Fertility Preservation: A Key Survivorship issue for Young women with Cancer

被引:47
作者
Angarita, Ana Milena [1 ]
Johnson, Cynae A. [2 ]
Fader, Amanda Nickles [1 ]
Christianson, Mindy S. [3 ]
机构
[1] Johns Hopkins Univ, Sch Med, Dept Gynecol & Obstet, Kelly Gynecol Oncol Serv, Baltimore, MD 21205 USA
[2] Johns Hopkins Univ Hosp, Kelly Gynecol Oncol Serv, Dept Gynecol & Obstet, Baltimore, MD 21287 USA
[3] Johns Hopkins Univ, Sch Med, Dept Gynecol & Obstet, Div Reprod Endocrinol, Baltimore, MD 21205 USA
关键词
fertility preservation; cancer survivorship; cryopreservation; fertility sparing surgery; counseling; OVARIAN STIMULATION; BREAST-CANCER; OOCYTE VITRIFICATION; REPRODUCTIVE OUTCOMES; INFERTILITY TREATMENT; AMERICAN-SOCIETY; CHILDHOOD-CANCER; CERVICAL-CANCER; ADULT PATIENTS; FEMALE;
D O I
10.3389/fonc.2016.00102
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Fertility preservation in the young cancer survivor is recognized as a key survivorship issue by the American Society of Clinical Oncology and the American Society of Reproductive Medicine. Thus, health-care providers should inform women about the effects of cancer therapy on fertility and should discuss the different fertility preservation options available. It is also recommended to refer women expeditiously to a fertility specialist in order to improve counseling. Women's age, diagnosis, presence of male partner, time available, and preferences regarding use of donor sperm influence the selection of the appropriate fertility preservation option. Embryo and oocyte cryopreservation are the standard techniques used while ovarian tissue cryopreservation is new, yet promising. Despite the importance of fertility preservation for cancer survivors' quality of life, there are still communication and financial barriers faced by women who wish to pursue fertility preservation.
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页数:10
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