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An update on fertility preservation strategies for women with cancer

Published:November 28, 2019DOI:https://doi.org/10.1016/j.ygyno.2019.11.001
      With rapid advancements in cancer therapy, reproductive age women are benefitting from overall improved survival rates [
      • Dolmans M.M.
      Recent advances in fertility preservation and counseling for female cancer patients.
      ]. Invasive cancer occurs in approximately 1–2% of this population, with current five-year survival rates in the United States approaching 83% [
      • Melo A.S.
      • Paula C.T.V.
      • Rufato M.A.F.
      • Rufato M.C.A.C.
      • Rodrigues J.K.
      • Ferriani R.A.
      • Barreto J.
      Fertility optimization in women with cancer: from preservation to contraception.
      ]. Challenges remain in managing late effects of cancer therapy, including infertility and premature ovarian insufficiency (POI) [
      • Dolmans M.M.
      Recent advances in fertility preservation and counseling for female cancer patients.
      ]. Women need timely reproductive-risk counseling and referrals to reproductive medicine specialists for consideration of fertility preservation (FP) prior to initiating cancer treatment, if desired, to increase their chance of having a child in the future.
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