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Article
September 7, 1984

Prophylactic Hysterectomy at Oophorectomy in Young Women

Author Affiliations

Pennsylvania State University College of Medicine The Milton S. Hershey Medical Center Hershey, Pa

JAMA. 1984;252(9):1129-1130. doi:10.1001/jama.1984.03350090017007
Abstract

To the Editor.—  Bustillo and associates1,2 recently reported successful pregnancies following ovum transfers from fertile donors into infertile recipients. Some legal implications for the participants in this type of ovum transfer were discussed by Blumberg3 in an accompanying article. However, other recent technological advances portend much broader ethical and medicolegal considerations related to this issue.Successful pregnancies, in both monkey4 and human5 subjects without ovaries, have been reported as a result of ovum transfer and simple hormonal replacement. This information suggests that the uterus may no longer be considered a "useless" organ in all women following oophorectomy, since subsequent pregnancy is now clearly a realistic technical possibility. For this reason, is seems appropriate to reexamine the advisability of the traditional incidental excision of an otherwise healthy uterus at surgery to remove the ovaries in young women who may nevertheless desire later childbearing. The proposed benefits of

References
1.
Bustillo M, Buster JE, Cohen SW, et al:  Delivery of a healthy infant following nonsurgical ovum transfer .  JAMA 1984;251:889.Crossref
2.
Bustillo M, Buster JE, Cohen SW, et al:  Nonsurgical ovum transfer as a treatment in infertile women: Preliminary experience .  JAMA 1984;251:1171-1173.Crossref
3.
Blumberg GG:  Legal issues in nonsurgical human ovum transfer .  JAMA 1984;251:1178-1181.Crossref
4.
Hodgen GD:  Surrogate embryo transfer combined with estrogen-progesterone therapy in monkeys: Implantation, gestation, and delivery without ovaries .  JAMA 1983;250:2167-2171.Crossref
5.
Lutjen P, Trounson A, Leeton J, et al:  The establishment and maintenance of pregnancy using in vitro fertilization and embryo donation in a patient with primary ovarian failure .  Nature 1984;307:174-175.Crossref
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