Reproductive outcomes following treatment for a gynecological cancer diagnosis: a systematic review
Purpose Fertility treatments are available for women diagnosed with a gynecological malignancy, which is important for women who desire a biological family subsequent to treatment. The objective of this study was to report reproductive outcomes following fertility-sparing treatment for a gynaecologi...
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| Veröffentlicht in: | Journal of cancer survivorship 2019-04, Vol.13 (2), p.269-281 |
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| creator | Gerstl, Brigitte Sullivan, Elizabeth Vallejo, Marcus Koch, Jana Johnson, Maximilian Wand, Handan Webber, Kate Ives, Angela Anazodo, Antoinette |
| description | Purpose
Fertility treatments are available for women diagnosed with a gynecological malignancy, which is important for women who desire a biological family subsequent to treatment. The objective of this study was to report reproductive outcomes following fertility-sparing treatment for a gynaecological cancer.
Methods
Electronic databases were searched to identify studies that reported on reproductive outcomes after treatment for a gynecological malignancy.
Results
In total, 77 studies were included which reported on reproductive outcomes after treatment for cervical cancer, endometrial cancer, gestational trophoblastic disease, and ovarian cancer. The main treatments included vaginal or abdominal radical trachelectomy, progestin therapy, salpingo-oophorectomy, and chemotherapy. The mean age at diagnosis for the study population and at birth were 30.5 years and 30.3 years, respectively. There were 4749 pregnancies (42%) reported for the included studies, with a miscarriage rate of 15% and a medical termination rate of 5%. The live birth rate was 74% with a 10% preterm rate.
Implications for Cancer Survivors
Patients should be offered timely discussions, information, and counseling regarding the impact of gynecological cancer treatment on a patient’s fertility. Furthermore, fertility-sparing strategies and fertility preservation should be discussed prior to starting treatment. |
| doi_str_mv | 10.1007/s11764-019-00749-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2211326834</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2210800212</sourcerecordid><originalsourceid>FETCH-LOGICAL-c441t-cdff7fb6ff2be94e3cd3d5eaa48ec93022be4860537bba606dec0fafc732db23</originalsourceid><addsrcrecordid>eNp9kUtLxDAQx4MoPla_gAcpePFSzauPeBPxBYIgew9pOilZ2kaTVN1vb9ZdFTx4mszkN_-Z5I_QMcHnBOPqIhBSlTzHROQp5SL_2EL7RDCaU1pW2z_nQuyhgxAWGBdUELqL9hgWoiqLeh_pZ3jxrp10tG-QuSlqN0DIjOt7927HLoseVBxgjKnmM5V1yxG0611nteozrUYNPmut6kYXbLhMRFiGCIOKVmce3iy8H6Ido_oAR5s4Q_Pbm_n1ff74dPdwffWYa85JzHVrTGWa0hjagODAdMvaApTiNWjBME1lXpe4YFXTqBKXLWhslNEVo21D2QydrWXTg14nCFEONmjoezWCm4KklBBGy5rxhJ7-QRdu8mNabkXhGmNKVoJ0TWnvQvBg5Iu3g_JLSbBcOSDXDsjkgPxyQH6kppON9NQM0P60fH95AtgaCOlq7MD_zv5H9hMjE5So</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2210800212</pqid></control><display><type>article</type><title>Reproductive outcomes following treatment for a gynecological cancer diagnosis: a systematic review</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Gerstl, Brigitte ; Sullivan, Elizabeth ; Vallejo, Marcus ; Koch, Jana ; Johnson, Maximilian ; Wand, Handan ; Webber, Kate ; Ives, Angela ; Anazodo, Antoinette</creator><creatorcontrib>Gerstl, Brigitte ; Sullivan, Elizabeth ; Vallejo, Marcus ; Koch, Jana ; Johnson, Maximilian ; Wand, Handan ; Webber, Kate ; Ives, Angela ; Anazodo, Antoinette</creatorcontrib><description>Purpose
Fertility treatments are available for women diagnosed with a gynecological malignancy, which is important for women who desire a biological family subsequent to treatment. The objective of this study was to report reproductive outcomes following fertility-sparing treatment for a gynaecological cancer.
Methods
Electronic databases were searched to identify studies that reported on reproductive outcomes after treatment for a gynecological malignancy.
Results
In total, 77 studies were included which reported on reproductive outcomes after treatment for cervical cancer, endometrial cancer, gestational trophoblastic disease, and ovarian cancer. The main treatments included vaginal or abdominal radical trachelectomy, progestin therapy, salpingo-oophorectomy, and chemotherapy. The mean age at diagnosis for the study population and at birth were 30.5 years and 30.3 years, respectively. There were 4749 pregnancies (42%) reported for the included studies, with a miscarriage rate of 15% and a medical termination rate of 5%. The live birth rate was 74% with a 10% preterm rate.
