{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,24]],"date-time":"2025-05-24T04:01:50Z","timestamp":1748059310912,"version":"3.41.0"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,11,12]],"date-time":"2024-11-12T00:00:00Z","timestamp":1731369600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>While uterus transplantation offers a promising treatment option for women with uterine factor infertility (UFI), the potential for graft failure and lack of organ availability could have subsequent psychological repercussions for women. Exploring baseline psychological well\u2010being for women with UFI who could become uterine transplant recipients is essential to identify specific psychological challenges to be considered prior to transplantation. UFI can be congenital uterine absence, namely Mayer\u2010Rokitansky\u2010K\u00fcster\u2010Hauser syndrome (MRKH), or acquired uterine absence (hysterectomy).<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To analyse baseline psychological well\u2010being among women with UFI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and setting<\/jats:title><jats:p>A survey including demographic data and two internationally validated psychological questionnaires, Depression, Anxiety and Stress Scale (DASS\u201021),<jats:sup>13<\/jats:sup> and Fertility Quality of Life (FertiQoL), was disseminated to women with UFI. Data from these instruments was compared between groups and then to data that uses these tools in the general infertility population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results\/outcomes<\/jats:title><jats:p>The study included 39 women (mean age 29.54\u2009years). Higher scores for moderate symptoms of depression, anxiety, and stress were reported for the entire UFI cohort. More women with congenital UFI showed \u2018severe\u2019 symptoms for depression\/anxiety, compared to women with acquired UFI. Women with acquired UFI showed poorer FertiQoL scores compared to both women with congenital UFI and to the general infertility population scores in previously published data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Clinicians should consider accessing increased psychological support for women with UFI when discussing fertility options including uterine transplant, and they may need to tailor this support depending on whether the patient has congenital or acquired UFI.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13895","type":"journal-article","created":{"date-parts":[[2024,11,12]],"date-time":"2024-11-12T10:09:04Z","timestamp":1731406144000},"page":"263-268","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Psychological well\u2010being of women with uterine infertility before considering uterus transplantation as a treatment option"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6111-6996","authenticated-orcid":false,"given":"Jana","family":"Pittman","sequence":"first","affiliation":[{"name":"Western Sydney University  Sydney New South Wales Australia"},{"name":"School of Women's and Children's Health University of New South Wales  Sydney New South Wales Australia"},{"name":"The Royal Hospital for Women  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1848-056X","authenticated-orcid":false,"given":"Brigitte","family":"Gerstl","sequence":"additional","affiliation":[{"name":"School of Women's and Children's Health University of New South Wales  Sydney New South Wales Australia"},{"name":"The Royal Hospital for Women  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Walch","sequence":"additional","affiliation":[{"name":"School of Women's and Children's Health University of New South Wales  Sydney New South Wales Australia"},{"name":"The Royal Hospital for Women  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mianna","family":"Lotz","sequence":"additional","affiliation":[{"name":"Department of Philosophy Macquarie University  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7932-550X","authenticated-orcid":false,"given":"Rebecca","family":"Deans","sequence":"additional","affiliation":[{"name":"School of Women's and Children's Health University of New South Wales  Sydney New South Wales Australia"},{"name":"The Royal Hospital for Women  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalie","family":"Morrison","sequence":"additional","affiliation":[{"name":"Western Sydney University  Sydney New South Wales Australia"},{"name":"Translational Health Research Unit Western Sydney University  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,11,12]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_6_2_1","DOI":"10.1097\/MOT.0000000000000936"},{"doi-asserted-by":"publisher","key":"e_1_2_6_3_1","DOI":"10.1016\/j.ijgo.2009.03.045"},{"key":"e_1_2_6_4_1","first-page":"3","article-title":"Clinical and genetic aspects of Mayer\u2010Rokitansky\u2010K\u00fcster\u2010Hauser syndrome","volume":"30","author":"Ledig S","year":"2018","journal-title":"Med Genet"},{"doi-asserted-by":"publisher","key":"e_1_2_6_5_1","DOI":"10.1016\/j.rbmo.2015.09.006"},{"doi-asserted-by":"publisher","key":"e_1_2_6_6_1","DOI":"10.1111\/bioe.12921"},{"doi-asserted-by":"publisher","key":"e_1_2_6_7_1","DOI":"10.1016\/S0140-6736(14)61728-1"},{"doi-asserted-by":"publisher","key":"e_1_2_6_8_1","DOI":"10.1111\/ajo.13678"},{"unstructured":"new.unsw.edu.au [homepage on the internet].Kirsty has given birth to a baby boy. A year ago she didn't have a uterus. Sydney NSW.2024. 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