[ÉÑx yÉÜ à{x yâàâÜx - welcome to urmc · 2016-01-29 · 53,290 cases < age 45 86,940...
TRANSCRIPT
![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](https://reader033.vdocuments.us/reader033/viewer/2022050514/5f9e6bfd127a641d841a425e/html5/thumbnails/1.jpg)
Wendy S. Vitek, MDDirector of Fertility Preservation
Strong Fertility Center
\Ç ~ÇÉãÄxwzx? à{xÜx Áá {ÉÑxA
[ÉÑx yÉÜ à{x YâàâÜx
![Page 2: [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](https://reader033.vdocuments.us/reader033/viewer/2022050514/5f9e6bfd127a641d841a425e/html5/thumbnails/2.jpg)
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](https://reader033.vdocuments.us/reader033/viewer/2022050514/5f9e6bfd127a641d841a425e/html5/thumbnails/3.jpg)
![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](https://reader033.vdocuments.us/reader033/viewer/2022050514/5f9e6bfd127a641d841a425e/html5/thumbnails/4.jpg)
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](https://reader033.vdocuments.us/reader033/viewer/2022050514/5f9e6bfd127a641d841a425e/html5/thumbnails/5.jpg)
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](https://reader033.vdocuments.us/reader033/viewer/2022050514/5f9e6bfd127a641d841a425e/html5/thumbnails/6.jpg)
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](https://reader033.vdocuments.us/reader033/viewer/2022050514/5f9e6bfd127a641d841a425e/html5/thumbnails/7.jpg)
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](https://reader033.vdocuments.us/reader033/viewer/2022050514/5f9e6bfd127a641d841a425e/html5/thumbnails/8.jpg)
Oocyte cryopreservation
Menses
Cycle Day
2-3
FSH 150-300 IU
~7 ~12
hCG or GnRH agonist
14
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](https://reader033.vdocuments.us/reader033/viewer/2022050514/5f9e6bfd127a641d841a425e/html5/thumbnails/9.jpg)
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](https://reader033.vdocuments.us/reader033/viewer/2022050514/5f9e6bfd127a641d841a425e/html5/thumbnails/10.jpg)
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](https://reader033.vdocuments.us/reader033/viewer/2022050514/5f9e6bfd127a641d841a425e/html5/thumbnails/11.jpg)
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](https://reader033.vdocuments.us/reader033/viewer/2022050514/5f9e6bfd127a641d841a425e/html5/thumbnails/12.jpg)
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](https://reader033.vdocuments.us/reader033/viewer/2022050514/5f9e6bfd127a641d841a425e/html5/thumbnails/13.jpg)
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](https://reader033.vdocuments.us/reader033/viewer/2022050514/5f9e6bfd127a641d841a425e/html5/thumbnails/14.jpg)
\Ç ~ÇÉãÄxwzx? à{xÜxËá {ÉÑxA