Zusammenfassung
Fertilitätsprotektive Maßnahmen spielen aufgrund steigender Überlebensraten bei Krebserkrankungen sowie Fortschritten in der Reproduktionsmedizin zunehmend eine Rolle. Bei Männern ist die Kryokonservierung von Spermien allgemein etabliert. Im Falle einer Azoospermie sollte die testikuläre Spermienextraktion angeboten werden. Bei Frauen bestehen die Möglichkeit der Verwendung von GnRH-Agonisten zur Reduktion der ovariellen Schädigung, die Kryokonservierung von Oozyten und Ovargewebe und die ovarielle Transposition. Bei der Fülle von Möglichkeiten zum Fertilitätserhalt muss oft ein multimodales Konzept individuell mit der Patientin besprochen werden. Viele der Methoden sind gut kombinierbar. Eine zügige und zeitparallele Zusammenarbeit mit einem spezialisierten Zentrum, insbesondere jenen des Netzwerks FertiPROTEKT e. V., und die korrekte ausführliche Beratung der betroffenen Frauen und Männer sind dabei unerlässlich.
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Dittrich, R., Lotz, L., von Wolff, M. (2019). Fertilitätserhalt in der Onkologie. In: Diedrich, K., Ludwig, M., Griesinger, G. (eds) Reproduktionsmedizin. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-55601-6_48-1
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