Indian surgeon plans to transplant uterus to TRANS woman and make her pregnant in world first operation

Dr. Narendra Kaushik, who runs a gender reassignment clinic in New Delhi, will try to transplant a belly to a trans woman who was born as a man.

An Indian surgeon will try to transplant a belly into a trans woman who was born a man, in order to make her pregnant.

The risky procedure will involve taking the reproductive organs of a dead donor or a patient who has made the transition to the other side and has had theirs removed.

There has only been one documented case of inserting a belly into a trans woman in the past – but died of complications a few months later.

Impregnating a trans woman would be an even bigger feat, and would require the use of IVF and a cesarean, because they do not have a fully functional vagina.

Dr Narendra Kaushik, who runs a gender reassignment clinic in New Delhi, said she was “very, very optimistic” that the procedure could be successful.

“Every transgender woman wants to be as much a woman as possible, and that includes being a mother,” she told The Mirror.

“The way to this is with a uterine transplant, just like a kidney or any other transplant. This is the future. We can’t predict exactly when this will happen, but it will happen very soon. ”

The surgeon did not reveal the recipient or give a timetable for the operation, but added: “We have our plans and we are very, very optimistic about that.”

How babies are conceived in biological women who have a uterine transplant.  In theory, the principles should be the same for man, using a donor's eggs.  But it has never been attempted because there has not yet been a successful uterine transplant in a trans woman

How babies are conceived in biological women who have a uterine transplant. In theory, the principles should be the same for man, using a donor’s eggs. But it has never been attempted because there has not yet been a successful uterine transplant in a trans woman

Dr. Kaushik has said he is “very, very optimistic” because he can make the procedure a success

Uterine transplants cost around £ 50,000 and only one The IVF treatment cycle can cost over £ 5,000.

Dr. Kshuik’s Olmec Clinic is at the heart of a booming industry in New Delhi that sees the rival city of Bangkok as the world capital of sex change.

He said around one-fifth of his clients are from abroad, and many fly from the UK, where gender reassignment surgery is free in the NHS, but subject to waiting times.

WHY BIOLOGICAL MEN CAN’T BIRTH … YET

Only people who are born female can lay eggs, which means that it is not possible for a male-to-female trans woman to become pregnant naturally.

Scientists believe that it is theoretically possible to impregnate a trans woman with IVF, when the eggs are fertilized outside the body and then inserted.

But it would take a healthy womb for the baby to grow, and transplant operations take years if not decades to make it a reality.

There has only been one documented case of a uterus transplanted into a trans woman born to a man– but died of complications a few months later.

Transgender people from woman to man can still get pregnant.

But only if they have not had a hysterectomy as part of their transition or have taken drugs that block hormones that prevent them from producing eggs.

There are no definitive figures on how many transgender people have given birth worldwide or in Britain.

Seventy-five people who identified themselves as men gave birth in Australia in 2020, the country with the most comparable data.

“Many of our patients tell us that their sexual partners don’t even realize they weren’t born with female sexual organs,” Dr. Kaushik told the newspaper.

“And that is our goal, to make their lives as normal as possible as a woman. We aim for an aesthetic ideal ‘

But even though gender reassignment surgery is well established, the science behind uterine transplants with trans people is still murky.

There have been more than 100 successful female-to-female uterine transplants since 2014, and scientists can now impregnate recipient women.

But there are many more obstacles to climb when it comes to inserting a female’s reproductive organs into a biological male.

According to medical records, the procedure has only been attempted once in history, when Danish trans artist Lili Elbe underwent surgery in 1931.

The 48-year-old woman, one of the first known gender reassignment patients, underwent surgery in Germany in hopes of having children with her fiancé.

But he developed an infection after surgery and died of cardiac arrest three months later without being able to conceive.

However, doctors say advances in medicine mean that it is now theoretically possible for a trans woman to give birth after a uterine transplant.

