Alabama doctor claims males will be able to give birth using transplanted wombs

“I think that it is certainly medically possible. The future is wide open.”

Katie Daviscourt Seattle WA
A leading surgeon at the University of Alabama says that it will be medically possible for transgender women to give birth to their own children through the innovation of womb transplants in the near future.

Dr. Paige Porrett, the lead surgeon at the Comprehensive Transplant Institute at UAB, who specializes in womb transplants for women born without uteruses or have had hysterectomies, believes that doctors will be able to offer these same procedures to biological men that have transitioned into women, which would allow them to give birth, according to Daily Mail.

“I think there's a lot of providers, such as myself, who would envision that is the case,” Dr. Porrett told Daily Mail. “I think that it is certainly medically possible. The future is wide open.”

However, due to the high-risk nature of the procedure, Dr. Porrett warns that it is too early to perform these surgeries on men who believe themselves to be the opposite sex due to multiple factors that could cause serious complications, which include hormone replacement therapy and previous gender-affirming surgeries.

“I think it'll happen in the future, but there's going to be a lot more work that our community needs to do to be able to offer that safely,” Dr. Porrett told Daily Mail.

Dr. Porrett explained that the procedure is considered extremely high-risk for biological women already, and men have obvious anatomical differences in their reproductive systems. Males are unable to produce eggs or carry children, even if those men have had genital surgery to give their penises the appearance of a vagina. 

"It's a big operation," Dr. Porrett said. "There's not many transplant surgeons like myself, either in the States or in the world, frankly, that can do this procedure."

The Daily Mail reported that "Doing this in a transgender woman, especially one who still has male sex organs, would be even more difficult due to those anatomical differences. Hormone replacement therapy and gender reassignment surgery could make it more difficult for a trans patient to produce enough eggs for IVF, which is part of the transplant protocol." The Daily Mail does not mention that males do not produce eggs and cannot produce eggs, never mind "enough" for IVF.

Men who have undergone penile inversion and vaginoplasty are still men, though contemporary parlance continues to refer to them as women, for fear of hurting their feelings. Men do not conceive or carry young.

The Uterus Transplant Program at University of Alabama is one of only four in the United States that conducts uterine transplants, and it is the first to do so outside of a clinical trial.

These transplants have only been done approximately 100 times worldwide and are a multilayered process that takes around 18 months to complete on average, according to the Mail.

Dr. Porrett and her team delivered a baby boy through UAB's program in May. His mother was born without a uterus due to a rare disease.

The comprehensive procedure is done by removing a uterus from a deceased or living donor who is of reproductive age, which the clinic defines as biological women between 18 to 40 years old. Surgeons then transplant the uterus into the recipient which takes up to ten hours to perform.

The procedure entails linking blood vessels in the donor's uterus to blood vessels in the recipient's uterus, the outlet reports.

Dr. Porrett describes the process of sewing a little piece of the donor's vaginal tissue to the recipient's vagina as a “major technical difficulty.” This is required to ensure that the donor uterus may be connected to the recipient's cervix and vagina. Men do not have a vagina or a cervix, since they are men, which would make the surgical process entirely different.

If the procedure is successful, the patient will start menstruating which is the first time for many of these women. 

To become pregnant, the patient must undergo in vitro fertilization (IVF), which includes removing an egg from a woman's ovaries and fertilizing it in a lab with sperm.
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