Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Fertility Preservation and Ovarian Hyperstimulation Syndrome Management in Cancer Care: A Pathophysiological Perspective on Gonadotropin-Releasing Hormone Agonists and Antagonists – a Narrative Review

Version 1 : Received: 2 January 2024 / Approved: 3 January 2024 / Online: 3 January 2024 (07:50:49 CET)

How to cite: Bedoschi, G.; Ingold, C.; Navarro, P.A. Fertility Preservation and Ovarian Hyperstimulation Syndrome Management in Cancer Care: A Pathophysiological Perspective on Gonadotropin-Releasing Hormone Agonists and Antagonists – a Narrative Review. Preprints 2024, 2024010156. https://doi.org/10.20944/preprints202401.0156.v1 Bedoschi, G.; Ingold, C.; Navarro, P.A. Fertility Preservation and Ovarian Hyperstimulation Syndrome Management in Cancer Care: A Pathophysiological Perspective on Gonadotropin-Releasing Hormone Agonists and Antagonists – a Narrative Review. Preprints 2024, 2024010156. https://doi.org/10.20944/preprints202401.0156.v1

Abstract

This narrative review delves into the evolving landscape of fertility preservation techniques with a particular focus on their use in patients undergoing oncology treatment that carries a risk of ovarian insufficiency. Advances in established methods such as cryopreservation of oocytes and embryos are highlighted and the increasing use of gonadotropin-releasing hormone (GnRH) agonists is discussed. The review also addresses the complexities and controversies associated with these approaches, such as the 'flare-up' effect associated with GnRH agonists and the potential of GnRH antagonists to reduce the risk of ovarian hyperstimulation syndrome. Despite advances in fertility preservation, the report highlights the challenges we face, including the need for personalized treatment protocols and management of associated risks. It calls for continued research and collaboration between healthcare professionals to refine these techniques and ultimately improve reproductive outcomes for patients facing the prospect of fertility-impairing treatment.

Keywords

fertility preservation; ovarian hyperstimulation syndrome; gonadotropin-releasing hormone; quality of life; neoplasms; cryopreservation; drug therapy

Subject

Medicine and Pharmacology, Reproductive Medicine

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