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Fertility in the Adolescent and Young Adult Patient with Cancer

  • Nivedita ReddyEmail author
  • Caroline L. Furness
  • Melanie C. Davies
Chapter

Abstract

In recent years significant progress in cancer therapy has led to vastly improved survival rates in the adolescent and young adult diagnosed with cancer. Many patients receive treatment that results in the loss or compromise of future fertility. This has led to a greater focus on reproduction as an important aspect of survivorship. The simultaneous advances in assisted reproductive technology has meant that young people have a better opportunity for future fertility. Though national and international guidance recommend discussion and provision of fertility preservation where practicable there is considerable variation in clinical practice. Oncofertility centres set up in association with larger cancer centres has enabled a rapid access to specialist fertility services, and long term care of gonadal dysfunction in young cancer patients. It is hoped that development of oncofertility networks in the future will enable these resources to be accessed by all cancer centres and many more young people to avail of these services. In this chapter we provide a comprehensive understanding of the effect of cancer therapy on fertility and options of fertility preservation.

Keywords

Fertility preservation Adolescent Young adult Cancer Chemotherapy Radiotherapy Oncofertility Reproduction Pregnancy outcome Uptake of frozen sperm Oocyte cryopreservation Safety in fertility preservation Genital GVHD Menstrual suppression during chemotherapy 

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© Springer International Publishing AG 2018

Authors and Affiliations

  • Nivedita Reddy
    • 1
    Email author
  • Caroline L. Furness
    • 2
  • Melanie C. Davies
    • 3
  1. 1.Guy’s and St. Thomas NHS Foundation TrustLondonUK
  2. 2.University Hospitals Bristol NHS Foundation TrustBristolUK
  3. 3.University College London Hospitals (UCLH) NHS Foundation TrustLondonUK

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