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Preservación de la fertilidad: opinión de un grupo de expertos.

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Title: Preservación de la fertilidad: opinión de un grupo de expertos.
Alternate Title: Fertility Preservation: Expert Group Opinion.
Authors: Batiza Resendiz, Víctor Alfonso1 drbatiza@gmail.com, Aguilar Melgar, Ashanti2, Luna Rojas, Rosa Martha3, Pérez-Peña, Efraín4, Gutiérrez Gutiérrez, Antonio5, Ruvalcaba Castrellón, Luis Arturo6, Salazar López-Ortiz, Carlos7, Michel Vergara, Jorge Alejandro8, Shaw Dulin, Robin Jennifer9, Barquet Muñoz, alim Abraham9, Hernández López, Luis Arturo9, García Rodríguez, Francisco José10, Cortés Esteban, Patricia11, Sánchez Llamas, Benito12, Calderóon, Ricardo Rodríguez13, Maldonado Rosas, Israel14
Source: Ginecología y Obstetricia de México. Nov2020, Vol. 88 Issue 11, p767-805. 39p.
Subjects: FERTILITY preservation, GENOMIC imprinting, YOUNG adults, PROGNOSIS, OVARIAN reserve, CANCER in young adults
Abstract (English): Fertility preservation is the application of medical and laboratory strategies to preserve parental genetic offspring in adults or children at risk of sterility. Cancer is the main indication of fertility preservation in patients of reproductive age. In recent decades, the incidence of cancer in adolescents has increased. Cancer treatments have also improved significantly, making cure possible today in a large percentage of patients. Most children and adolescents with cancer become long-term survivors, increasing interest in the effects of cancer treatment on fertility. Social, economic and cultural conditions are also decisive in deciding when a couple seeks to promote their fertility. Furthermore, other pathologies or even drugs for the prevention of rejection of transplanted organs can affect fertility and, therefore, such patients are susceptible to guidance on fertility preservation. Success in assisted reproduction programs and cancer treatments provide alternatives to preserve fertility. In this document we have evaluated oncological patients who are candidates for fertility preservation: young people at risk of compromising their fertility due to oncological treatment, but with sufficient ovarian reserve and acceptable vital prognosis. Special cases such as social preservation were also considered, in cases of different sexual conceptualization, as well as the basic legal and ethical aspects. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): La preservación de la fertilidad es la aplicación de estrategias médicas y de laboratorio para cuidar la permanencia de la descendencia genética parental en adultos o niños en riesgo de esterilidad. El cáncer es la principal indicación de preservación de la fertilidad en pacientes en edad reproductiva. Si bien en las últimas décadas se ha incrementado la incidencia de cáncer en adolescentes, los tratamientos oncológicos también han mejorado de manera importante por lo que hoy es posible la curación en un amplio porcentaje de pacientes. La mayoría de los niños y adolescentes con cáncer se convierten en supervivientes a largo plazo, lo que aumenta el interés en los efectos del tratamiento del cáncer en la fertilidad. Los tratamientos farmacológicos para prevención del rechazo de órganos trasplantados pueden afectar la fertilidad y, por tanto, las pacientes requieren orientación para la preservación de la fertilidad. En este documento se proponen lineamientos para la atención de pacientes oncológicas que solicitan la preservación de su fertilidad. También se consideraron casos especiales, como la preservación social en casos de conceptualización sexual diferente, y los aspectos legales y éticos básicos. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Fertility preservation is the application of medical and laboratory strategies to preserve parental genetic offspring in adults or children at risk of sterility. Cancer is the main indication of fertility preservation in patients of reproductive age. In recent decades, the incidence of cancer in adolescents has increased. Cancer treatments have also improved significantly, making cure possible today in a large percentage of patients. Most children and adolescents with cancer become long-term survivors, increasing interest in the effects of cancer treatment on fertility. Social, economic and cultural conditions are also decisive in deciding when a couple seeks to promote their fertility. Furthermore, other pathologies or even drugs for the prevention of rejection of transplanted organs can affect fertility and, therefore, such patients are susceptible to guidance on fertility preservation. Success in assisted reproduction programs and cancer treatments provide alternatives to preserve fertility. In this document we have evaluated oncological patients who are candidates for fertility preservation: young people at risk of compromising their fertility due to oncological treatment, but with sufficient ovarian reserve and acceptable vital prognosis. Special cases such as social preservation were also considered, in cases of different sexual conceptualization, as well as the basic legal and ethical aspects. [ABSTRACT FROM AUTHOR]
ISSN:03009041
DOI:10.24245/gom.v88i11.4605