关键词: benefit-risk balance counselling fertility preservation oncofertility oocyte cryopreservation oocyte donation parenthood options psychological well-being

来  源:   DOI:10.1093/humrep/deae110

Abstract:
A great deal of work has been carried out by professionals in reproductive medicine in order to raise awareness about fertility preservation (FP) techniques, particularly for women, and to ensure that FP is included in the care of young adults treated for cancer or a pathology requiring gonadotoxic treatment. If the importance of the development of our discipline is obvious, our militancy in favour of FP and our emotional projections must not make us forget that medical thinking must be carried out not only on a case-by-case basis, weighing up the benefit-risk balance, but also without losing sight that conceiving a child with one\'s own gametes is not a vital issue. The cultural importance given to the genetic link with offspring may bias patients\' and physicians\' decisions, while other ways of achieving parenthood exist, and are often more effective. Systematic information should be provided on the existence of FP techniques, but this should not lead to their systematic implementation, nor should it obscure that early information will also allow patients to begin projecting themselves in alternative options to become parents.
摘要:
生殖医学专业人员开展了大量工作,以提高人们对生育力保存(FP)技术的认识,尤其是对女性来说,并确保FP包括在治疗癌症或需要性腺毒性治疗的病理的年轻人的护理中。如果我们学科发展的重要性是显而易见的,我们支持FP的战斗性和我们的情绪预测不能让我们忘记医学思维不仅要逐案进行,权衡利益-风险平衡,但也不要忘记,用自己的配子怀孕一个孩子并不是一个至关重要的问题。与后代遗传联系的文化重要性可能会偏向患者和医生的决定,虽然存在其他实现父母身份的方法,而且往往更有效。应提供关于FP技术存在的系统信息,但这不应该导致它们的系统实施,也不应掩盖早期信息也将使患者开始选择替代方案成为父母的事实。
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