Getting a man pregnant is the goal of Indian doctor Narendra Kaushik, a surgeon who runs a gender reassignment clinic in New Delhi, who will try to transplant a uterus into a male who has transitioned to the female gender and now he wants to conceive a child.

The highly risky procedure aims to implant the matrix of a deceased donor or a patient who has undergone a hysterectomy in a gender transition process into a male body. In addition, it would require the use of in vitro fertilization to conceive the baby.

According to the president of the American Society for Reproductive Medicine, Dr. Richard Paulson in 2017, there is no anatomical reason in the man’s body that prevents uterine transplantation: “I don’t see any obvious problem that would preclude it. I think it would be possible. One problem doctors face is that the male pelvis would not allow a baby to pass through it because it is too narrow, so a man would have to give birth by caesarean section.” He also stated that it was possible that hormones should be given to replicate the changes that occur while a woman is pregnant. Once the uterus has been transplanted, an IVF embryo would have to be implanted.

This is not the first time that this transgressive practice has been attempted. In 1931 it was tried, but the trans woman died a few months later after contracting a deadly infection.

As a precedent to this attempt, we have already published the news of the first pregnancy of a man, who turned out to be a woman, who had gone through a process of gender transition.

Woman-to-woman uterus transplant

The first woman-to-woman uterus transplant was performed in Saudi Arabia in 2000. The second was not performed until 2011, in this case in Turkey. The first transplant in Europe was carried out in Sweden in 2014, and since then there have been more than 100 transplants with a positive result. Some of these women have managed to gestate and give birth to a baby.

On October 5, 2020, the first living donor uterus transplant was performed in Spain, at the Clinic Hospital in Barcelona.

Until 2017, all transplants had been performed from living donors, and the first uterus transplant from a deceased woman was performed in the United States in the same year.

Bioethical problems

The current case is very different from those already mentioned. The uterus is not an isolated organ that can be included in a male body, but rather belongs to a complex reproductive system programmed for fertilization and gestation that includes anatomical, physiological and endocrine structures that a male body lacks.

Such an intervention would have little chance of being able to prosper given the high risk that it entails, so its execution is not justified in any case. Trans postulates that seek to reverse human nature by being maleficent constitute an attack against good medical practice and respect for human dignity by unnecessarily putting healthy patients at risk.

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