Fertility options in Mayer-Rokitansky-Küster-Hauser syndrome

Background: The Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is the most common cause of uterine aplasia, with a worldwide frequency of 1 in 4500 females. Although abundant literature is present regarding the different available methods for creating a neovagina in MRKH syndrome, the attention dedi...

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Main Authors: Francesco Fedele, Alessandro Bulfoni, Stefano Salvatore, Massimo Candiani
Format: Article
Language:English
Published: IMR Press 2021-06-01
Series:Clinical and Experimental Obstetrics & Gynecology
Subjects:
Online Access:https://www.imrpress.com/journal/CEOG/48/3/10.31083/j.ceog.2021.03.2442
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author Francesco Fedele
Alessandro Bulfoni
Stefano Salvatore
Massimo Candiani
author_facet Francesco Fedele
Alessandro Bulfoni
Stefano Salvatore
Massimo Candiani
author_sort Francesco Fedele
collection DOAJ
description Background: The Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is the most common cause of uterine aplasia, with a worldwide frequency of 1 in 4500 females. Although abundant literature is present regarding the different available methods for creating a neovagina in MRKH syndrome, the attention dedicated to these women’s reproductive potential remains insufficient. Methods: Online searches were carried out in PubMed database during November and December 2020. The search included a combination of the various terms (e.g., MRKH, vaginoplasty, uterus transplantation, infertility treatment, gestational surrogacy, etc.). The following inclusion criteria were used: (1) The articles should be written in English or French language. (2) The article should have been published by an official scientific organization. Results: Until few years ago, the only option for women with MRKH syndrome was legal adoption, now gestational surrogacy (GS) and uterine transplantation (UTx) have become new fertility options available to these patients. Discussion: GS is officially recognized in several countries and widely practiced. On the other hand, UTx, although the great recent technical improvements, is far from being an option for all women with MRKH syndrome secondary to its complexity and the necessary immunologic therapies.
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spelling doaj.art-ea52da71e4df4908bbc7da0b6319e31d2022-12-22T02:11:15ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632021-06-0148345346010.31083/j.ceog.2021.03.2442S0390-6663(21)00109-3Fertility options in Mayer-Rokitansky-Küster-Hauser syndromeFrancesco Fedele0Alessandro Bulfoni1Stefano Salvatore2Massimo Candiani3Obstetrics and Gynaecology Department, IRCCS San Raffaele Scientific Institute, 20132 Milan, ItalyDepartment of Gynaecology, Division of Obstetrics and Gynaecology, IRCCS Humanitas Clinical and Research Center, San Pio X, 20089 Milan, ItalyObstetrics and Gynaecology Department, IRCCS San Raffaele Scientific Institute, 20132 Milan, ItalyObstetrics and Gynaecology Department, IRCCS San Raffaele Scientific Institute, 20132 Milan, ItalyBackground: The Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is the most common cause of uterine aplasia, with a worldwide frequency of 1 in 4500 females. Although abundant literature is present regarding the different available methods for creating a neovagina in MRKH syndrome, the attention dedicated to these women’s reproductive potential remains insufficient. Methods: Online searches were carried out in PubMed database during November and December 2020. The search included a combination of the various terms (e.g., MRKH, vaginoplasty, uterus transplantation, infertility treatment, gestational surrogacy, etc.). The following inclusion criteria were used: (1) The articles should be written in English or French language. (2) The article should have been published by an official scientific organization. Results: Until few years ago, the only option for women with MRKH syndrome was legal adoption, now gestational surrogacy (GS) and uterine transplantation (UTx) have become new fertility options available to these patients. Discussion: GS is officially recognized in several countries and widely practiced. On the other hand, UTx, although the great recent technical improvements, is far from being an option for all women with MRKH syndrome secondary to its complexity and the necessary immunologic therapies.https://www.imrpress.com/journal/CEOG/48/3/10.31083/j.ceog.2021.03.2442mayer-rokitansky-küster-hauser syndromeassisted reproductive technologygestational surrogacyuterus transplantation
spellingShingle Francesco Fedele
Alessandro Bulfoni
Stefano Salvatore
Massimo Candiani
Fertility options in Mayer-Rokitansky-Küster-Hauser syndrome
Clinical and Experimental Obstetrics & Gynecology
mayer-rokitansky-küster-hauser syndrome
assisted reproductive technology
gestational surrogacy
uterus transplantation
title Fertility options in Mayer-Rokitansky-Küster-Hauser syndrome
title_full Fertility options in Mayer-Rokitansky-Küster-Hauser syndrome
title_fullStr Fertility options in Mayer-Rokitansky-Küster-Hauser syndrome
title_full_unstemmed Fertility options in Mayer-Rokitansky-Küster-Hauser syndrome
title_short Fertility options in Mayer-Rokitansky-Küster-Hauser syndrome
title_sort fertility options in mayer rokitansky kuster hauser syndrome
topic mayer-rokitansky-küster-hauser syndrome
assisted reproductive technology
gestational surrogacy
uterus transplantation
url https://www.imrpress.com/journal/CEOG/48/3/10.31083/j.ceog.2021.03.2442
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