Detalle Publicación

Maternity after orthotopic liver transplantation: can the use of biological fertility indicators help? Our own experience and literature-based recommendations

Autores: Castillo, A.; Huete, M. E.; Errasti Alcalá, Tania; Pérez de Lema, G. (Autor de correspondencia)
Título de la revista: LINACRE QUARTERLY
ISSN: 0024-3639
Volumen: 89
Número: 2
Páginas: 135 - 151
Fecha de publicación: 2022
Over the last 5 decades, the fulfillment of maternity wishes in solid organ transplanted women has become a reality. Despite pregnancy contraindication in transplanted women during the early post-transplant period, such a condition can be overcome after 12 months if patients show a good clinical evolution and do not present other general pre-conceptional findings. This article presents the case report of a young female liver transplanted patient that used symptothermal method as a reliable family planning method. After her gestational contraindication was lifted, observation of biological fertility indicators and fertility-guided sexual intercourse helped her fulfill her maternity wish and conceive and carry out a healthy offspring. Based on this case and on the available bibliographic evidence, this paper reviews the potential implications of the use of this kind of approach as a safe and effective alternative to assisted reproduction technology in the management of potential infertility problems in the young female transplanted population, a population which according to literature has higher rates of unsuccessful parenthood and might also be more vulnerable to iatrogenicity of ovarian hyperstimulation process and to multiple pregnancy.