Summary of recommendations
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Fertility preservation for people with cancer > Summary of recommendations
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Fertility Preservation
- Impact on fertility
- Discussing risk
- Referral and service provision
- Psychological support
- Options for treatment
Reproduction
Fertility Preservation
Impact on fertility
Pregnancy and live birth
Ovarian function
Testicular function
Discussing risk
Reproductive concerns
Practice point![]() |
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Where possible, the desire of the person with cancer for future fertility should be taken into account when choosing systemic and local cancer treatments. |
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
Evidence-based recommendation![]() |
Grade |
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Women of reproductive age at risk of gonadotoxicity from cancer treatment should be offered the opportunity to cryopreserve embryos before cancer treatment. | C |
Oocyte cryopreservation
Evidence-based recommendation![]() |
Grade |
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The opportunity to freeze oocytes should be offered to post-pubertal girls and women at risk of gonadotoxicity from cancer treatment. | C |
Safety of ovarian stimulation
Ovarian tissue cryopreservation
Ovarian transposition
Ovarian suppression with GnRH analogues
Reproduction
Impact on pubertal development
Pubertal development
Contraception
Contraception during cancer treatment
Consensus-based recommendation![]() |
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Health professionals should discuss the need for contraception with cancer patients of reproductive age before,during and after 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
Evidence-based recommendation![]() |
Grade |
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Women treated for low-risk breast cancer should be informed that pregnancy does not appear to increase the risk of disease recurrence or mortality. | C |