Farhud Dariush D, Zokaei Shaghayegh, Keykhaei Mohammad, Hedayati Mehdi, Zarif Yeganeh Marjan
School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Department of Basic Sciences, Iranian Academy of Medical Sciences, Tehran, Iran.
Iran J Public Health. 2021 Mar;50(3):438-447. doi: 10.18502/ijph.v50i3.5583.
Due to the increasing prevalence of infertility, the number of referrals to infertility treatment centers has also increased. Nowadays, assisted reproductive technology (ART), including in vitro fertilization (IVF), is a treatment for infertility or genetic problems. Considering the possible consequences of this method among women undergoing in vitro fertilization (IVF) and kids conceived by IVF, extensive research has been conducted in this regard.
Overall, 100 articles were entered into the study, and relevant articles were searched and extracted from PubMed, Springer, and Google Scholar databases. In IVF procedure, medications such as Clomiphene citrate and gonadotropins are used to stimulate and mature follicles and thus increase ovulation.
There are conflicting opinions on this issue. Some findings report a slight increase in cancer risk for hormone-sensitive cancers including breast cancer. The long-term use of IVF medications can increase estrogen hormones and cause excessive expression of genes, resulting in an increased risk of breast cancer, which is one of the most frequent cancers among women.
There are some risks to be aware of, which followed the hypothesis that long IVF treatment process may lead to breast cancer among IVF candidates. Furthermore, the risk of breast cancer may be increased in those women with a positive family history and related inherited genes. Therefore, women candidates for IVF should be informed of the probable implications of the reproductive therapy techniques.
由于不孕症的患病率不断上升,转诊至不孕症治疗中心的人数也有所增加。如今,包括体外受精(IVF)在内的辅助生殖技术(ART)是治疗不孕症或遗传问题的一种方法。鉴于这种方法在接受体外受精(IVF)的女性以及通过IVF受孕的儿童中可能产生的后果,对此已进行了广泛的研究。
总体而言,100篇文章被纳入该研究,并从PubMed、Springer和谷歌学术数据库中搜索并提取相关文章。在IVF过程中,使用诸如枸橼酸氯米芬和促性腺激素等药物来刺激卵泡成熟,从而增加排卵。
关于这个问题存在相互矛盾的观点。一些研究结果报告称,包括乳腺癌在内的激素敏感性癌症的癌症风险略有增加。长期使用IVF药物会增加雌激素水平并导致基因过度表达,从而增加患乳腺癌的风险,乳腺癌是女性中最常见的癌症之一。
有一些风险需要注意,这遵循了长期的IVF治疗过程可能导致IVF候选者患乳腺癌的假设。此外,有家族病史和相关遗传基因的女性患乳腺癌的风险可能会增加。因此,应该告知IVF候选女性生殖治疗技术可能产生的影响。