Infertility
Conditions
Keywords
Infertility, Transplant, IVF, Hysterectomy, Absolute uterine infertility
Brief summary
Ten patients will undergo uterine transplantation.
Detailed description
Ten patients that will be appropriately selected using a variety of physical and psychological assessments. The selected patients will undergo egg retrieval and subsequent freezing of embryos to enable IVF treatment following transplantation. Following uterine transplantation, using deceased donor allografts, the patients will be closely monitored for 12 months clinically, radiologically and immunologically until embryo transfer. Following successful embryo transfer the patients will continue to be monitored antenatally until they are delivered by Caesarean section.
Interventions
10 Patients will undergo oocyte retrieval and freezing
Appropriately matched uterine transplant allografts will be excised from deceased donors
Following egg freezing the patients will undergo uterine transplant from deceased donors
Patients will be appropriately immunosuppressed, whilst being closely monitored clinically, radiologically and immunologically.
12 months after successful transplantation,the patients will undergo IVF
Following successful conception and antenatal period, the babies will be born by Caesarean Section
Sponsors
Study design
Eligibility
Inclusion criteria
* Female * Between 18-36 years of age * Absolute Uterine factor infertility
Exclusion criteria
* Poor ovarian reserve - Unsuccessful oocyte retrieval * No intercurrent significant medical or psychiatric co-morbidities * Previous oncology patients \<5 years in remission * Outside of age range * Normal BMI
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Transplant success | 12 months | Efficacy as measured by successful graft transplantation with no clinical, immunological or radiological signs of graft rejection within the first 12 months post-operatively. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pregnancy rate | 24 months | Efficacy as measured by the number of patients successful of conception by IVF |
| Live birth rate | 36 months | Efficacy as measured by the number of live births following successful conception |