Options on fertility preservation in female cancer patients

Abstract Infertility following treatment of cancer is a quality of survival’s recognized issue and efforts should be made to help young cancer patients retaining their fertility potential. Options to preserve fertility in female patients include well established methods such as shielding to reduce r...

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Veröffentlicht in:Cancer treatment reviews 2012-08, Vol.38 (5), p.354-361
Hauptverfasser: Rodriguez-Wallberg, Kenny A, Oktay, Kutluk
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container_title Cancer treatment reviews
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creator Rodriguez-Wallberg, Kenny A
Oktay, Kutluk
description Abstract Infertility following treatment of cancer is a quality of survival’s recognized issue and efforts should be made to help young cancer patients retaining their fertility potential. Options to preserve fertility in female patients include well established methods such as shielding to reduce radiation damage to reproductive organs, fertility-sparing surgery and emergency in vitro fertilization after controlled ovarian stimulation, aiming at freezing embryos. Transfer of frozen/thawed embryos today is a clinical routine in fertility clinics worldwide and it has been used for over 25 years. Mature oocytes after ovarian stimulation can also be frozen unfertilized, nevertheless overall pregnancy rates after fertilization of frozen-thawn oocytes are still relatively lower than those with embryo freezing. Remaining fertility preservation options are still in development and include the freezing of immature oocytes aiming at later in vitro maturing and fertilizing them and the cryopreservation of ovarian tissue for future retransplantation or for in vitro growth and maturation of follicles, both still experimental.
doi_str_mv 10.1016/j.ctrv.2011.10.002
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Options to preserve fertility in female patients include well established methods such as shielding to reduce radiation damage to reproductive organs, fertility-sparing surgery and emergency in vitro fertilization after controlled ovarian stimulation, aiming at freezing embryos. Transfer of frozen/thawed embryos today is a clinical routine in fertility clinics worldwide and it has been used for over 25 years. Mature oocytes after ovarian stimulation can also be frozen unfertilized, nevertheless overall pregnancy rates after fertilization of frozen-thawn oocytes are still relatively lower than those with embryo freezing. Remaining fertility preservation options are still in development and include the freezing of immature oocytes aiming at later in vitro maturing and fertilizing them and the cryopreservation of ovarian tissue for future retransplantation or for in vitro growth and maturation of follicles, both still experimental.</description><subject>Aromatase Inhibitors - therapeutic use</subject><subject>Cancer treatment</subject><subject>Chemotherapy</subject><subject>Cryopreservation - methods</subject><subject>Embryo cryopreservation</subject><subject>Embryo Transfer</subject><subject>Female</subject><subject>Fertility preservation</subject><subject>Fertility Preservation - methods</subject><subject>Fertility-sparing surgery</subject><subject>Fertilization in Vitro</subject><subject>Gonadal protection</subject><subject>Gonadotoxicity</subject><subject>Hematology, Oncology and Palliative Medicine</subject><subject>Humans</subject><subject>Medicin och hälsovetenskap</subject><subject>Neoplasms - radiotherapy</subject><subject>Neoplasms - therapy</subject><subject>Oocyte cryopreservation</subject><subject>Oocytes - physiology</subject><subject>Organ Sparing Treatments</subject><subject>Ovarian tissue cryopreservation</subject><subject>Ovarian tissue transplantation</subject><subject>Ovary - radiation effects</subject><subject>Ovary - transplantation</subject><subject>Ovulation Induction</subject><subject>Pregnancy</subject><subject>Pregnancy Rate</subject><subject>Quality of survival</subject><subject>Radiotherapy</subject><subject>Radiotherapy - adverse effects</subject><subject>Reproductive health</subject><subject>Reproductive Techniques, Assisted</subject><subject>Transplants</subject><subject>Uterine Cervical Neoplasms - surgery</subject><issn>0305-7372</issn><issn>1532-1967</issn><issn>1532-1967</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kdtq3DAQhkVJaTZpX6AXxS_gzWgkWxYJgRB6gkAumnshyyPQxmsbydmwbx-5mwME2iuJf_5vBJ8Y-8phzYHXZ5u1m-NujcB5DtYA-IGteCWw5LpWR2wFAqpSCYXH7CSlDQBoUetP7BgRVNPUesXOb6c5jEMqxqHwFOfQh3lfTJESxZ1dRkVYJlvbU-Hs4CgWU85pmNNn9tHbPtGX5_OU3f34fnf9q7y5_fn7-uqmdFLruXQVgnRKetHIttLYkBUKlG-QwPK29rzpWuy8JymQNKrWoiafC1zWKMUpKw9r0yNND62ZYtjauDejDeY5us83MpWEBjD39T_7Uxy7N-gF5ChVJeqGZxYPrItjSpH8K83BLNLNxizSzSJ9yeDvg98OUN66pe4VebGcCxeHAmVLu0DRJJcNOupCJDebbgz_33_5Dnd9GIKz_T3tKW3Ghzhk_4abhAbMn-Xbl1_nPNNcafEEBXCpgQ</recordid><startdate>20120801</startdate><enddate>20120801</enddate><creator>Rodriguez-Wallberg, Kenny