Fertility preservation is an emerging field associated with reproductive medicine that offers treatment aimed at protecting future reproductive ability for individuals with cancer or other serious illnesses as well as a convenient option for young couples who intend to delay pregnancy.
Fertility preservation is the process to help patients retain their fertility or ability to have their biological off spring by saving or protecting their reproductive tissue or gametes like eggs for females and sperms for males.
Fertility preservation can benefit people who
Some cancer treatments can cause infertility (inability to have a child) or decrease your fertility (ability to have a child). The fertility risk of cancer treatment depends upon the following parameters
When Diagnosed with cancer irrespective of age and gender, consider your fertility risks, even if you are not sure you want to have children.
A reproductive medicine consultant is a doctor who specializes in fertility problems and can help explain your options for preserving fertility.
Couples who want to intentionally postpone their family planning must visit a good Fertility Centre or a Reproductive Medicine doctor to discuss their fertility options.
Fertility preservation methods can take as little as 24 hours for men, and methods for women now take less time than the 2 to 4 weeks needed in the past. Please guide anyone you may know diagnosed with cancer to consult with a reproductive medicine doctor immediately for counseling or visit a fertility centre before the cancer treatment starts.
There are various techniques for saving the gametes and reproductive biological tissues for both men and women-whether they are pre pubertal or adult. Please consult a good Onco-fertility centre/IVF clinic to have a detailed counseling with the reproductive medicine doctor to help you make an informed decision and choose the right method for fertility preservation.
|Prepubescent males||Testicular tissue cryopreservation||Surgical removal of testicular tissue|
|Prepbubescent females||Ovarian tissue cryopreservation||Surgical removal of ovarian tissue|
|Prepubescent/adult females||Oophoropexy||Surgical movement of ovaries outside of planned radiation field|
|Adult males||Sperm cryopreservation||Semen collected via masturbation and cropreserved|
|Testicular tissue cryopreservation||Surgical removal|
|Adult females||Ovarian tissue cryopreservation||Surgical removal|
|Ovarian tissue cryopreservation||Surgical retrieval of egg|
|Fertilisation of egg and sperm by IVF/ICSI then cryopreserved
GnRH agonist injection administration
The most commonly used method is embryo cryopreservation for couples, oocyte cryopreservation for single women and sperm cryopreservation for single men. The oocytes and sperms are later fertilized with the partner’s gametes through Assisted reproductive techniques like IVF and ICSI when pregnancy is planned.
Stay tuned for more information on oocyte cryopreservation (egg freezing) and embryo freezing.
Dr. Arveen Vohra
MBBS, MS(OBG) GOLD MEDALIST, FRM
Consultant- Reproductive Medicine
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