Live nondirected uterus donors: Psychological characteristics and motivation for donation

Am J Transplant. 2018 May;18(5):1122-1128. doi: 10.1111/ajt.14670. Epub 2018 Feb 13.

Abstract

Emerging research suggests that uterus transplantation is a viable option for women without a uterus who want to become pregnant and carry a child to term. Currently, no knowledge exists regarding nondirected uterus donors. This study (NCT 02656550) explored the baseline psychological characteristics of nondirected uterus donors at a single study site. Of the 62 potential donors who underwent initial screening, 6 nondirected donors were chosen and participated in uterus donation. Participants received a comprehensive evaluation, which included clinical history and psychological assessments. The mean age of the donors was 42 years; most (83%) were white/not Hispanic, and all had a college degree. Current depression was reported by 2 participants, past depression was reported in 2 participants, and past anxiety was reported in 3 participants. Based on several different psychological measures, donors had a higher general well-being than the normative sample, and none of the participants' scores indicated psychological distress. All 6 women indicated that giving another woman an opportunity to carry her own child was a motivation for pursuing uterus donation. Further research on potential psychological motives and gains for the donor as well as long-term effects on donors is crucial for ethical practice.

Trial registration: ClinicalTrials.gov NCT02656550.

Keywords: clinical research/practice; clinical trial; donors and donation: donor evaluation; donors and donation: living; vascularized composite and reconstructive transplantation.

MeSH terms

  • Adult
  • Anxiety
  • Depression
  • Female
  • Humans
  • Hysterectomy / psychology*
  • Living Donors / psychology*
  • Middle Aged
  • Motivation*
  • Organ Transplantation / psychology*
  • Surveys and Questionnaires
  • Tissue and Organ Procurement / statistics & numerical data*
  • Uterus / transplantation*

Associated data

  • ClinicalTrials.gov/NCT02656550