Journal of Assisted Reproduction and Genetics

, Volume 36, Issue 10, pp 2087–2094 | Cite as

Ovarian stimulation and egg retrieval in the acutely ill patient: special considerations

  • Kaitlyn WaldEmail author
  • Joseph Letourneau
  • Rachel Eshima-McKay
  • John Monks
  • Evelyn Mok-Lin
  • Marcelle Cedars
  • Mitchell Rosen
Assisted Reproduction Technologies


Over the past decades, assisted reproductive care has become increasingly safe and more widely applied. Egg retrieval has become an outpatient procedure, with ultrasound guidance, and stimulations have increasingly become less aggressive and safer with more individualization and safer trigger options. With this improvement in care, these treatments are considered low risk and applied more widely, including fertility preservation for elective reasons (so-called social egg freezing). However, it is incumbent upon providers to realize the application of even “simple” treatments, in a high-risk population, may have serious consequences.

As long-term survival rates have improved among patients diagnosed with cancer and life-threatening disease, and with these improved survival rates, post-treatment quality of life has gained increased attention [1]. Among this growing population with life-threatening illness and greater survival expectation are women of reproductive age, and...



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© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Obstetrics, Gynecology and Reproductive SciencesUniversity of California, San FranciscoSan FranciscoUSA
  2. 2.University of Utah Center for Reproductive MedicineSalt Lake CityUSA
  3. 3.Department of AnesthesiaUniversity of California, San FranciscoSan FranciscoUSA

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