Fertility Preservation in Gynecological Cancer: Current Management and Novel Insights

This book was written for the complex scenario of fertility-sparing management in gynecological cancer. In reproductive age women, appropriate counseling is mandatory in any cancer diagnosis, including discussing the long-term consequences of the different treatment options on fertility and the possibility of fertility preservation. However, women affected by gynecological cancer must consider that treatment options including hysterectomy and bilateral oophorectomy in most cases. Therefore, in gynecological cancer, the standard treatment often consists of an inevitable loss of fertility. The direct consequence is that fertility preservation management does not always result in the optimal treatment of the disease, which increases the risk of worsening oncologic outcomes. This book discusses all the elements involved in managing these patients to provide a complete and detailed overview of fertility preservation management options in young women affected by gynecological cancers. Specifically, this book discusses the role of genetic assessment and counseling, the effect of anticancer treatments for gynecological cancer on fertility, classic fertility preservation techniques adapted to gynecological cancer, detailed and specific fertility preservation management for cervical, ovarian, and endometrial cancer, and the role of a multidisciplinary approach in these patients.