Publications by authors named "Karpel L"

Introduction: Since 2017, women with absolute uterine infertility due to Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome have been eligible to participate in a uterine transplantation clinical trial conducted by Foch Hospital in France. The aim of this study is to assess the psychological state of potential candidates, including recipients, their partners, and their living-related donors.

Material And Methods: Sixteen potential uterus transplant candidates, including recipients, partners, and living-related donors, participated in the study.

View Article and Find Full Text PDF

Uterus transplantation is a new treatment for patients with absolute uterine infertility that is conducted in order to enable them to carry their own pregnancy. One of the limitations for its development is donor availability. Some transgender males undergo a hysterectomy in the gender-affirming surgery process, and might be interested in donating their uterus for transplantation.

View Article and Find Full Text PDF

Introduction: Medical progress affords patients with cystic fibrosis (CF) the opportunity to become parents.

Objective: To assess the psychological issues of parenthood in persons with cystic fibrosis.

Material And Methods: Semi-structured interviews on parenthood, conducted by a psychologist with CF parents treated at the Cystic Fibrosis Center and the Transplantation Center of Foch hospital (Suresnes, France).

View Article and Find Full Text PDF

Transgender men experience a disharmony between their birth sex and their intimate sense of gender belonging. Gender-affirming hormone therapy and gender-affirming surgery (GAS) are often inherently part of the gender-affirming process. In this context, we should ask whether it is better to keep or remove the uterus.

View Article and Find Full Text PDF

We report our experience regarding the profile and screening process of potential recipients (R) and their live donors (D) in our Uterus transplantation (UTx) trial from 2014 to 2020. The initial screening was performed using medical questionnaires and consultations. The second step of the screening consisted of two individual interviews with an independent multidisciplinary committee.

View Article and Find Full Text PDF

Uterus transplantation: state of knowledge and ethical reflection. Nowadays is uterine transplantation the only treatment for absolute uterine infertility. This experimental surgery is spreading worldwide since the past two years.

View Article and Find Full Text PDF

Objective: To study in the French Context women's experiences with a low-stimulation regimen of in vitro fertilisation (Friendly IVF) and to compare them with those of women undergoing standard IVF (S-IVF).

Population And Methods: Two assisted reproduction technology centers participated in this preliminary study. Patients'views were explored qualitatively.

View Article and Find Full Text PDF

Objectives: To know the psychological motivations of couples who keep their embryos so long (five years and more) and do not make a decision about them.

Patients And Methods: We studied 84 couples refrained from making a decision on their cryopreserved embryos for at least five years. They were invited to fill out a questionnaire focusing on three points: the reasons of the indecision, their own representation of the cryopreserved embryos and their choice for the future: donation to another couple, to research, pregnancy or no solution for the moment.

View Article and Find Full Text PDF

Objectives: This article deals with the place of adoption for couples involved in a medical help for procreation. The question is: do these couples wait for their gynaecologist's advice before beginning a procedure of adoption or do they launch such a procedure before?

Patients And Methods: We have questioned 90 couples, on the first day of their treatment in our unity, about the place of adoption in their desire for a child. Are they in favour or against adoption? Have they already begun or not to think, to read, to make a decision about adoption?

Results: In this research, 49% of theses couples are not in favour of adoption, especially when they have already had children through medical help.

View Article and Find Full Text PDF

Background: Since 1994, oocyte donation in France must be organized anonymously, in compliance with the bioethics law. The donation is free and any publicity to enrol donors is forbidden. In this system, the recipients are encouraged to incite a donor to visit the recipient's fertility unit.

View Article and Find Full Text PDF
[Psychological approach to hyperemis gravidarum].

J Gynecol Obstet Biol Reprod (Paris)

November 2004

Introduction: Hyperemesis gravidarum is a phenomenon that concerns only 1 or 2% of pregnant women who require hospitalization if their anorectic behavior does not cease. The treatment consists in complete isolation, anti-vomit drugs and rehydration therapy.

Objects: Isolation has been practiced existed since 1914, and is based on the belief that these women were simulating pain in order to obtain abortion.

View Article and Find Full Text PDF