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Médecine de la Reproduction

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Fertility preservation in adolescent girls Volume 20, issue 1, Janvier-Février-Mars 2018

Author
Centre hospitalier Lyon Sud et Centre Léon Bérard, 28 rue Laënnec, Lyon, France
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Fertility is identified as one of the major concerns of young women who survived cancer in childhood or adolescence. The impact of the treatments on the ovarian reserve, and on the uterus in case of radiotherapy must be evaluated before treatment. Fertility preservation techniques used in adults are mostly feasible for adolescents, but some constraints are sometimes limiting. The impuberic girls can only benefit from ovarian cortex freezing. Virginity limits the achievement of oocyte vitrification. An ovarian reserve evaluation after treatment is useful and may lead to discuss fertility preservation after the end of the treatments. Information on the impact of the treatment and on fertility preservation techniques should be an integral part of adolescent girls’ oncological management, but in practice there are sometimes some difficulties in approaching the subject or in decision-making. The systematic integration of this issue into the path of care and the strengthening of the links between oncology and reproduction teams have led to an improvement in fertility preservation care for adolescent girls.

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