Implications for Cancer Survivors
Patients should be offered timely discussions, information, and counseling regarding the impact of gynecological cancer treatment on a patient’s fertility. Furthermore, fertility-sparing strategies and fertility preservation should be discussed prior to starting treatment.</description><identifier>ISSN: 1932-2259</identifier><identifier>EISSN: 1932-2267</identifier><identifier>DOI: 10.1007/s11764-019-00749-x</identifier><identifier>PMID: 30997658</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adolescent ; Adult ; Cancer ; Cancer Survivors - statistics & numerical data ; Cancer therapies ; Cervical cancer ; Cervix ; Chemotherapy ; Diagnosis ; Endometrial cancer ; Endometrium ; Female ; Fertility ; Fertility - physiology ; Fertility Preservation - statistics & numerical data ; Genital Neoplasms, Female - diagnosis ; Genital Neoplasms, Female - epidemiology ; Genital Neoplasms, Female - therapy ; Gynecological cancer ; Gynecology ; Health Informatics ; Health Promotion and Disease Prevention ; Health risk assessment ; Humans ; Identification methods ; Malignancy ; Medical diagnosis ; Medical treatment ; Medicine ; Medicine & Public Health ; Middle Aged ; Miscarriage ; Oncology ; Ovarian cancer ; Ovariectomy ; Patients ; Population studies ; Pregnancy ; Pregnancy Outcome - epidemiology ; Preservation ; Primary Care Medicine ; Progestin ; Prognosis ; Public Health ; Quality of Life Research ; Reproduction - physiology ; Review ; Systematic review ; Treatment Outcome ; Trophoblastic disease ; Uterine Cervical Neoplasms - diagnosis ; Uterine Cervical Neoplasms - pathology ; Uterine Cervical Neoplasms - therapy ; Vagina ; Womens health ; Young Adult</subject><ispartof>Journal of cancer survivorship, 2019-04, Vol.13 (2), p.269-281</ispartof><rights>Crown 2019</rights><rights>Journal of Cancer Survivorship is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-cdff7fb6ff2be94e3cd3d5eaa48ec93022be4860537bba606dec0fafc732db23</citedby><cites>FETCH-LOGICAL-c441t-cdff7fb6ff2be94e3cd3d5eaa48ec93022be4860537bba606dec0fafc732db23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11764-019-00749-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11764-019-00749-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30997658$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gerstl, Brigitte</creatorcontrib><creatorcontrib>Sullivan, Elizabeth</creatorcontrib><creatorcontrib>Vallejo, Marcus</creatorcontrib><creatorcontrib>Koch, Jana</creatorcontrib><creatorcontrib>Johnson, Maximilian</creatorcontrib><creatorcontrib>Wand, Handan</creatorcontrib><creatorcontrib>Webber, Kate</creatorcontrib><creatorcontrib>Ives, Angela</creatorcontrib><creatorcontrib>Anazodo, Antoinette</creatorcontrib><title>Reproductive outcomes following treatment for a gynecological cancer diagnosis: a systematic review</title><title>Journal of cancer survivorship</title><addtitle>J Cancer Surviv</addtitle><addtitle>J Cancer Surviv</addtitle><description>Purpose
Fertility treatments are available for women diagnosed with a gynecological malignancy, which is important for women who desire a biological family subsequent to treatment. The objective of this study was to report reproductive outcomes following fertility-sparing treatment for a gynaecological cancer.
Methods
Electronic databases were searched to identify studies that reported on reproductive outcomes after treatment for a gynecological malignancy.
Results
In total, 77 studies were included which reported on reproductive outcomes after treatment for cervical cancer, endometrial cancer, gestational trophoblastic disease, and ovarian cancer. The main treatments included vaginal or abdominal radical trachelectomy, progestin therapy, salpingo-oophorectomy, and chemotherapy. The mean age at diagnosis for the study population and at birth were 30.5 years and 30.3 years, respectively. There were 4749 pregnancies (42%) reported for the included studies, with a miscarriage rate of 15% and a medical termination rate of 5%. The live birth rate was 74% with a 10% preterm rate.
