[ÉÑx yÉÜ à{x yâàâÜx - welcome to urmc · 2016-01-29 · 53,290 cases < age 45 86,940...

Wendy S. Vitek, MD Director of Fertility Preservation Strong Fertility Center \Ç ~ÇÉãÄxwzx? à{xÜx Áá {ÉÑxA [ÉÑx yÉÜ à{x YâàâÜx

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Page 1: [ÉÑx yÉÜ à{x YâàâÜx - Welcome to URMC · 2016-01-29 · 53,290 cases < age 45 86,940 cases < age 45 American Cancer Society, Surveillance Research, 2013 13,400 cases < age

Wendy S. Vitek, MDDirector of Fertility Preservation

Strong Fertility Center

\Ç ~ÇÉãÄxwzx? à{xÜx Áá {ÉÑxA

[ÉÑx yÉÜ à{x YâàâÜx

53,290 cases < age 45

86,940 cases < age 45

American Cancer Society, Surveillance Research, 2013

13,400 cases < age 19

~ 80% interested in future fertility< 30% recall discussing fertility

Page 3: [ÉÑx yÉÜ à{x YâàâÜx - Welcome to URMC · 2016-01-29 · 53,290 cases < age 45 86,940 cases < age 45 American Cancer Society, Surveillance Research, 2013 13,400 cases < age

Page 4: [ÉÑx yÉÜ à{x YâàâÜx - Welcome to URMC · 2016-01-29 · 53,290 cases < age 45 86,940 cases < age 45 American Cancer Society, Surveillance Research, 2013 13,400 cases < age

Fertility preservation consult Fertility risk assessment

Fertility preservation options

Future fertility options

Sexual function

Contraception

Page 5: [ÉÑx yÉÜ à{x YâàâÜx - Welcome to URMC · 2016-01-29 · 53,290 cases < age 45 86,940 cases < age 45 American Cancer Society, Surveillance Research, 2013 13,400 cases < age

Fertility risk assessment Ovarian reserve testing:

Anti‐mullerian hormone (AMH) FSH and estradiol Antral follicle count (AFC)

Page 6: [ÉÑx yÉÜ à{x YâàâÜx - Welcome to URMC · 2016-01-29 · 53,290 cases < age 45 86,940 cases < age 45 American Cancer Society, Surveillance Research, 2013 13,400 cases < age

Options?

Page 7: [ÉÑx yÉÜ à{x YâàâÜx - Welcome to URMC · 2016-01-29 · 53,290 cases < age 45 86,940 cases < age 45 American Cancer Society, Surveillance Research, 2013 13,400 cases < age

Banking options

Oocytes Embryos Ovarian tissue

Page 8: [ÉÑx yÉÜ à{x YâàâÜx - Welcome to URMC · 2016-01-29 · 53,290 cases < age 45 86,940 cases < age 45 American Cancer Society, Surveillance Research, 2013 13,400 cases < age

Oocyte cryopreservation

Menses

Cycle Day

2-3

FSH 150-300 IU

~7 ~12

hCG or GnRH agonist

GnRH antagonistGnRH antagonist

Letrozole 5 mg

Page 9: [ÉÑx yÉÜ à{x YâàâÜx - Welcome to URMC · 2016-01-29 · 53,290 cases < age 45 86,940 cases < age 45 American Cancer Society, Surveillance Research, 2013 13,400 cases < age

Options?

Page 10: [ÉÑx yÉÜ à{x YâàâÜx - Welcome to URMC · 2016-01-29 · 53,290 cases < age 45 86,940 cases < age 45 American Cancer Society, Surveillance Research, 2013 13,400 cases < age

Sperm cryopreservation

Limited time to collect

Poor quality

Difficulty ejaculating

Page 11: [ÉÑx yÉÜ à{x YâàâÜx - Welcome to URMC · 2016-01-29 · 53,290 cases < age 45 86,940 cases < age 45 American Cancer Society, Surveillance Research, 2013 13,400 cases < age

Options?

Page 12: [ÉÑx yÉÜ à{x YâàâÜx - Welcome to URMC · 2016-01-29 · 53,290 cases < age 45 86,940 cases < age 45 American Cancer Society, Surveillance Research, 2013 13,400 cases < age

Goossens E et al. Hum. Reprod. 2013;28:897‐907

Testicular tissue cryopreservation

Page 13: [ÉÑx yÉÜ à{x YâàâÜx - Welcome to URMC · 2016-01-29 · 53,290 cases < age 45 86,940 cases < age 45 American Cancer Society, Surveillance Research, 2013 13,400 cases < age

Fertility preservation consult Fertility risk assessment

Fertility preservation options

Future fertility options

Sexual function

Contraception

Page 14: [ÉÑx yÉÜ à{x YâàâÜx - Welcome to URMC · 2016-01-29 · 53,290 cases < age 45 86,940 cases < age 45 American Cancer Society, Surveillance Research, 2013 13,400 cases < age

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