PDF(Pubmed)
Abstract：
This integrative review synthesizes the scientific evidence on fertility preservation counseling prior to oncological treatment for women of reproductive age diagnosed with cancer. Bibliographic research was conducted on databases PubMed, CINAHL, LILACS, EMBASE, Scopus, and Web of Science. The structured search strategy for the review question was \"counseling AND antineoplastic agents AND fertility preservation\". The use of controlled descriptors and keywords was adapted for each database. Study selection through the Rayyan platform was independent and blinded. The final sample comprised seven studies emphasizing the importance of clarifying factors related to the risk of infertility due to oncological treatment and fertility preservation techniques, such as success rate, pregnancy rate, cost, available options, and side-effects, as well as discussing the possibilities of adoption and surrogacy. This review provided evidence reinforcing the importance of counseling for fertility preservation, promoting motherhood for women who face oncological treatment. Organized networks linking oncology and reproductive medicine units are crucial to facilitate patient referral between these services and interprofessional communication.
摘要：
此综合综述综合了在诊断为癌症的育龄妇女进行肿瘤治疗之前进行生育保护咨询的科学证据。书目研究是在PubMed数据库上进行的，CINAHL,LILACS,EMBASE,Scopus,和WebofScience。审查问题的结构化搜索策略是“咨询和抗肿瘤剂和生育力保护”。受控描述符和关键字的使用适用于每个数据库。通过Rayyan平台的研究选择是独立的和盲目的。最终样本包括七项研究，强调澄清与肿瘤治疗和生育保存技术导致的不孕症风险相关的因素的重要性。比如成功率，怀孕率,成本,可用选项,和副作用，以及讨论收养和代孕的可能性。这项审查提供了证据，加强了对保留生育能力的咨询的重要性，促进面临肿瘤治疗的女性的母亲身份。将肿瘤学和生殖医学单位联系起来的有组织网络对于促进这些服务之间的患者转诊和跨专业沟通至关重要。
