Fertility Preservation Strategies in Gynecologic Cancers
Issued Date
2022-05-01
Resource Type
ISSN
08576084
eISSN
26730871
Scopus ID
2-s2.0-85132110448
Journal Title
Thai Journal of Obstetrics and Gynaecology
Volume
30
Issue
3
Start Page
152
End Page
161
Rights Holder(s)
SCOPUS
Bibliographic Citation
Thai Journal of Obstetrics and Gynaecology Vol.30 No.3 (2022) , 152-161
Suggested Citation
Satitniramai S., Charakorn C., Promwattanaphan L. Fertility Preservation Strategies in Gynecologic Cancers. Thai Journal of Obstetrics and Gynaecology Vol.30 No.3 (2022) , 152-161. 161. doi:10.14456/tjog.2022.19 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/85882
Title
Fertility Preservation Strategies in Gynecologic Cancers
Author(s)
Author's Affiliation
Other Contributor(s)
Abstract
The incidence of most gynecologic malignancies significantly reaches their peaks after the age of 50, a substantial number of women encounter the diagnosis of gynecologic cancer during their reproductive year. Thus, fertility preservation has an important role in good quality of life in adolescents and young adults. The gynecologic oncologists should thoroughly discuss the potentiate infertility with all patients and refer them to reproductive specialists as earliest as possible to broaden the fertility preservation options and reduce decisional regret. There are roles of fertility preservation treatment in appropriately selected patients such as early stage cervical cancer (IA1-IB1), early stage of endometrial carcinoma with well-differentiated endometrioid subtype, and some subtypes of ovarian cancer (epithelium ovarian cancer stage IA, epithelium ovarian cancer unilateral stage IC, malignant ovarian germ cell tumor, sex-cord stromal tumor, borderline ovarian tumor) which the fertility preserving procedure yields the optimal oncologic outcomes and acceptable obstetrics result. Patients should be insistently informed that the fertility sparing treatment is not the standard of care and accepted possibilities of impaired survival. The doctors should emphasize comprehensive surveillance and a complete surgical staging following family completion must be achieved.