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Abstract

Volume 8, Issue 5 (September 2006) 8, 515–533; 10.1111/j.1745-7262.2006.00206.x

Gonadal damage and options for fertility preservation in female and male cancer survivors

Theodoros Maltaris, Heinz Koelbl, Rudolf Seufert, Franklin Kiesewetter, Matthias W Beckmann, Andreas Mueller and Ralf Dittrich

1.Department of Obstetrics and Gynecology, Johannes Gutenberg University, Mainz D-55124, Germany
2.Division of Andrology, Erlangen University Hospital, University of Erlangen-Nuremberg, Erlangen, Germany
3.Department of Obstetrics and Gynecology, Erlangen University Hospital, University of Erlangen-Nuremberg, Erlangen, Germany

Correspondence: Dr Theodoros Maltaris, Department of Obstetrics and Gynecology, Mainz University Hospital, Langenbeckstrasse 1, D-55124 Mainz, Germany. Fax: +49-6131-174-321. E-mail: maltaris@uni-mainz.de

Received 10 March 2006; Accepted 5 June 2006.

Abstract

It is estimated that in 2010, 1 in every 250 adults will be a childhood cancer survivor. Today, oncological surgery, radiotherapy and chemotherapy achieve relatively high rates of remission and long-term survival, yet are often detrimental to fertility. Quality of life is increasingly important to long-term survivors of cancer, and one of the major quality-of-life issues is the ability to produce and raise normal children. Developments in the near future in the emerging field of fertility preservation in cancer survivors promise to be very exciting. This article reviews the published literature, discusses the effects of cancer treatment on fertility and presents the options available today thanks to advances in assisted-reproduction technology for maintaining fertility in male and female patients undergoing this type of treatment. The various diagnostic methods of assessing the fertility potential and the efficacy of in vitro fertilization (IVF) after cancer treatment are also presented.

Keywords: reproduction, cryopreservation, male infertility, semen preservation, fertility preservation, cancer treatment, ovarian tissue

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Asian Journal of Andrology CN 31-1795/R ISSN 1008-682X  Copyright © 2023  Shanghai Materia Medica, Chinese Academy of Sciences.  All rights reserved.