Practical recommendations for fertility preservation in women by the FertiPROTEKT network. Part I: Indications for fertility preservation View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2017-11-24

AUTHORS

A. N. Schüring, T. Fehm, K. Behringer, M. Goeckenjan, P. Wimberger, M. Henes, J. Henes, M. F. Fey, M. von Wolff

ABSTRACT

PurposeMost guidelines about fertility preservation are predominantly focused on scientific evidence, but are less practically orientated. Therefore, practically oriented recommendations are needed to support the clinician in daily practice.MethodsA selective literature search was performed based on the clinical and scientific experience of the authors, focussing on the most relevant diseases and gynaecological cancers. This article (Part I) provides information on topics that are essential for the fertility preservation indication, such as disease prognosis, disease therapy and its associated risks to fertility, recommending disease-specific fertility preservation measures. Part II specifically focusses on fertility preservation techniques.ResultsIn breast cancer patients, fertility preservation such as ovarian tissue and oocyte cryopreservation is especially recommended in low-stage cancer and in women < 35 years of age. In Hodgkin’s lymphoma, the indication is mainly based on the chemotherapy regime as some therapies have very low, others very high gonadotoxicity. In borderline ovarian tumours, preservation of fertility usually is achieved through fertility sparing surgery, ovarian stimulation may also be considered. In cervical cancer, endometrial cancer, rheumatic diseases and other malignancies such as Ewing sarcoma, colorectal carcinoma, non-Hodgkin lymphoma, leukaemia etc., several other factors must be considered to enable an individual, stage-dependent decision.ConclusionThe decision for or against fertility preservation depends on the prognosis, the risks to fertility and individual factors such as prospective family planning. More... »

PAGES

241-255

References to SciGraph publications

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  • 2016-10-21. Fertility-sparing management in cervical cancer: balancing oncologic outcomes with reproductive success in GYNECOLOGIC ONCOLOGY RESEARCH AND PRACTICE
  • 2012-05-31. Recommendations for fertility preservation in patients with lymphoma, leukemia, and breast cancer in JOURNAL OF ASSISTED REPRODUCTION AND GENETICS
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    28 schema:description PurposeMost guidelines about fertility preservation are predominantly focused on scientific evidence, but are less practically orientated. Therefore, practically oriented recommendations are needed to support the clinician in daily practice.MethodsA selective literature search was performed based on the clinical and scientific experience of the authors, focussing on the most relevant diseases and gynaecological cancers. This article (Part I) provides information on topics that are essential for the fertility preservation indication, such as disease prognosis, disease therapy and its associated risks to fertility, recommending disease-specific fertility preservation measures. Part II specifically focusses on fertility preservation techniques.ResultsIn breast cancer patients, fertility preservation such as ovarian tissue and oocyte cryopreservation is especially recommended in low-stage cancer and in women < 35 years of age. In Hodgkin’s lymphoma, the indication is mainly based on the chemotherapy regime as some therapies have very low, others very high gonadotoxicity. In borderline ovarian tumours, preservation of fertility usually is achieved through fertility sparing surgery, ovarian stimulation may also be considered. In cervical cancer, endometrial cancer, rheumatic diseases and other malignancies such as Ewing sarcoma, colorectal carcinoma, non-Hodgkin lymphoma, leukaemia etc., several other factors must be considered to enable an individual, stage-dependent decision.ConclusionThe decision for or against fertility preservation depends on the prognosis, the risks to fertility and individual factors such as prospective family planning.
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    36 Part II
    37 age
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    40 borderline ovarian tumors
    41 breast cancer patients
    42 cancer
    43 cancer patients
    44 carcinoma
    45 cervical cancer
    46 chemotherapy regimes
    47 clinicians
    48 colorectal carcinoma
    49 cryopreservation
    50 daily practice
    51 decisions
    52 disease
    53 disease prognosis
    54 disease therapy
    55 endometrial cancer
    56 evidence
    57 experience
    58 factors
    59 family planning
    60 fertility
    61 fertility preservation
    62 fertility preservation measures
    63 fertility preservation techniques
    64 fertility sparing surgery
    65 gonadotoxicity
    66 guidelines
    67 gynaecological cancer
    68 indications
    69 individual factors
    70 information
    71 leukemia
    72 literature search
    73 low-stage cancers
    74 lymphoma
    75 malignancy
    76 measures
    77 network
    78 non-Hodgkin lymphoma
    79 oocyte cryopreservation
    80 ovarian stimulation
    81 ovarian tissue
    82 ovarian tumors
    83 patients
    84 planning
    85 practical recommendations
    86 practice
    87 preservation
    88 preservation measures
    89 preservation of fertility
    90 preservation techniques
    91 prognosis
    92 recommendations
    93 regime
    94 relevant diseases
    95 rheumatic diseases
    96 risk
    97 sarcoma
    98 scientific evidence
    99 scientific experience
    100 search
    101 selective literature search
    102 sparing surgery
    103 stimulation
    104 surgery
    105 technique
    106 therapy
    107 tissue
    108 topic
    109 tumors
    110 women
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