Fertility preservation in men and women: Where are we in 2021? Are we rising to the challenge?

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Fertility preservation in men and women: Where are we in 2021? Are we rising to the challenge?

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Vitrification of immature mouse oocyte using stepwise equilibration before or after in vitro maturation
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  • Front Matter
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Fertility preservation in girls with Turner syndrome: limitations, current success and future prospects
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Women with cancer undergoing ART for fertility preservation: a cohort study of their response to exogenous gonadotropins
  • Sep 18, 2008
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Women with cancer undergoing ART for fertility preservation: a cohort study of their response to exogenous gonadotropins

  • Discussion
  • 10.1016/j.fertnstert.2009.03.072
Reply of the Author: Evidence-based medicine or just a theory?
  • May 23, 2009
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  • Zeev Blumenfeld

Reply of the Author: Evidence-based medicine or just a theory?

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Fertility preservation in women undergoing cancer treatment
  • May 1, 2004
  • The Lancet
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Fertility preservation in women undergoing cancer treatment

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Oocyte vitrification—Women's emancipation set in stone
  • Apr 14, 2008
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Ovarian stimulation for fertility preservation in women diagnosed with cancer
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Fertility preservation in reproductive age women with cancer.
  • Oct 30, 2014
  • The Journal of Obstetrics and Gynecology of India
  • Peter Kovacs

Cancer may be detected at any age and could affect children, and reproductive age women as well. In recent years, cancer treatment has become less destructive and more specific. As a result, survival rates and quality of life following successful treatment have continuously improved. Cancer treatment typically involves surgery, chemo- or radiation therapy, or the combinations of these. These interventions often adversely affect the function of the reproductive organs. Chemo- and radiation therapy are known to be gonadotoxic. Survivors of oncologic therapy are typically rendered infertile primarily due to the loss of ovarian function. There are, however, several medical, surgical, and assisted reproductive technology options that could be and should be offered to those diagnosed with cancer and wish to maintain their fertility. Embryo cryopreservation has been available for decades and has been successfully applied for fertility preservation in women diagnosed with cancer. Recent advances in cryobiology have increased the efficacy of not just embryo but even oocyte and ovarian tissue freezing-thawing. Oocyte vitrification just like embryo cryopreservation requires the use of stimulation but does not require the patient to be in a stable relationship or accept the use of donor sperm. Ovarian tissue cryopreservation does not require stimulation and, following successful transplantation, provides the patient with the most eggs but is currently still considered experimental. This paper summarizes the various fertility-sparing medical, surgical and assisted reproductive technology options. It reviews the current status of embryo, oocyte, and ovarian tissue cryopreservation and discusses their risks and benefits.

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