery, the woman who received the womb started having periods.

    Then, seven months later the eggs, which had been fertilised via IVF, were implanted in her womb.

    Her baby was born by caesarean secion on December 15, 2017, and weighed 6lb.

    Dr Dani Ejzenbery, from Hospital das Clicas in Sao Paulo, where the surgery was carried out, said: "The first uterus transplants from live donors were a medical milestone, creating the possibilty of childbirth for many infertile women with access to suitable donors and the needed medical facilities.

    "However, the need for a live donor is a major limitation as donors are rare, typically being willing and eligible family members or close friends."

    Imprial College London's Dr Srdjan Saso described the surgery as "extremely exciting".

    The government equalities office estimates there are between 200,000 to 500,000 trans people in the UK.
    Source: Daily Mirror
    “Individuals trapped in a dying culture live in a twilight world. They embrace death through infertility, concupiscence, and war. A dog will crawl into a hole to die. The members of sick cultures do not do anything quite so dramatic, but they cease to have children, dull their senses with alcohol and drugs, become despondent, and too frequently do away with themselves. Or they make war on the perceived source of their humiliation.”
    — David P. Goldman, as quoted by Jack Donovan in The Way of Men.

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    Medical ethics lawyer Dr. Amel Alghrani thinks womb transplants for transgender women should be funded by the NHS. This is yet another case of children are being treated as commodities or products by a consumer culture. Children are gifts and the fruit of human love, not possessions or things owed.
    “She could never be a saint, but she thought she could be a martyr if they killed her quick.”
    ― Flannery O'Connor

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