癌症和生育管理:FIGO最佳实践建议
Nikhil Purandare1, Francisco Ruiloba2, Long Nguyen-Hoang3,4
1Department of Obstetrics and Gynecology, University Hospital, Galway, Ireland.
概括
癌症治疗可以影响年轻患者的生育能力. 本指南强调生育保护方法和协作护理,以支持癌症治疗期间和之后的生殖健康.
科学领域:
- 生殖医学 生殖医学
- 在瘤学瘤学.
- 妇女健康 妇女健康
背景情况:
- 在生育年龄的人群中,癌症发病率不断上升,需要采取生育保护策略.
- 癌症治疗 (化疗,放射治疗,手术,向药物,免疫疗法) 对生殖腺功能和生育能力构成重大风险.
研究的目的:
- 为生育年龄的癌症患者提供生育管理的最佳实践建议.
- 概述关键考虑因素,评估治疗影响,详细介绍生育保存方法.
主要方法:
- 审查当前文献和已确定的生育保存技术.
- 评估各种癌症治疗对生育能力的影响.
- 讨论保护生育能力的障碍,采用和治疗后的选择.
主要成果:
- 已建立的生育保存方法包括卵子/胚胎冷保存,精子储存和卵巢组织冷.
- 诸如成本和有限的访问等障碍阻碍了广泛采用.
- 瘤学家和生育专家之间的合作咨询至关重要.
结论:
- 将节育干预措施和保护整合到癌症护理中至关重要.
- 倡导公平获得生育资源的倡导对于整体的患者支持至关重要.
- 需要进一步的研究来完善干预措施,并扩大全球幸存者的选择.
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