Understanding Oncofertility

Oncofertility is a specialized field merging oncology and reproductive endocrinology to safeguard the reproductive potential of cancer patients. Cancer treatments, though life-saving, can jeopardise fertility. For women, ovarian damage may lead to genetic issues, early menopause, or reproductive challenges. Men may experience testicular damage affecting sperm production. As survival rates rise, preserving fertility becomes paramount.

Preserving Options : A Glimpse

• Shielding & Transposition: Minimize radiation effects through shielding or physically moving ovaries.
• Gonadotropin Agonist: Downregulate ovaries/testes activity chemically before chemotherapy.
• Egg and Embryo Banking: Freeze eggs or embryos for future use, providing a pathway for parenthood.
• In Vitro Maturation (IVM): Harvest immature eggs, mature them in the lab, reducing delay before treatment.
• Sperm Banking & Retrieval: Freeze collected sperm or surgically retrieve it when ejaculation is not possible.
• Tissue Banking: Freeze ovarian cortex/testicular tissue for potential transplantation when ready for conception.

Beyond Preservation : Additional Options

• Donor Egg or Sperm: Utilise donor eggs or sperm when natural production is compromised.
• Gestational Surrogate: When the uterus is damaged, embryos can be carried by a surrogate.
• Adoption: A legal transfer of parental rights, embracing the path of adoption.