{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T02:59:31Z","timestamp":1783825171944,"version":"3.55.0"},"reference-count":40,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T00:00:00Z","timestamp":1736208000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Uterine transplantation is currently intended for women with absolute uterine infertility. Since proof of the concept in 2014, many countries have started research programs and clinical activities. However, access to uterine transplantation remains limited given that only a few hundred transplants have been described worldwide compared with the 1.5 million women of childbearing age who suffer from absolute uterine infertility. The aim of this study was to investigate how limited access to uterine transplantation is perceived by women with Mayer\u2013Rokitansky\u2013K\u00fcster\u2013Hauser syndrome and health professionals involved in uterus transplantation programs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>We conducted a qualitative study with semistructured interviews in France, Norway, and Sweden with women with Mayer\u2013Rokitansky\u2013K\u00fcster\u2013Hauser syndrome and health professional involved in uterine transplantation programs. The interviews were analyzed manually using thematic content analysis. The research questions were: How do (a) women with Mayer\u2013Rokitansky\u2013K\u00fcster\u2013Hauser syndrome and (b) healthcare professionals involved in uterus transplantation programs perceive uterus transplantation and its accessibility 10\u2009years after proof of concept?<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The interviews enabled us to highlight a number of themes addressed by doctors and women with Mayer\u2013Rokitansky\u2013K\u00fcster\u2013Hauser syndrome, the main ones being the hope raised by this technique and the disappointment for those who do not have access to it, the lack of perception of the risks associated with the technique, and finally, an inequity of access and the training difficulties this entails for the teams.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Access to uterine transplantation varies widely across Europe owing to legislative restrictions and limited access due to resources or competence. The result is a feeling of injustice\/misunderstanding and despair for these women who had planned to become parents and cannot benefit from a transplant. They appear to be poorly supported. Women who are ultimately unable to access a transplant program should perhaps be given psychological support to deal with this disappointment, whereas the minority who finally have had access to transplant programs are supervised by well\u2010trained multidisciplinary teams.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.15016","type":"journal-article","created":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T07:34:45Z","timestamp":1736321685000},"page":"502-513","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["How do women with Rokitansky syndrome and healthcare professionals reflect on the provision of uterine transplantation? Insights from an interview study in France, Norway, and Sweden"],"prefix":"10.1111","volume":"104","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4587-3828","authenticated-orcid":false,"given":"Isis","family":"Carton","sequence":"first","affiliation":[{"name":"Gynecology Department Rennes University Hospital  Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ludivine","family":"Dion","sequence":"additional","affiliation":[{"name":"Gynecology Department Rennes University Hospital  Rennes France"},{"name":"University of Rennes, CHU Rennes, Inserm, EHESP, Irset (Institute for Research in Health, Environment and Work)  Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Lavou\u00e9","sequence":"additional","affiliation":[{"name":"Gynecology Department Rennes University Hospital  Rennes France"},{"name":"University of Rennes, CHU Rennes, Inserm, EHESP, Irset (Institute for Research in Health, Environment and Work)  Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bjorn Morten","family":"Hofmann","sequence":"additional","affiliation":[{"name":"Centre for Medical Ethics University of Oslo  Oslo Norway"},{"name":"Institute for the Health Sciences Norwegian University of Science and Technology (NTNU)  Gj\u00f8vik Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,7]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmad012"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61728-1"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2009.03.045"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2016.12.009"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2014.02.024"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOT.0000000000000936"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/15265161.2018.1478018"},{"key":"e_1_2_12_9_1","first-page":"587","article-title":"Ethical implications of donor type for uterus transplantation: why we should remain wary of using living donors","volume":"93","author":"Bruno B","year":"2020","journal-title":"Yale J Biol Med"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2019.05.029"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000001481"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000002830"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/tri.13548"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2022.2612"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15863"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/bioe.12132"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/bmb\/ldz022"},{"key":"e_1_2_12_18_1","article-title":"Uterus transplantation and the redefinition of core bioethics precepts","volume":"92","author":"Umani Ronchi F","year":"2021","journal-title":"Acta Biomed"},{"key":"e_1_2_12_19_1","volume-title":"L'analyse de contenu [Content analysis]. 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