Survey of attitudes toward uterus transplantation among Japanese women of reproductive age: A cross-sectional study

Iori Kisu, Kouji Banno, Etsuko Soeda, Yuki Kurihara, Miho Okushima, Ami Yamaguchi, Eriko Nakagawa, Kiyoko Umene, Daisuke Aoki

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objective: Uterus transplantation (UTx) is a potential option for women with uterine factor infertility to have a child, but there has been no large-scale survey of the views on UTx in women of reproductive age in Japan. The present study was aimed to clarify the views of Japanese women of reproductive age on UTx for uterine factor infertility. Methods: A questionnaire on UTx was conducted by an Internet research company in December 2014 as a cross-sectional study in 3,892 randomly chosen women aged 25 to 39 years old. Responses were analyzed from 3,098 subjects (mean age 32.1±4.2 years old), after exclusion of inappropriate respondents in screening. Results: Of the respondents, 62.1%, 34.7% and 18.1% favored adoption, UTx and gestational surrogacy, respectively. In contrast, 7.0%, 21.9% and 63.3% opposed adoption, UTx and gestational surrogacy, respectively. In choices of candidates for UTx based on highest priority, deceased persons (33.8%) and mothers (19.0%) were favored as donors, and women with congenital absence of the uterus (54.4%) and hysterectomy due to a malignant uterine tumor (20.0%) as recipients. Regarding societal acceptance of UTx, the answer rates were 15.7% for "UTx should be permitted", 77.6% for "UTx should be permitted with discussion", and 6.7% for "UTx should not be permitted, even with discussion". Regarding personal opinions on UTx, 44.2% were in favor, 47.5% had no opinion, and 8.3% were against. Conclusion: Our results suggest that many Japanese women of reproductive age feel that UTx is socially and individually acceptable, but that concerns requiring further discussion remain among these women. There was also a tendency for UTx to be viewed more favorably than gestational surrogacy.

Original languageEnglish
Article numbere0156179
JournalPLoS One
Volume11
Issue number5
DOIs
Publication statusPublished - 2016 May 1

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cross-sectional studies
uterus
Uterus
Tumors
Screening
Cross-Sectional Studies
Transplantation
Internet
Industry
Infertility
uterine neoplasms
hysterectomy
Surveys and Questionnaires
Hysterectomy
Japan
questionnaires
Mothers
Tissue Donors
screening
Research

ASJC Scopus subject areas

  • Medicine(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)

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Survey of attitudes toward uterus transplantation among Japanese women of reproductive age : A cross-sectional study. / Kisu, Iori; Banno, Kouji; Soeda, Etsuko; Kurihara, Yuki; Okushima, Miho; Yamaguchi, Ami; Nakagawa, Eriko; Umene, Kiyoko; Aoki, Daisuke.

In: PLoS One, Vol. 11, No. 5, e0156179, 01.05.2016.

Research output: Contribution to journalArticle

Kisu, Iori ; Banno, Kouji ; Soeda, Etsuko ; Kurihara, Yuki ; Okushima, Miho ; Yamaguchi, Ami ; Nakagawa, Eriko ; Umene, Kiyoko ; Aoki, Daisuke. / Survey of attitudes toward uterus transplantation among Japanese women of reproductive age : A cross-sectional study. In: PLoS One. 2016 ; Vol. 11, No. 5.
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abstract = "Objective: Uterus transplantation (UTx) is a potential option for women with uterine factor infertility to have a child, but there has been no large-scale survey of the views on UTx in women of reproductive age in Japan. The present study was aimed to clarify the views of Japanese women of reproductive age on UTx for uterine factor infertility. Methods: A questionnaire on UTx was conducted by an Internet research company in December 2014 as a cross-sectional study in 3,892 randomly chosen women aged 25 to 39 years old. Responses were analyzed from 3,098 subjects (mean age 32.1±4.2 years old), after exclusion of inappropriate respondents in screening. Results: Of the respondents, 62.1{\%}, 34.7{\%} and 18.1{\%} favored adoption, UTx and gestational surrogacy, respectively. In contrast, 7.0{\%}, 21.9{\%} and 63.3{\%} opposed adoption, UTx and gestational surrogacy, respectively. In choices of candidates for UTx based on highest priority, deceased persons (33.8{\%}) and mothers (19.0{\%}) were favored as donors, and women with congenital absence of the uterus (54.4{\%}) and hysterectomy due to a malignant uterine tumor (20.0{\%}) as recipients. Regarding societal acceptance of UTx, the answer rates were 15.7{\%} for {"}UTx should be permitted{"}, 77.6{\%} for {"}UTx should be permitted with discussion{"}, and 6.7{\%} for {"}UTx should not be permitted, even with discussion{"}. Regarding personal opinions on UTx, 44.2{\%} were in favor, 47.5{\%} had no opinion, and 8.3{\%} were against. Conclusion: Our results suggest that many Japanese women of reproductive age feel that UTx is socially and individually acceptable, but that concerns requiring further discussion remain among these women. There was also a tendency for UTx to be viewed more favorably than gestational surrogacy.",
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AU - Okushima, Miho

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