The point of conflict is that orOnly people born female can lay eggs, which means that it is not possible for a woman to get pregnant naturally.

Thus, doctors who try it will have to use IVF, when the eggs are fertilized outside the body and then inserted.

In 2017, Dr. Paulson, president of the American Society of Reproductive Medicine, said, “There would be additional challenges, but I don’t see any obvious problems preventing that.” I think it would be possible.

Dr. Kshuik's Olmec Clinic is at the center of a booming industry in New Dehli that sees rival Bangkok as the world's capital for sex change.

Dr. Kshuik’s Olmec Clinic is at the center of a booming industry in New Dehli that sees rival Bangkok as the world’s capital for sex change.

What appears to be a “before and after” photos are pinned to a wall in the clinic lobby

The NHS urged the use of the terms “breastfeeding” and “frontal” instead of breast or vaginal

According to a government-funded report, maternity services should use “inclusive” terms such as “breastfeeding” so that trans pregnant women are not offended.

The report, from the LGBT Foundation, made the recommendation after surveying 121 British transgender people about their pregnancy experience.

Another example of a gender-laden term is “vaginal part,” which recommends “frontal” or “lower part.”

The report said that inclusive terms should be used in NHS services and people and a national guide should be introduced to ensure that trans pregnant women have the choice of their preferred words.

“It’s not possible to guess the language someone might use to describe themselves based on how they look or sound, or who they have a relationship with,” the report says.

The charity also says that some trans and non-binary people will benefit from having a private space in hospitals to give birth, so that they do not feel uncomfortable seeing women.

He detailed the experience of a trans person, who said: “I didn’t have to go to a room full of women after giving birth, they actually provided me with a private room for me and the baby, which it was very useful and accommodating to me and my gender identity. ‘

NHS services are currently in a “wake up” storm of sexual language surrounding women and pregnancy.

Brighton and Sussex NHS Trust University Hospitals now refer to breast milk as “human milk” in official guidelines.

The report was commissioned by the Health & Wellbeing Alliance, a partnership between charities and the NHS, which is jointly managed by the Department of Health and Social Welfare and the Office for Health Improvement and Disparities.

One of the problems that doctors face is that the male pelvis would not allow a baby to pass through because it is too narrow, so a man would have to give birth by cesarean section.

But inside a man there is room to hold a belly, Dr. Paulson said.

He said that perhaps hormones should be given to replicate the changes that occur while a woman is pregnant.

Once the uterus has been transplanted, an IVF embryo should be implanted.

It would currently be illegal in the UK for an IVF clinic to create an embryo in order to implant it in a man in accordance with the Human Fertilization and Embryology Act of 2008.

Several transgender men – those who were born women and then changed – have already given birth in the UK.

But in these circumstances it was a matter of retaining the female reproductive organs after the transition, rather than implanting female organs in a male body.

Uterine transplants, which cost £ 50,000 per operation, are still considered an experimental procedure.

The main complications suffered by the receptors include organ rejection, urinary tract infections, blood clots and internal bruising.

Adverse side effects of immunosuppressants, drugs used to reduce the risk of the body rejecting the organ, can also cause other complications.

Uterine transplants are performed primarily with the use of a uterus donated by a living woman, although modern organ freezing techniques have made it possible for the uteri of deceased donors to be used as well.

The first baby was born in a womb transplanted from a dead donor in Cleveland, Ohio, in 2019.

The uterus and blood vessels were removed from a 45-year-old woman, herself a mother, who had died of a stroke.

They then implanted a new mother, who was born without her own womb, in a nearly 11-hour operation, and the blood vessels connected to hers.

The women then began menstruating 37 days after the operation and then had regular periods until she became pregnant seven months later.

An embryo was implanted with eggs that had been removed from their ovaries prior to the uterine transplant procedure and fertilized by IVF.

The baby grew up healthy and was born after 35 weeks and three days by cesarean section.

During the cesarean section, the woman’s implanted uterus was also removed and both mother and baby recovered normally.

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