Challenging iatrogenic menopause. Oncofertility programme in Poland - a single-centre experience

Area of Science:

• Reproductive Medicine
• Oncology
• Gynaecology

Background:

• Menopause signifies permanent cessation of menstruation.
• Gonadotoxic treatments can cause irreversible ovarian damage, impacting fertility.
• Oncofertility integrates oncology and reproductive medicine to enable parenthood post-treatment.

Purpose of the Study:

• To present the implementation and initial outcomes of an Oncofertility Programme.
• Focuses on the University Clinic of Endocrinological Gynaecology and Gynaecology in Krakow, Poland.

Main Methods:

• Consultations for fertility preservation since April 2016.
• Preliminary qualification for embryo, oocyte, or ovarian tissue cryopreservation.
• Referral to cooperating infertility treatment centers for chosen procedures.

Main Results:

• 18 patients consulted over 24 months (ages 20-39).
• A follow-up survey assessed procedure uptake and reproductive status two years post-consultation.

Conclusions:

• Inadequate addressing of fertility issues leads to low oncofertility program referral rates.
• Increased awareness among oncologists is essential to improve patient referrals to oncofertility centers.