[Methods of gonad protection against effects of chemotherapy]

Together with increasing therapeutic effectiveness neoplastic diseases, the interest in late consequences of adverse effects of chemotherapy is increasing. Such problems include disturbances of gonad function. Treatment of neoplastic diseases leads frequently to infertility and hormonal disturbances resulting from damages to the gonads. Many attempts have been undertaken at protection of the gonads against unfavourable action of drugs. They are based mainly on the "interruption" of the hypothalamo-hypophyseo-gonadal axis in order to make the gonads quiescent. Other direction includes the influence on the metabolism of oncological drugs aimed at inhibition of the development of gonadotoxic derivatives. Another method includes appropriate choice of cytostatics: antimetabolites exert weaker unfavourable action on the gonads than alkylating drugs. The problem of gonad protection remains open. Searching is necessary for drugs without gonadotoxic action and effective methods of protection.