Marsden Donald E, Hacker Neville
Aust Fam Physician. 2003 Jan-Feb;32(1-2):9-13.
Cancer sufferers are a subfertile group, and most treatments have the potential to adversely affect gonadal function. As cancer treatment becomes more effective and survival rates improve there are more cancer survivors in the reproductive age group for whom parenting is an important consideration.
This article outlines the effects on fertility of cancer treatments and techniques to minimise the risk of infertility.
The overall prospects for younger cancer sufferers to either retain their fertility or have genetic offspring is now better than ever before, due to advances in assisted reproductive technology, the appropriate use of fertility sparing surgery and other techniques to reduce the toxicity of therapy on the reproductive organs. These advances raise new moral and ethical concerns that must be considered before advising cancer sufferers of the options for preserving reproductive capacity.
癌症患者是生育能力低下的群体，大多数治疗方法都有可能对性腺功能产生不利影响。随着癌症治疗变得更加有效且生存率提高，处于生育年龄组的癌症幸存者越来越多，对他们而言，为人父母是一个重要的考量因素。
本文概述了癌症治疗对生育能力的影响以及将不孕风险降至最低的技术。
由于辅助生殖技术的进步、保留生育功能手术的合理应用以及其他降低治疗对生殖器官毒性的技术，年轻癌症患者保留生育能力或拥有遗传后代的总体前景比以往任何时候都要好。这些进展引发了新的道德和伦理问题，在向癌症患者建议保留生殖能力的选择之前必须加以考虑。
