Published in:
01-02-2013
Ovarian stimulation protocols for onco-fertilty patients
Authors:
Juliette Koch, William Ledger
Published in:
Journal of Assisted Reproduction and Genetics
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Issue 2/2013
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Abstract
Purpose
To review options for ovarian stimulation before oocyte collection for fertility preservation for women with cancer or related diseases who require potentially sterilizing chemo- or radiotherapy.
Methods
Narrative review of current practice.
Results
Vitrification of oocytes and embryos has improved chances of pregnancy for this group of patients in recent years, increasing the uptake of fertility preservation before cancer treatment substantially. Strategies for ovarian stimulation for such patients should optimize oocyte yield whilst avoiding risk of ovarian hyperstimulation.
Conclusions
Best practice in ovarian stimulation can deliver good numbers of oocytes or embryos for cryopreservation with minimal risk of ovarian hyperstimulation for women under 36 years of age. Results are less encouraging for older patients.