A</creator><creator>Oktay, Kutluk</creator><general>Elsevier Ltd</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>ADTPV</scope><scope>AOWAS</scope></search><sort><creationdate>20120801</creationdate><title>Options on fertility preservation in female cancer patients</title><author>Rodriguez-Wallberg, Kenny A ; Oktay, Kutluk</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c499t-c5204c74f384b5928ea3707f82e0a1b6f18db2dffe432e927ba29ef7f8146243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aromatase Inhibitors - therapeutic use</topic><topic>Cancer treatment</topic><topic>Chemotherapy</topic><topic>Cryopreservation - methods</topic><topic>Embryo cryopreservation</topic><topic>Embryo Transfer</topic><topic>Female</topic><topic>Fertility preservation</topic><topic>Fertility Preservation - methods</topic><topic>Fertility-sparing surgery</topic><topic>Fertilization in Vitro</topic><topic>Gonadal protection</topic><topic>Gonadotoxicity</topic><topic>Hematology, Oncology and Palliative Medicine</topic><topic>Humans</topic><topic>Medicin och hälsovetenskap</topic><topic>Neoplasms - radiotherapy</topic><topic>Neoplasms - therapy</topic><topic>Oocyte cryopreservation</topic><topic>Oocytes - physiology</topic><topic>Organ Sparing Treatments</topic><topic>Ovarian tissue cryopreservation</topic><topic>Ovarian tissue transplantation</topic><topic>Ovary - radiation effects</topic><topic>Ovary - transplantation</topic><topic>Ovulation Induction</topic><topic>Pregnancy</topic><topic>Pregnancy Rate</topic><topic>Quality of survival</topic><topic>Radiotherapy</topic><topic>Radiotherapy - adverse effects</topic><topic>Reproductive health</topic><topic>Reproductive Techniques, Assisted</topic><topic>Transplants</topic><topic>Uterine Cervical Neoplasms - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rodriguez-Wallberg, Kenny A</creatorcontrib><creatorcontrib>Oktay, Kutluk</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>SwePub</collection><collection>SwePub Articles</collection><jtitle>Cancer treatment reviews</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rodriguez-Wallberg, Kenny A</au><au>Oktay, Kutluk</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Options on fertility preservation in female cancer patients</atitle><jtitle>Cancer treatment reviews</jtitle><addtitle>Cancer Treat Rev</addtitle><date>2012-08-01</date><risdate>2012</risdate><volume>38</volume><issue>5</issue><spage>354</spage><epage>361</epage><pages>354-361</pages><issn>0305-7372</issn><issn>1532-1967</issn><eissn>1532-1967</eissn><abstract>Abstract Infertility following treatment of cancer is a quality of survival’s recognized issue and efforts should be made to help young cancer patients retaining their fertility potential. Options to preserve fertility in female patients include well established methods such as shielding to reduce radiation damage to reproductive organs, fertility-sparing surgery and emergency in vitro fertilization after controlled ovarian stimulation, aiming at freezing embryos. Transfer of frozen/thawed embryos today is a clinical routine in fertility clinics worldwide and it has been used for over 25 years. Mature oocytes after ovarian stimulation can also be frozen unfertilized, nevertheless overall pregnancy rates after fertilization of frozen-thawn oocytes are still relatively lower than those with embryo freezing. Remaining fertility preservation options are still in development and include the freezing of immature oocytes aiming at later in vitro maturing and fertilizing them and the cryopreservation of ovarian tissue for future retransplantation or for in vitro growth and maturation of follicles, both still experimental.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>22078869</pmid><doi>10.1016/j.ctrv.2011.10.002</doi><tpages>8</tpages></addata></record>
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source MEDLINE; ScienceDirect Journals (5 years ago - present)
subjects Aromatase Inhibitors - therapeutic use
Cancer treatment
Chemotherapy
Cryopreservation - methods
Embryo cryopreservation
Embryo Transfer
Female
Fertility preservation
Fertility Preservation - methods
Fertility-sparing surgery
Fertilization in Vitro
Gonadal protection
Gonadotoxicity
Hematology, Oncology and Palliative Medicine
Humans
Medicin och hälsovetenskap
Neoplasms - radiotherapy
Neoplasms - therapy
Oocyte cryopreservation
Oocytes - physiology
Organ Sparing Treatments
Ovarian tissue cryopreservation
Ovarian tissue transplantation
Ovary - radiation effects
Ovary - transplantation
Ovulation Induction
Pregnancy
Pregnancy Rate
Quality of survival
Radiotherapy
Radiotherapy - adverse effects
Reproductive health
Reproductive Techniques, Assisted
Transplants
Uterine Cervical Neoplasms - surgery
title Options on fertility preservation in female cancer patients
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