Implications for Cancer Survivors
Patients should be offered timely discussions, information, and counseling regarding the impact of gynecological cancer treatment on a patient’s fertility. Furthermore, fertility-sparing strategies and fertility preservation should be discussed prior to starting treatment.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Cancer</subject><subject>Cancer Survivors - statistics & numerical data</subject><subject>Cancer therapies</subject><subject>Cervical cancer</subject><subject>Cervix</subject><subject>Chemotherapy</subject><subject>Diagnosis</subject><subject>Endometrial cancer</subject><subject>Endometrium</subject><subject>Female</subject><subject>Fertility</subject><subject>Fertility - physiology</subject><subject>Fertility Preservation - statistics & numerical data</subject><subject>Genital Neoplasms, Female - diagnosis</subject><subject>Genital Neoplasms, Female - epidemiology</subject><subject>Genital Neoplasms, Female - therapy</subject><subject>Gynecological cancer</subject><subject>Gynecology</subject><subject>Health Informatics</subject><subject>Health Promotion and Disease Prevention</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Identification methods</subject><subject>Malignancy</subject><subject>Medical diagnosis</subject><subject>Medical treatment</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Miscarriage</subject><subject>Oncology</subject><subject>Ovarian cancer</subject><subject>Ovariectomy</subject><subject>Patients</subject><subject>Population studies</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome - epidemiology</subject><subject>Preservation</subject><subject>Primary Care Medicine</subject><subject>Progestin</subject><subject>Prognosis</subject><subject>Public Health</subject><subject>Quality of Life Research</subject><subject>Reproduction - physiology</subject><subject>Review</subject><subject>Systematic review</subject><subject>Treatment Outcome</subject><subject>Trophoblastic disease</subject><subject>Uterine Cervical Neoplasms - diagnosis</subject><subject>Uterine Cervical Neoplasms - pathology</subject><subject>Uterine Cervical Neoplasms - therapy</subject><subject>Vagina</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>1932-2259</issn><issn>1932-2267</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kUtLxDAQx4MoPla_gAcpePFSzauPeBPxBYIgew9pOilZ2kaTVN1vb9ZdFTx4mszkN_-Z5I_QMcHnBOPqIhBSlTzHROQp5SL_2EL7RDCaU1pW2z_nQuyhgxAWGBdUELqL9hgWoiqLeh_pZ3jxrp10tG-QuSlqN0DIjOt7927HLoseVBxgjKnmM5V1yxG0611nteozrUYNPmut6kYXbLhMRFiGCIOKVmce3iy8H6Ido_oAR5s4Q_Pbm_n1ff74dPdwffWYa85JzHVrTGWa0hjagODAdMvaApTiNWjBME1lXpe4YFXTqBKXLWhslNEVo21D2QydrWXTg14nCFEONmjoezWCm4KklBBGy5rxhJ7-QRdu8mNabkXhGmNKVoJ0TWnvQvBg5Iu3g_JLSbBcOSDXDsjkgPxyQH6kppON9NQM0P60fH95AtgaCOlq7MD_zv5H9hMjE5So</recordid><startdate>20190401</startdate><enddate>20190401</enddate><creator>Gerstl, Brigitte</creator><creator>Sullivan, Elizabeth</creator><creator>Vallejo, Marcus</creator><creator>Koch, Jana</creator><creator>Johnson, Maximilian</creator><creator>Wand, Handan</creator><creator>Webber, Kate</creator><creator>Ives, Angela</creator><creator>Anazodo, Antoinette</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20190401</creationdate><title>Reproductive outcomes following treatment for a gynecological cancer diagnosis: a systematic review</title><author>Gerstl, Brigitte ; Sullivan, Elizabeth ; Vallejo, Marcus ; Koch, Jana ; Johnson, Maximilian ; Wand, Handan ; Webber, Kate ; Ives, Angela ; Anazodo, Antoinette</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-cdff7fb6ff2be94e3cd3d5eaa48ec93022be4860537bba606dec0fafc732db23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Cancer</topic><topic>Cancer Survivors - statistics & numerical data</topic><topic>Cancer therapies</topic><topic>Cervical cancer</topic><topic>Cervix</topic><topic>Chemotherapy</topic><topic>Diagnosis</topic><topic>Endometrial cancer</topic><topic>Endometrium</topic><topic>Female</topic><topic>Fertility</topic><topic>Fertility - physiology</topic><topic>Fertility Preservation - statistics & numerical data</topic><topic>Genital Neoplasms, Female - diagnosis</topic><topic>Genital Neoplasms, Female - epidemiology</topic><topic>Genital Neoplasms, Female - therapy</topic><topic>Gynecological cancer</topic><topic>Gynecology</topic><topic>Health Informatics</topic><topic>Health Promotion and Disease Prevention</topic><topic>Health risk assessment</topic><topic>Humans</topic><topic>Identification methods</topic><topic>Malignancy</topic><topic>Medical diagnosis</topic><topic>Medical treatment</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Miscarriage</topic><topic>Oncology</topic><topic>Ovarian cancer</topic><topic>Ovariectomy</topic><topic>Patients</topic><topic>Population