Page 71 - Eshre 2018

Limitations of oocytes cyopreservation for Onco‐FP
Need for IVF (limited attempts).
It may delay chemo therapy. Hormone‐sensitivity of the tumor. Not for prepubertal patients. Oocytes survival may be compromised. No guarantee of success.
Age and ovarian reserve.
FP in oncological patients
Some resolved issues
Some resolved issues...
• Use of letrozole to avoid high estradiol levels after COS.
• Use of GnRH antagonists to minimize the effect of progesterone.
• Not delaying chemotherapy by the random randomly obtaining of
oocytes irrespectively of the menstrual cycle phase.
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