Fertility preservation for people with cancer

Guideline developer:

Cite this guideline

COSA Fertility Preservation Guidelines Working Group. Fertility preservation for people with cancer. Sydney: Clinical Oncology Society of Australia. [Version URL: https://wiki.cancer.org.au/australiawiki/index.php?oldid=215542, cited 2022 Oct 2]. Available from: https://wiki.cancer.org.au/australia/COSA:Cancer_fertility_preservation_guidelines.

Clinical practice guidelines for fertility preservation for people with cancer

Authors:COSA Fertility Guidelines Working Group

Public consultation closed 28 June 2021
Public consultation open: 2 June 2021
Draft published: 23 April 2021

Public Consultation

The official period of public consultation has now closed however you are still welcome to comment on these guidelines. Please email your comments to COSA.

Part One: Fertility Preservation

Impact of cancer treatment on fertility

• Pregnancy and live birth

• Ovarian function

• Testicular function

Discussing risk

• Reproductive concerns

• Health professional awareness

• Role of oncology services

Referral and service provision

• Referral rates and decisional conflict

• Referral pathways

• Oncofertility service provision

Psychological support

• Fertility counselling

• Decision-making

Options for treatment

• Sperm cryopreservation

• Testicular biopsy

• Embryo cryopreservation

• Oocyte cryopreservation

• Safety of ovarian stimulation

• Ovarian tissue cryopreservation

• Ovarian transposition

• Ovarian suppression with GnRH analogues

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Part Two: Reproductive Health

Impact on pubertal development

• Pubertal development

Contraception

• Contraception during cancer treatment

• Contraception after cancer treatment

Conception

• Interrupting hormone therapy to conceive

• Assisted reproduction and risk of cancer recurrence

Pregnancy

• Pregnancy and risk of cancer recurrence

• Risk of pregnancy complications

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Appendices

• Guideline development process

• COSA Fertility Preservation Guidelines Working Group

• Additional resources

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