Preservation of Fertility

Description

In September 2004, a woman from Belgium gave birth to a child after receiving an ovarian-tissue transplant. This was a culmination of several efforts to preserve fertility in women who undergo treatment for cancer. Radiotherapy and chemotherapy are particularly toxic to eggs and sperm, and to the trauma of the diagnosis of cancer and its subsequent treatment is added the tragedy of subsequent infertility. For young women in whom ovarian damage is likely to result from treatment for cancer, there are various possibilities, including the freezing of eggs, the creation of embryos that can be subsequently frozen, the storage of ovarian tissue, and the transplantation of ovaries. All of these procedures are associated with considerable practical, scientific, ethical, and legal problems that involve a range of medical and health professionals as well as the patient. Tulandi and Gosden take on these issues in Preservation of Fertility, which is largely dedicated to the subject of the protection of male and female fertility in situations in which cancer needs to be treated rapidly.

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