title: [Assisted Reproductive Technology in Female Transplant Recipients: Experience of a Reproductive Medicine Unit and Literature Review].
abstract: Diseases in end stage typically occur with hypothalamic-pituitary-ovarian axis disorders, with consequent anovulation and infertility. The solid organ transplantation increased survival of patients with end-stage organs disease and the vast majority of women improve their reproductive capacity after transplantation. Although adoption can always be a possibility, the transplanted infertile woman has the right to self-reproductive determination using assisted reproductive techniques. While it is known that pregnancies in transplantedwomen are at high risk, there is no evidence of differences in pregnancy outcome in pregnant transplanted subject to technical, compared with spontaneous pregnancies. The use of assisted reproductive techniques in transplanted women is a medical, ethical and psychosocial challenge, whose approach must be multidisciplinary, to ensure reproductive success without compromising the function of the transplanted organ or maternal health, allowing the birth of a healthy child. The literature remains scarce. Three clinical cases are presented.
authors.affiliation: Serviço de Ginecologia e Obstetrícia. Hospital de Braga. Braga. Portugal.
authors.forename: Emídio
authors.initials: E
authors.lastname: Vale-Fernandes
authors.affiliation: Unidade de Medicina da Reprodução. Serviço de Ginecologia e Obstetrícia. Centro Hospitalar de S. João, EPE. Porto. Portugal.
authors.forename: Ana Margarida
authors.initials: AM
authors.lastname: Póvoa
authors.affiliation: Unidade de Medicina da Reprodução. Serviço de Ginecologia e Obstetrícia. Centro Hospitalar de S. João, EPE. Porto. Portugal.
authors.forename: Sandra
authors.initials: S
authors.lastname: Soares
authors.affiliation: Unidade de Medicina da Reprodução. Serviço de Ginecologia e Obstetrícia. Centro Hospitalar de S. João, EPE. Porto. Portugal.
authors.forename: Lucinda
authors.initials: L
authors.lastname: Calejo
authors.affiliation: Unidade de Medicina da Reprodução. Serviço de Ginecologia e Obstetrícia. Centro Hospitalar de S. João, EPE. Porto. Portugal.
authors.forename: Pedro
authors.initials: P
authors.lastname: Xavier
authors.affiliation: Unidade de Medicina da Reprodução. Serviço de Ginecologia e Obstetrícia. Centro Hospitalar de S. João, EPE. Porto. Portugal.
authors.forename: Sónia
authors.initials: S
authors.lastname: Sousa
authors.affiliation: Serviço de Ginecologia e Obstetrícia. Centro Hospitalar de São João, EPE. Porto. Portugal.
authors.forename: Jorge
authors.initials: J
authors.lastname: Beires
authors.affiliation: Serviço de Ginecologia e Obstetrícia. Centro Hospitalar de São João, EPE. Porto. Portugal. Faculdade de Medicina. Universidade do Porto. Porto. Portugal. Unidade de Investigação em Epidemiologia - EPIUnit. Instituto de Saúde Pública. Universidade do Porto. Porto. Portugal.
authors.forename: Nuno
authors.initials: N
authors.lastname: Montenegro
mesh_terms: D005260:Female; D006801:Humans; D011247:Pregnancy; D011256:Pregnancy Outcome; D018456:Reproductive Medicine; D027724:Reproductive Techniques, Assisted; D012307:Risk Factors; D066027:Transplant Recipients