PURPOSE To update guidance for health care providers about fertility preservation for adults and children with cancer. METHODS A systematic review of the literature published from March 2006 through January 2013 was completed using MEDLINE and the Cochrane Collaboration Library. An Update Panel reviewed the evidence and updated the recommendation language. RESULTS There were 222 new publica...

INTRODUCTION With increasing life expectancy, couples with at least one partner afflicted with HIV are more commonly pursuing the opportunity to have biologic offspring. Currently, there are no universally accepted recommendations regarding first line reproductive treatments for HIV serodiscordant couples lacking a history of infertility. We strongly believe that fertility care intervention sho...

BACKGROUND There is growing recognition of the difficult reproductive decisions faced by HIV-positive women. Studies in both resource-constrained and developed countries have suggested that many HIV-positive women continue to desire children in spite of their understanding of the possible risks that HIV poses. This study investigates the factors associated with fertility desire among HIV-positi...

STUDY QUESTION Are clinic factors, including patients' experiences with patient-centred care, associated with dropout in fertility care? SUMMARY ANSWER Clinic factors, including patients' experiences with patient-centred care, are not related to dropout. WHAT IS KNOWN ALREADY In fertility care, a significant proportion of patients do not achieve pregnancy because they discontinue treatment ...

It is often presumed that infertility is not a problem in resource-poor areas where fertility rates are high. This is challenged by consistent evidence that the consequences of childlessness are very severe in low-income countries, particularly for women. In these settings, childless women are frequently stigmatized, isolated, ostracized, disinherited and neglected by the family and local commu...

OBJECTIVE To determine the demographic and health impact of deploying health service nurses and volunteers to village locations with a view to scaling up results. METHODS A four-celled plausibility trial was used for testing the impact of aligning community health services with the traditional social institutions that organize village life. Data from the Navrongo Demographic Surveillance Syst...

In this paper I explore two hypotheses: (1) Formal childcare availability for children under 3 has a positive effect on fertility; and (2) Formal childcare availability has different effects across contexts, according to the degree of adaptation of social institutions to changes in gender roles. Event history models with regional fixed effects are applied to data from the European Community Hou...

A case-based approach to medical education is a very effective strategy to reinforce medical concepts and demonstrate how they might be applied to clinical situations. In that vein, this chapter presents a series of actual clinical scenarios described by practitioners in the fi eld of oncofertility. They highlight important concepts covered in the preceding chapters of this text and illustrate ...

BACKGROUND Over the past several decades, demographic and socioeconomic trends have resulted in an increase in the absolute number of women seeking pregnancy in their late 30’s and early to mid40’s. In addition, a significant number of women in this age group are seeking evaluation and treatment for infertility. Although there is a very well demonstrated decline in female fertility as a functio...

Female fertility is one of the most economically important traits for the dairy cattle industry. Because of a few decades of selection mainly for higher milk production, many dairy farms around the world suffer from the consequences of female fertility loss. The aims of this thesis were to study the international genetic evaluation of female fertility traits, to quantify the bias of analyzing m...