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    Fertility preservation in young females with non-gynaecologic malignancy: an emerging speciality.

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    Authors
    Smyth, C
    Robertson, I
    Higgins, L
    Memeh, K
    O'Leary, M
    Keane, M
    Khan, W
    Barry, K
    Affiliation
    Department of Surgery, Mayo General Hospital, Castlebar, Co Mayo, Ireland.
    Issue Date
    2013-06-06
    Keywords
    CANCER
    WOMEN'S HEALTH
    
    Metadata
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    Citation
    Fertility preservation in young females with non-gynaecologic malignancy: an emerging speciality. 2013: Ir J Med Sci
    Publisher
    Springer
    Journal
    Irish journal of medical science
    URI
    http://hdl.handle.net/10147/294107
    DOI
    10.1007/s11845-013-0967-1
    PubMed ID
    23740204
    Additional Links
    http://www.ncbi.nlm.nih.gov/pubmed/?term=Fertility+preservation+in+young+females+with+non-gynaecologic+malignancy%3A+an+emerging+speciality
    Abstract
    BACKGROUND: As new treatment and research advances continue to improve the prognosis of cancer patients, oncologists and surgeons are increasingly faced with the issue of fertility protection and preservation. Cancer patients are frequently exposed to gonadotoxic chemotherapy and radiation therapy as a component of their treatment regimens. There are currently various anticipatory techniques available to women who wish to retain future reproductive ability, the most successful of which involves oocyte retrieval followed by in vitro fertilisation and embryo cryopreservation. Innovative methods include oocyte cryopreservation, ovarian follicle cryopreservation and oophoropexy. AIM: The aim of this study was to examine our combined experiences at Mayo General Hospital of treating female patients (<30 years) with non-gynaecologic malignancy and requiring referral to the HARI Unit during a 6-year period (2007-2012). Emphasis was placed on reviewing the fertility-preservation options available. METHODS: The hospital inpatient enquiry system was inspected for all cases of non-gynaecologic malignancy referred for fertility preservation from 2007 to 2012. RESULTS: Three cases of non-gynaecologic malignancy in young females, with an intention to protect and preserve future fertility were identified. The primary treatment plan did not initially incorporate input from a gynaecology or fertility specialist. It was after concerted inquiry and reflection by both physician and patient that oncofertility consultation was sought. CONCLUSION: The responsibility is on both physicians and surgeons to consider a more holistic approach to cancer care in young female patients, which focuses not only on the elimination of malignancy but also on preservation of fertility and quality of life.
    Item Type
    Article
    Language
    en
    ISSN
    1863-4362
    ae974a485f413a2113503eed53cd6c53
    10.1007/s11845-013-0967-1
    Scopus Count
    Collections
    Mayo General Hospital

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