The possibilities of protection of reproductive functions in women undergoing chemotherapy for haematologic malignancy
Authors:
MUDr. Martin Huser 1; MUDr. Višňová 1; prof. MUDr. DrSc. Pavel Ventruba 1; as. MUDr. Robert Hudeček 1; MUDr. Jana Žáková 1; MUDr. Lenka Šmardová 2; MUDr. Zdeněk Král, CSc. 2
Authors place of work:
Centrum asistované reprodukce CAR 01, Gynekologicko-porodnická klinika LF MU a FN Brno
1; Interní hematoonkologická klinika LF MU a FN Brno
2
Published in the journal:
Prakt Gyn 2005; 9(1): 6-8
Summary
Chemotherapy, as one of the basic modalities of oncological treatment, often entails a permanent disability and one of the most frequent is infertility based on the irreversible damage to gonads. In the summary article there are summarized the contemporary possibilities of the protection of ovarium functions in the patients undergoing the oncological treatment. The aim of the protection of reproductive functions in women undergoing chemotherapy project (OVARONKO) is to check the protective administration of GnRH-analogue drugs in order to protect the ovarial tissues during the chemotherapy in patients of reproductive age with Hodgkin lymphoma. Another goal is to create the practical conditions and operating methods for the development of oocytes and ovarial tissue cryoconservation in patients undergoing the oncological treatment. The aims will be verified by the form of prospective study comparing the two in principle totally different methods of ovarial protection. The results will be further compared with the control group without gonadally-protective therapy.
Key words:
Chemotherapy – GnRH-analogue drugs – Hodgkin lymphoma – cryoconservation - OVARONKO
Zdroje
1. Franchi-Rezgui P, Rousselot P, Espie M et al. Fertility in young women after chemotherapy with alkylating agents for Hodgkin and non-Hodgkin lymphomas. Hematolog J 2003; 4: 116-120.
2. Višňová I, Král Z, Ventruba P et al. Možnosti ochrany reprodukčních funkcí a fertility u onkologických pacientek. In: X. jihočeské onkoligické dny: ???ABSTRAKTA/SBORNÍK???. MÍSTO VYD.:VYDAVATEL 2002; 1: 57-60.
3. Laml T, Schulz-Lobmeyr I, Obruca A et al. Premature ovarian failure: etiology and prospects. Gynecol Endocrinol 2000; 14: 292-302.
4. Ataya K, Rao LV, Laurence E et al. Luteinizing hormone-releasing hormone agonist inhibits cyclophosphamide induced ovarian follicular depletion in Rhesus monkeys. Biol Reprod 1995; 52(2): 365-72.
5. Crha I, Ventruba P, Žáková J et al. Kryokonzervace spermatu před onkologickou léčbou – 7 let zkušeností. Čes Gynek 2002; 67: 324-328.
6. Boldt J et al. Human oocyte cryopreservation as an adjunct to IVF-embryo transfer cycles. Hum Reprod 2003; 18(6): 1250-1255.
7. Quintans CJ, Donaldson MJ, Bertolino MV et al. Birth of two babies using oocytes that were cryopreserved in a choline-based freezing medium. Hum Reprod 2002; 17(12): 3149-3152.
8. D’Angelo A, Amso NN. Embryo freezing for preventing ovarian hyperstimulation syndrome: a Cochrane review. Hum Reprod 2002; 17(11): 2787-2794.
9. Oktay K. Ovarian tissue cryopreservation and transplantation: preliminary findings and implications for cancer patients. Hum Reprod Update 2001; 7: 526-534.
10. Rutherford AJ, Gosden RG. Ovarian tissue cryopreservation: a practical option? Acta Paediatr 1999; 88(433): 13-18.
11. Schilsky R, Sherins R, Hubbard S et al. Long-term follow-up of ovarian function in women treated with MOPP chemotherapy for Hodgkin´s disease. Am J Med 1981; 71: 552-556.
12. Blumenfeld Z. Preservation of fertility and ovarian function and minimalization of chemotherapy associated gonadotoxicity and premature ovarian failure: the role of inhibin-A and -B as markers. Mol Cell Endocrinol 2002; 187(1-2): 93-105.
13. Pritchard KI. GnRH-analogues and ovarian ablation: their integration in the adjuvant strategy. Recent Results Cancer Res 1998; 152: 285-97.
14. Mardešič T, Šnajderová M et al. Protocol combining GnRH-agonists and GnRH-antagonists for rapid suppression and prevention of gonadal damage during cytotoxic therapy. Eur J Gynaecol Oncol 2004; 25(1): 90-92.
15. Blumenfeld Z. Fertility after treatment for Hodgkin’s disease. Ann Oncol 2002; 13(Suppl 1): 138-147.
16. Paynter SJ. Current status of the cryopreservation of human unfertilized oocytes. Human Reprod Update 2000; 6(5): 449-456.
17. Crha I. Ochrana reprodukční funkce. In: Adam K et al. Obecná onkologie. 1. ed. Praha: Grada 2003: 765-784.
Štítky
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicineČlánok vyšiel v časopise
Practical Gynecology
2005 Číslo 1
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