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Updated: Feb 12, 2026

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Fertility Preservation in Patients with Severe Ovarian Dysfunction
Published on: March 25, 2021
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Female fertility preservation: past, present and future.
Benjamin Fisch1,2,3, Ronit Abir4,2,3
1IVF and Infertility UnitBeilinson Women's Hospital, Rabin Medical Center, Petach Tikvah, Israel.
Summary
Fertility preservation for cancer patients has advanced with ovarian tissue and oocyte cryopreservation. These techniques offer hope for restoring fertility after anti-cancer treatments, with ongoing research improving outcomes.
Area of Science:
- Reproductive Medicine and Oncology
- Oncofertility
Background:
- Chemotherapy and radiation damage ovarian follicles, leading to premature ovarian failure.
- Traditional fertility preservation for cancer survivors primarily involved embryo cryopreservation.
- Limited pharmacological options like gonadotrophin-releasing hormone agonists exist, with controversial efficacy.
Purpose of the Study:
- To review advancements in fertility preservation for women undergoing cancer therapy.
- To highlight the evolution and current status of ovarian tissue and oocyte cryopreservation.
- To discuss emerging strategies for ovarian protection and future directions in oncofertility.
Main Methods:
- Ovarian tissue cryopreservation of primordial follicles before anti-cancer therapy.
- Development of assisted reproductive technologies: mature oocyte cryopreservation and in vitro oocyte maturation.
- Modification of ovarian stimulation protocols for oocyte/embryo retrieval.
- Ongoing research into novel methods for enhancing follicular survival and ovarian protection agents.
Main Results:
- Over 130 live births reported following ovarian tissue transplantation since 2004.
- Ovarian tissue cryopreservation can be combined with in vitro maturation and oocyte vitrification.
- Cryopreserved oocytes mitigate the risk of cancer recurrence from ovarian grafts.
Conclusions:
- Ovarian tissue and oocyte cryopreservation are established fertility preservation methods for cancer patients.
- Future developments, including artificial ovaries and improved in vitro culture systems, aim to overcome current limitations.
- Continued research is crucial for enhancing safety and efficacy in oncofertility.
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