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Continued application of psychologic selection criteria from clinical trial may hinder the expansion of UTx. UTx candidates come with unique mental health challenges, having a higher incidence of mental health problems than the general population. We posit in this commentary that broadening psychological inclusion criterion and provision of mental health support will enhance access to UTx. At the University of Alabama at Birmingham (UAB), candidates are not required to mention mental health comorbidities at initial screening. Regardless of their mental health comorbidity status, all recipients at the UAB have had a successful uterus transplant. Outcome of a live birth has also not been affected. Perioperative mental health challenges are successfully managed with a support of psychologists and psychiatrists.<\/jats:p>","DOI":"10.1111\/aogs.15038","type":"journal-article","created":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T13:45:23Z","timestamp":1737035123000},"page":"540-547","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Embracing the mental health challenges of uterus transplant candidates"],"prefix":"10.1111","volume":"104","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-1020-2269","authenticated-orcid":false,"given":"Muhammad Umaid","family":"Rabbani","sequence":"first","affiliation":[{"name":"Division of Transplantation, Department of Surgery University of Alabama  Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittney","family":"Randolph","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Neurobiology University of Alabama  Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Fry","sequence":"additional","affiliation":[{"name":"Division of Transplantation, Department of Surgery University of Alabama  Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily A.","family":"Boydston","sequence":"additional","affiliation":[{"name":"Division of Transplantation, Department of Surgery University of Alabama  Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paige M.","family":"Porrett","sequence":"additional","affiliation":[{"name":"Division of Transplantation, Department of Surgery University of Alabama  Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,16]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)61098-4"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2013.06.027"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(01)00597-5"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dew220"},{"key":"e_1_2_15_6_1","first-page":"204","article-title":"Infertility in the Moroccan population: an etiological study in the reproductive health centre in Rabat","volume":"30","author":"Benbella A","year":"2018","journal-title":"Pan Afr Med J"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40738-019-0060-1"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rbmo.2014.10.002"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11164907"},{"key":"e_1_2_15_10_1","first-page":"167","article-title":"Incidence and determinants of peripartum hysterectomy in the metropolitan area of the District of Columbia","volume":"58","author":"Owolabi MS","year":"2013","journal-title":"J Reprod Med"},{"key":"e_1_2_15_11_1","first-page":"733","article-title":"Indications for and outcomes of emergency peripartum hysterectomy. 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