Early referral to a multidisciplinary team offers selection of the most required fertility preservation
method for fertility preservation
, between the standard methods such as embryo or oocyte cryopreservation and experimental options including ovarian tissue cryopreservation, cryopreservation of immature oocytes and ovarian suppression with gonadotropin-releasing hormone agonists (GnRHa) (19).
Nevertheless, unsettling disparities exist in referral rates for fertility preservation
, and are often dictated by patient's age and education level, the nature of the cancer diagnosis, and the caregiver's specialization and knowledge of available options.
The survey included 36 items on knowledge of fertility preservation
, the desire to have biological children, and other factors that may affect the decision to pursue fertility preservation
Adult female patients and fertility preservation
options: Most of the possible strategies for fertility preservation
in pubertal patients are costly and invasive, and none of them are as reliable as sperm banking in men.
These medical and societal trends will result in more women being interested in fertility preservation
This technique of fertility preservation
is advised for prepubertal girls as well as adult patients who need to start their treatment right after being diagnosed with cancer.
Critchley, "Late effects of the treatment of childhood cancer on the female reproductive system and the potential for fertility preservation
," BJOG: An International Journal of Obstetrics & Gynaecology, vol.
Cryopreservation of testicular tissue or testicular cell suspensions: a pivotal step in fertility preservation
. Hum Reprod Update 2016;22:744-61.
However, we suggest that in a low to middle income country like ours with limited health care resources, the decision for fertility preservation
should be reviewed carefully with full involvement of patients, considering their understanding of disease, risk of recurrence, menopausal status and desire of fertility.
Methods: In this article, the authors provide a broad overview of the current recommendations surrounding fertility preservation
in this patient population.
"All of us involved in the care of this group should be advocating for young people to have access to fertility preservation
technology and specialist fertility treatments funded by the NHS and ensuring that patients are fully aware of the risks and have options available to them for their future."
He added that the "holy grail of fertility preservation
" is being able to grow and freeze lots of eggs, and research was currently ongoing that suggests researchers will be able to grow "almost countless eggs from frozen ovarian tissue" in the future.