Fertility preservation in women affected by gynaecological cancer: the importance of an integrated gynaecological and psychological approach.

cervical cancer endometrial cancer fertility preservation fertility-sparing surgery gynecological cancer ovarian cancer quality of life reproduction

Journal

Ecancermedicalscience
ISSN: 1754-6605
Titre abrégé: Ecancermedicalscience
Pays: England
ID NLM: 101392236

Informations de publication

Date de publication:
2020
Historique:
received: 31 12 2019
entrez: 19 5 2020
pubmed: 19 5 2020
medline: 19 5 2020
Statut: epublish

Résumé

Gynaecological cancer treatment significantly affects the fertility of women in reproductive age. Surgery, chemotherapy and radiotherapy are the mainstays of ovarian, cervical and endometrial cancers and anatomically or functionally impact the uterus and ovaries. Moreover, the sexual function and psychological wellbeing of patients are highly weakened after a cancer diagnosis: depression, anxiety and impairment of quality of life represent a relevant concern for patient care. The potential loss of fertility could be more distressing than cancer itself. For this reason, it is of paramount importance to try to preserve fertility in women affected by gynaecological cancers. Recently, tailored fertility preservation therapies have been developed to meet the childbearing demand from more than half of women between 18 and 40 years with a diagnosis of cancer. Currently, fertility preservation techniques play a significant role in improving the quality of life of women with gynaecological cancer. In this scenario, we propose a narrative overview of the recent literature about the importance of a multidisciplinary approach in the management of fertility preservation in the case of gynaecological cancers.

Identifiants

pubmed: 32419847
doi: 10.3332/ecancer.2020.1035
pii: can-14-1035
pmc: PMC7221134
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

1035

Informations de copyright

© the authors; licensee ecancermedicalscience.

Déclaration de conflit d'intérêts

The authors declare that they have no conflicts of interest.

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Auteurs

Valentina Lucia La Rosa (VL)

Unit of Psychodiagnostics and Clinical Psychology, University of Catania, Catania, Italy.

Simone Garzon (S)

Department of Obstetrics and Gynaecology, "Filippo Del Ponte" Hospital, University of Insubria, Varese, Italy.

Giuseppe Gullo (G)

Department of Obstetrics and Gynaecology, AOOR Villa Sofia Cervello, IVF Public Center, Palermo, Italy.

Michele Fichera (M)

Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy.

Giovanni Sisti (G)

Lincoln Medical and Mental Health Center, 234 East 149 Street, 5th Floor, Bronx, NY 10451, USA.

Pasquale Gallo (P)

Obstetrics and Gynaecology Unit, "Santa Maria delle Grazie" Hospital, Pozzuoli, Naples, Italy.

Gaetano Riemma (G)

Department of Woman, Child and General and Specialised Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.

Antonio Schiattarella (A)

Department of Woman, Child and General and Specialised Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.

Classifications MeSH