Research progress on fertility preservation and reproduction therapy for young gynecological malignant tumor patients

Abstract

With the aging trend of the first pregnancy and the younger onset of gynecological malignancies (cervical cancer, ovarian cancer, endometrial cancer), more and more young gynecological cancer patients have not completed their reproductive mission. On the other hand, with the maturation of early diagnosis and treatment of gynecological malignant tumors, the tumor survival rate has been greatly improved. How to choose a plan suitable for young gynecologic cancer patients to retain fertility without affecting the treatment of malignant tumors, so that their subsequent fertility aspirations can be realized, is a problem that clinicians need to consider when treating tumors, and is also a challenge for reproductive medicine. Combined with the stage of gynecologic malignant tumor, this article reviews the indications, surgical methods, the timing and follow-up of pregnancy after treatment, the methods of helping pregnancy, and how to deal with the recurrence of tumor after fertility preservation treatment, to provide guidance for clinical treatment. Key words: Gynecological malignant tumor; Tumor surgical treatment; Fertility preservation