Kathryn Coyne

Challenges and considerations in optimizing ovarian stimulation protocols in oncofertility patients

The scope of cancer treatment in women of childbearing age has changed in the last decade. Fertility preservation is no longer an afterthought but central to multi-disciplinary cancer treatment planning and should be addressed due to the cytotoxic effects of cancer therapy. However, oncology patients present as a unique treatment challenge as the physician must balance the urgency of fertility preservation with the risks of delaying cancer therapy. Controlled ovarian stimulation (COS) is routinely applied in assisted reproductive technology but can be contraindicated in women with estrogen-receptor-positive tumors. This paper reviews some of the challenges to consider when using COS and newer stimulation protocols to minimize risks and optimize outcomes in oncofertility patients.

Changing the Algorithm in the Evaluation of Pelvic Anatomy in the Infertile Patient: Is Hysterosalpingo Contrast Sonography With Saline-Air Device the Appropriate Test for Everyone?

©2016 Lindheim SR. This is an open access article distributed under the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Volume 2 : Issue 5 Article Ref. #: 1000GOROJ2126 Changing the Algorithm in the Evaluation of Pelvic Anatomy in the Infertile Patient: Is Hysterosalpingo Contrast Sonography With Saline-Air Device the Appropriate Test for Everyone?