Pregnancy after cancer: when impossible becomes possible

Ю. А. Тимовская

Abstract


The article is a summary of the report «Save of reproductive function in cancer patients» which was presented at the conference «Oncopathology and Reproduction - Opportunities and Prospects», that was held in October 29, 2014 in Kiev.

Today the improvement of radiation therapy and the development of new cytotoxic drugs improved both immediate and long-term results of cancer patients’ treatment.

Recommendations of the American Society of Clinical Oncology provide discussion about saving of reproductive function with every cancer patients of reproductive age before initiating therapy. This decision should be taken in conjunction patient, an oncologist and reproductive system.

All methods of fertility preservation are divided into two groups: methods to reduce the risk of ovarian tissue damage by radiation therapy and chemotherapy (ovary pexia and ovarian suppression); methods aimed at saving biological material (embryo cryopreservation and cryopreservation of oocytes).

It should be noted that all cancer patients need to understand the high risk of disease prolongation or complications from the use of such treatments.


Keywords


survival after cancer; pregnancy after cancer; fertility preservation; ovary pexia; ovarian suppression; embryo cryopreservation; oocyte cryopreservation; Progestogel; Utrogestan

References


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DOI: http://dx.doi.org/10.18370/2309-4117.2015.21.82-88

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ISSN 2411-1295 (Online), ISSN 2309-4117 (Print)