Fertility preservation is a major concern for women facing cervical cancer. In this exploration, we navigate the challenges and viable options, highlighting the critical aspect of preserving reproductive potential within medical treatment. Expert insights guide the discussion, emphasizing the importance of informed decisions and advances in fertility preservation strategies for women undergoing treatment for cervical cancer.
Dr. Sweta Gupta, Director IVF, Max Healthcare, said, “Cervical cancer is the fourth most common malignancy in women worldwide. Fertility preservation techniques allow gametes to be saved from damage through surgery, radiotherapy and chemotherapy treatments. Procedures include fertility-sparing surgical options. As well as oocyte and ovarian cortex cryopreservation. Options for each individual patient need to be evaluated by a multidisciplinary reproductive team, to select the most appropriate method.”
“Due to the technological advances made in the last decade, oocyte cryopreservation has become a viable option before gonadotoxic therapy. It can be suitable for single or partnered women, for postpartum girls and for those who have objections to embryo cryopreservation. In cancer cases, controlled ovarian stimulation for oocyte maturation is induced. There is limited time to do. Nowadays, advanced fertility specialists immediately start ovulation stimulation using the new random stimulation protocol. Oocyte cryopreservation should be completed before neo-adjuvant chemotherapy or combined chemoradiation, “Shighlight.
Dr. Sweta adds, “Conservative fertility-sparing treatments such as radical trachelectomy for cervical cancer, hormonal treatment for early endometrial cancer, and conservative surgery for early-stage epithelial ovarian cancer may be possible for some women with early invasive disease. Reducing radiation. Radiation field ( i.e. by protecting the ovaries from oophoropexy) or surgically ovulatory doses may preserve ovarian function.”
A cancer diagnosis can be a life crisis for anyone. The type of cancer, treatment options, and its impact on the patient’s physical, mental, and social resources vary. Young adults face additional potential loss of reproductive function and childbearing opportunities.
“Surveys of cancer patients reveal a very strong desire to be informed about options available for fertility preservation and future reproduction. At the same time, patients who wish to reproduce in the future (and their parents in the case of minors) receive a cancer diagnosis. , they must consider the potential impact on fertility, ” advises Dr Sweta.
“To preserve fertility, they may need to adopt changes in standard treatment protocols or take steps to preserve gametes or gonadal tissue that carry risks and uncertainties,” concluded Dr. Sweta.