A fertility preservation toolkit for pediatric surgeons caring for children with cancer

Timothy B. Lautz*, Courtney J. Harris, Monica M. Laronda, Laura L. Erickson, Erin E. Rowell

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Survival for children with cancer has improved significantly in recent decades, prompting an increasing emphasis on minimizing late effects of therapy, including infertility and premature gonadal insufficiency. The time interval after diagnosis and before therapy initiation can be stressful and overwhelming for patients and their families coming to terms with the implications of the diagnosis, but is also the optimal time to address oncofertility options. Pediatric surgeons are often an integral part of the care team for these patients during this vulnerable time period and play a key role in advocating for and performing oncofertility procedures. Children with cancer have both non-experimental and experimental fertility preservation options available depending on their pubertal status and a risk assessment performed based on their anticipated therapy. This review provides an oncofertility toolkit for pediatric surgeons to perform a risk assessment, counsel families on fertility preservation options, and establish an oncofertility program tailored to the resources available at their institutions.

Original languageEnglish (US)
Article number150861
JournalSeminars in Pediatric Surgery
Volume28
Issue number6
DOIs
StatePublished - Dec 2019

Keywords

  • Fertility preservation
  • Ovarian tissue cryopreservation
  • Testicular tissue cryopreservation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

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