Belaisch-Allart Joëlle, Bringer-Deutch Sophie
Gynécologie Obstétrique et Médecine de la Reproduction, Centre Hospitalier des 4 Villes, 141 grande Rue, 92318 Sèvres cedex.
Bull Acad Natl Med. 2010 Mar;194(3):495-505; discussion 505-7, 529-30.
Increasing numbers of young people are surviving cancer, but treatment can affect their reproductive function. Female fertility is more difficult to preserve than male fertility. Fertility-sparing treatments may be possible for some women. For others, embryo cryopreservation is the only established option, provided cancer therapy can be postponed. However, cryopreservation of eggs or ovarian tissue is now becoming a real possibility. Medically assisted reproductive options for cancers survivors include ovarian stimulation, IVF and oocyte donation. Gestational surrogacy and adoption are other possibilities.
越来越多的年轻人在癌症中存活下来,但治疗可能会影响他们的生殖功能。女性生育能力比男性生育能力更难保存。对于一些女性来说,保留生育能力的治疗可能是可行的。对另一些女性而言,只要癌症治疗可以推迟,胚胎冷冻保存是唯一已确立的选择。然而,卵子或卵巢组织的冷冻保存现在正成为一种切实可行的办法。癌症幸存者的医学辅助生殖选择包括卵巢刺激、体外受精和卵子捐赠。妊娠代孕和领养是其他可行的办法。