Recomendações para a preservação do potencial reprodutivo no doente oncológico

Abstract

Objective: To provide updated information about the preservation of reproductive potential in adult cancer based on the available evidence. Methods: A review of literature published after 2006 was performed using the Medline and PubMed. The evidence was analyzed by specialists from several medical societies; and reflected upon their on
clinical practice. After discussion on several working groups, a series of recommendations were made. Results: Scientific literature was reviewed and analyzed, as well as the recommendations and / or guidelines published by international scientific societies. After reviewing the best scientific evidence, the selected panel of experts prepared the recommendations to be implemented in the Portuguese population. Recommendations 6 | RPO Vol 2 / N1 /Novembro 2016 Revista portuguesa de oncologia were reviewed by the participating medical societies, and comments incorporated when appropriate. Recommendations: All health professionals should address with cancer patients, the risk of infertility and preservation of their reproductive potential. The individual risk for reproductive funciton of each patient depends on the type of cancer, age and treatment plan. It is very important to define the infertility risk, and fertility evaluation before starting
any preservation technique of reproductive potential. In men, the most common and most effective option is sperm cryopreservation, which can be obtained in 24-48 h. In women, the preferred option is cryopreservation of oocytes that can be completed in 2 two to 4 four weeks. Referral must take place as early as possible, right after a cancer diagnosis is established and the need to sue a treatment with potentially detrimental effects on reproductive function is considered.