Prevention Prevention Infertility Care Pathway
Description: Prevention Prevention Infertility Care Pathway Assessment Assessment Review fertility concerns if treatment plan is changed Discuss options as early as possible before treatment starts Treatment Treatment and Resources Consult psychology,
Related Topics
Download Presentation
"Prevention Prevention Infertility Care Pathway" is the property of its rightful owner. Permission is granted to download and print the materials on this website for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Presentation Transcript
slide1. Prevention Prevention Infertility Care Pathway Assessment Assessment Review fertility concerns if treatment plan is changed Discuss options as early as possible before treatment starts Treatment Treatment and Resources Consult psychology, psychiatry, social work, art therapy, chaplaincy, child life services, music therapy or recreational therapy
Encourage peer support groups Consult psychosocial resources if patients or families are distressed about potential infertility Do not use testicular or ovarian cryopreservation except in a clinical trial Post-pubertal patients Pre-pubertal patients Males Females Consider another discussion when the patient returns for follow up and after completion of therapy Consult reproductive services for patients who express an interest or who are ambivalent Urology, gynecology, reproductive endocrinology, oncofertility Consult reproductive services for patients who express an interest or who are ambivalent Urology, gynecology, reproductive endocrinology, oncofertility Version Date: 14Nov2021<br>
slide2. Infertility Care Pathway Post-pubertal Males Offer sperm cryopreservation to those who will receive treatments that are likely to make them infertile Do not use hormonal gonadoprotection Do not use testicular tissue cryopreservation and reimplantation or grafting of human testicular tissue except in a clinical trial Collect sperm before initiation of treatment because the quality of the sample and sperm DNA integrity may be compromised after a single treatment Version Date: 14Nov2021<br>
slide3. Infertility Care Pathway Post-pubertal Females Offer oocyte or embryo cryopreservation to those who will receive treatments that are likely to make them infertile
Timing of oocyte collection is not menstrual cycle dependent in most cases Consider offering ovarian transposition (oophoropexy) when pelvic irradiation is performed, as close to the time of radiation treatment as possible Consider not using ovarian tissue cryopreservation and reimplantation or grafting of human ovarian tissue except in a clinical trial Consider offering gonadotropin releasing hormone agonist when recommended methods are not feasible Version Date: 14Nov2021<br>
Encourage peer support groups Consult psychosocial resources if patients or families are distressed about potential infertility Do not use testicular or ovarian cryopreservation except in a clinical trial Post-pubertal patients Pre-pubertal patients Males Females Consider another discussion when the patient returns for follow up and after completion of therapy Consult reproductive services for patients who express an interest or who are ambivalent Urology, gynecology, reproductive endocrinology, oncofertility Consult reproductive services for patients who express an interest or who are ambivalent Urology, gynecology, reproductive endocrinology, oncofertility Version Date: 14Nov2021<br>
slide2. Infertility Care Pathway Post-pubertal Males Offer sperm cryopreservation to those who will receive treatments that are likely to make them infertile Do not use hormonal gonadoprotection Do not use testicular tissue cryopreservation and reimplantation or grafting of human testicular tissue except in a clinical trial Collect sperm before initiation of treatment because the quality of the sample and sperm DNA integrity may be compromised after a single treatment Version Date: 14Nov2021<br>
slide3. Infertility Care Pathway Post-pubertal Females Offer oocyte or embryo cryopreservation to those who will receive treatments that are likely to make them infertile
Timing of oocyte collection is not menstrual cycle dependent in most cases Consider offering ovarian transposition (oophoropexy) when pelvic irradiation is performed, as close to the time of radiation treatment as possible Consider not using ovarian tissue cryopreservation and reimplantation or grafting of human ovarian tissue except in a clinical trial Consider offering gonadotropin releasing hormone agonist when recommended methods are not feasible Version Date: 14Nov2021<br>