Concept Paper on the Technique of Cryopreservation, Removal and Transplantation of Ovarian Tissue for Fertility Preservation

Author:

Beckmann Matthias1,Lotz Laura1,Toth Bettina2,Baston-Büst Dunja3,Fehm Tanja3,Frambach Torsten4,Germeyer Ariane5,Goeckenjan Maren6,Häberlin Felix7,Henes Melanie8,Hirchenhain Jens3,Hübner Stephanie8,Korell Matthias9,Krüssel Jan-Steffen3,Müller Andreas10,Reinsberg Jochen11,Schwab Roxana12,Seitz Stephan13,Sütterlin Marc14,van der Ven Hans11,van der Ven Katrin11,Winkler-Crepaz Katharina2,Wimberger Pauline6,von Wolff Michael15,Liebenthron Jana3,Dittrich Ralf1

Affiliation:

1. Frauenklinik, Universitätsklinikum Erlangen, Erlangen, Germany

2. Gynäkologische Endokrinologie und Reproduktionsmedizin, Universitätsklinikum Innsbruck, Innsbruck, Austria

3. Frauenklinik, Universitätsklinikum Düsseldorf, Düsseldorf, Germany

4. Frauenklinik, Krankenhaus St. Joseph Stift Bremen, Bremen, Germany

5. Frauenklinik, Universitätsklinikum Heidelberg, Heidelberg, Germany

6. Frauenklinik, Universitätsklinikum Dresden, Dresden, Germany

7. Frauenklinik, Kantonspital St. Gallen, St. Gallen, Switzerland

8. Frauenklinik, Universitätsklinikum Tübingen, Tübingen, Germany

9. Frauenklinik, Johanna Etienne Klinikum Neuss, Neuss, Germany

10. Frauenklinik, Klinikum Karlsruhe, Karlsruhe, Germany

11. Frauenklinik, Universitätsklinikum Bonn, Bonn, Germany (currently at Zentrum für Gynäkologische Endokrinologie und Reproduktionsmedizin Bonn)

12. Frauenklinik, Universitätsklinikum Mainz, Mainz, Germany

13. Frauenklinik, Krankenhaus St. Josef, Universität Regensburg, Regensburg, Germany

14. Frauenklinik, Universitätsklinikum Mannheim, Mannheim, Germany

15. Frauenklinik, Universitätsspital Bern, Bern, Switzerland

Abstract

AbstractThe cryopreservation of ovarian tissue with subsequent transplantation of the tissue represents an established method of fertility protection for female patients who have to undergo gonadotoxic therapy. The procedure can be performed at any point in the cycle and thus generally does not lead to any delay in oncological therapy. With the aid of this procedure, more than 130 births to date worldwide have been able to be recorded. The birth rate is currently approximately 30% and it can be assumed that this will increase through the further optimisation of the cryopreservation and surgical technique. The concept paper presented here is intended to provide guidance for managing cryopreservation and transplantation of ovarian tissue to German-speaking reproductive medicine centres.

Publisher

Georg Thieme Verlag KG

Subject

Maternity and Midwifery,Obstetrics and Gynaecology

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