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FERTILITY PRESERVATION


Ms. Silvester Sugirtha,
Page No. 90-95


Abstract

Fertility preservation is becoming increasingly important to improve the quality of life in cancer
survivors. Despite guidelines suggesting that discussion of fertility preservation should be done
prior to starting cancer therapies, there is a lack of implementation in this area. A number of
techniques are available for fertility preservation, and they can be used individually or together in
the same patient to maximize efficiency. Oocyte and embryo cryopreservation are now established
techniques but have their limitations. Ovarian tissue cryopreservation though considered
experimental at present, has a wider clinical application and the advantage of keeping the fertility
window open for a longer time. Both chemotherapy and radiotherapy have a major impact on
reproductive potential and fertility preservation procedures should be carried out prior to these
treatments. The need for fertility preservation has to be weighed against morbidity and mortality
associated with cancer. There is thus a need for a multidisciplinary collaboration between
oncologists and reproductive specialists to improve awareness and availability.
Keywords : Cancer, counselling, cryopreservation, fertility preservation


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