Fertility assessment and treatment in adolescent and young adult cancer survivors

Author:

Moravek Molly B.1ORCID,Pavone Mary Ellen2,Burns Karen34ORCID,Kashanian James A.5,Anderson Richard A.6,Klosky James L.78,Rotz Seth J.9ORCID,Stern Catharyn J.1011,Rodriguez‐Wallberg Kenny A.12ORCID,Levine Jennifer M.13,Meacham Lillian R.1415

Affiliation:

1. Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology University of Michigan Ann Arbor Michigan

2. Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology Northwestern University Feinberg School of Medicine Chicago Illinois

3. Cancer and Blood Diseases Institute Cincinnati Children's Hospital Medical Center Cincinnati Ohio

4. Department of Pediatrics University of Cincinnati School of Medicine Cincinnati Ohio

5. Department of Urology Weill Cornell Medicine New York New York

6. MRC Centre for Reproductive Health University of Edinburgh Edinburgh UK

7. Aflac Cancer and Blood Disorders Center Children's Healthcare of Atlanta Atlanta Georgia

8. Department of Pediatrics Emory University School of Medicine Atlanta Georgia

9. Division of Pediatric Hematology, Oncology, and Bone Marrow Transplantation Cleveland Clinic Foundation Cleveland Ohio

10. Melbourne IVF East Melbourne Victoria Australia

11. The Royal Women's Hospital Parkville Victoria Australia

12. Department of Reproductive Medicine, Division of Gynecology and Reproduction Karolinska University Hospital Solna Sweden

13. Division of Pediatric Hematology/Oncology Cornell University Joan and Sanford I Weill Medical College New York New York

14. Aflac Cancer Center Children's Healthcare of Atlanta Atlanta Georgia

15. Department of Pediatrics, Division of Hematology/Oncology and Endocrinology Emory University School of Medicine Atlanta Georgia

Abstract

AbstractIn the survivorship setting, adolescent and young adult (AYA) cancer survivors frequently demonstrate little knowledge of infertility risk, are unclear regarding their fertility status, and may under‐ or overestimate their treatment‐related risk for infertility. In female AYA survivors, ovarian function usually parallels fertility, and can be assessed with serum hormone levels and ultrasonography. Posttreatment fertility preservation may be appropriate for survivors at risk for primary ovarian insufficiency. In male AYA survivors, fertility and gonadal function are not always equally affected, and can be assessed with a semen analysis and serum hormones, respectively. As reproductive health issues are commonly cited as an important concern by survivors of AYA cancer, multidisciplinary care teams including oncology, endocrinology, psychology, and reproductive medicine are advocated, with the aim of optimal provision of fertility advice and care for AYA cancer survivors.

Publisher

Wiley

Subject

Oncology,Hematology,Pediatrics, Perinatology and Child Health

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3