Fertility preservation in pediatric healthcare: a review

被引：18
作者：
Chen, Lin [1 ]
Dong, Zirui [2 ,3 ]
Chen, Xiaoyan [4 ,5 ]
机构：
[1] Sun Yat Sen Univ, Affiliated Hosp 1, Reprod Med Ctr, Guangzhou, Peoples R China
[2] Chinese Univ Hong Kong, Dept Obstet & Gynecol, Hong Kong, Peoples R China
[3] Chinese Univ Hong Kong, Shenzhen Res Inst, Shenzhen, Peoples R China
[4] Shenzhen Univ, Shenzhen Baoan Womens & Childrens Hosp, Maternal Fetal Med Inst, Shenzhen, Peoples R China
[5] Chinese Univ Hong Kong, Fertil Preservat Res Ctr, Dept Obstet & Gynecol, Hong Kong, Peoples R China
来源：
FRONTIERS IN ENDOCRINOLOGY | 2023年 / 14卷
关键词：
fertility preservation; oocyte cryopreservation; ovarian tissue cryopreservation; testicular tissue cryopreservation; pediatric; CRYOPRESERVED OVARIAN TISSUE; IN-VITRO MATURATION; YOUNG-ADULT CANCER; SUCCESSFUL OOCYTE CRYOPRESERVATION; ACUTE LYMPHOBLASTIC-LEUKEMIA; HUMAN TESTICULAR TISSUE; LOW-TEMPERATURE STORAGE; CHILDHOOD-CANCER; INTRACYTOPLASMIC SPERM; ASSISTED REPRODUCTION;
D O I：
10.3389/fendo.2023.1147898
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Survival rates for children and adolescents diagnosed with malignancy have been steadily increasing due to advances in oncology treatments. These treatments can have a toxic effect on the gonads. Currently, oocyte and sperm cryopreservation are recognized as well-established and successful strategies for fertility preservation for pubertal patients, while the use of gonadotropin-releasing hormone agonists for ovarian protection is controversial. For prepubertal girls, ovarian tissue cryopreservation is the sole option. However, the endocrinological and reproductive outcomes after ovarian tissue transplantation are highly heterogeneous. On the other hand, immature testicular tissue cryopreservation remains the only alternative for prepubertal boys, yet it is still experimental. Although there are several published guidelines for navigating fertility preservation for pediatric and adolescent patients as well as transgender populations, it is still restricted in clinical practice. This review aims to discuss the indications and clinical outcomes of fertility preservation. We also discuss the probably effective and efficient workflow to facilitate fertility preservation.
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页数：19
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