studies</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome - epidemiology</topic><topic>Preservation</topic><topic>Primary Care Medicine</topic><topic>Progestin</topic><topic>Prognosis</topic><topic>Public Health</topic><topic>Quality of Life Research</topic><topic>Reproduction - physiology</topic><topic>Review</topic><topic>Systematic review</topic><topic>Treatment Outcome</topic><topic>Trophoblastic disease</topic><topic>Uterine Cervical Neoplasms - diagnosis</topic><topic>Uterine Cervical Neoplasms - pathology</topic><topic>Uterine Cervical Neoplasms - therapy</topic><topic>Vagina</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gerstl, Brigitte</creatorcontrib><creatorcontrib>Sullivan, Elizabeth</creatorcontrib><creatorcontrib>Vallejo, Marcus</creatorcontrib><creatorcontrib>Koch, Jana</creatorcontrib><creatorcontrib>Johnson, Maximilian</creatorcontrib><creatorcontrib>Wand, Handan</creatorcontrib><creatorcontrib>Webber, Kate</creatorcontrib><creatorcontrib>Ives, Angela</creatorcontrib><creatorcontrib>Anazodo, Antoinette</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cancer survivorship</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gerstl, Brigitte</au><au>Sullivan, Elizabeth</au><au>Vallejo, Marcus</au><au>Koch, Jana</au><au>Johnson, Maximilian</au><au>Wand, Handan</au><au>Webber, Kate</au><au>Ives, Angela</au><au>Anazodo, Antoinette</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reproductive outcomes following treatment for a gynecological cancer diagnosis: a systematic review</atitle><jtitle>Journal of cancer survivorship</jtitle><stitle>J Cancer Surviv</stitle><addtitle>J Cancer Surviv</addtitle><date>2019-04-01</date><risdate>2019</risdate><volume>13</volume><issue>2</issue><spage>269</spage><epage>281</epage><pages>269-281</pages><issn>1932-2259</issn><eissn>1932-2267</eissn><abstract>Purpose
Fertility treatments are available for women diagnosed with a gynecological malignancy, which is important for women who desire a biological family subsequent to treatment. The objective of this study was to report reproductive outcomes following fertility-sparing treatment for a gynaecological cancer.
Methods
Electronic databases were searched to identify studies that reported on reproductive outcomes after treatment for a gynecological malignancy.
Results
In total, 77 studies were included which reported on reproductive outcomes after treatment for cervical cancer, endometrial cancer, gestational trophoblastic disease, and ovarian cancer. The main treatments included vaginal or abdominal radical trachelectomy, progestin therapy, salpingo-oophorectomy, and chemotherapy. The mean age at diagnosis for the study population and at birth were 30.5 years and 30.3 years, respectively. There were 4749 pregnancies (42%) reported for the included studies, with a miscarriage rate of 15% and a medical termination rate of 5%. The live birth rate was 74% with a 10% preterm rate.
Implications for Cancer Survivors
Patients should be offered timely discussions, information, and counseling regarding the impact of gynecological cancer treatment on a patient’s fertility. Furthermore, fertility-sparing strategies and fertility preservation should be discussed prior to starting treatment.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>30997658</pmid><doi>10.1007/s11764-019-00749-x</doi><tpages>13</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-2259 |
| ispartof | Journal of cancer survivorship, 2019-04, Vol.13 (2), p.269-281 |
| issn | 1932-2259 1932-2267 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adolescent Adult Cancer Cancer Survivors - statistics & numerical data Cancer therapies Cervical cancer Cervix Chemotherapy Diagnosis Endometrial cancer Endometrium Female Fertility Fertility - physiology Fertility Preservation - statistics & numerical data Genital Neoplasms, Female - diagnosis Genital Neoplasms, Female - epidemiology Genital Neoplasms, Female - therapy Gynecological cancer Gynecology Health Informatics Health Promotion and Disease Prevention Health risk assessment Humans Identification methods Malignancy Medical diagnosis Medical treatment Medicine Medicine & Public Health Middle Aged Miscarriage Oncology Ovarian cancer Ovariectomy Patients Population studies Pregnancy Pregnancy Outcome - epidemiology Preservation Primary Care Medicine Progestin Prognosis Public Health Quality of Life Research Reproduction - physiology Review Systematic review Treatment Outcome Trophoblastic disease Uterine Cervical Neoplasms - diagnosis Uterine Cervical Neoplasms - pathology Uterine Cervical Neoplasms - therapy Vagina Womens health Young Adult |
| title | Reproductive outcomes following treatment for a gynecological cancer diagnosis: a systematic review |
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