to the editor: Premenopausal women who undergo high-dose chemotherapy have a very high risk of ovarian failure. 1 Cryopreservation of ovarian tissue with subsequent autotransplantation has effectively preserved fertility in an animal model, 2 but its efficacy in humans has been uncertain. Eggs that were aspirated from cryopreserved ovarian tissue transplanted in heterotopic sites did not result...

Transplantation of cryopreserved ovarian tissue is a technology that holds promise for preserving reproductive potential for the future. It may be apropos for cancer survivors who will undergo treatment with sterility-inducing chemotherapy or radiation. Although there is some evidence suggesting cellular and molecular injury with the freezing and thawing process, there are examples in both anim...

17 Introduction 18 Ovarian stimulation 20 In vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI) 23 Immature sperm conception 25 Egg donation and surrogacy 28 Oocyte maturation 28 Embryo culture 30 Assisted hatching 31 Cryopreservation 32 Preimplantation genetic diagnosis (PGD) 34 Cytoplasmic donation and mitochondrial DNA (mDNA) transfer 37 Fertility preservation 39 Conclusion 41

From December 2000 until 2010, the researchers at Royan Institute conducted a wide range of investigations on ovarian tissue cryopreservation with the intent to provide fertility pres- ervation to cancer patients that were considered to be candidates for these services. In 2010, Royan Institute established the Royan Human Ovarian Tissue Bank as a subgroup of the Embryology Department. Since its...

Childhood cancer treatments can cause female reproductive late effects. Radiation to the hypothalamic-pituitary-ovarian axis is associated with altered menarche, miscarriage, and implantation failure. Patients who receive chemotherapy and/or ovarian radiation are at risk of premature ovarian failure; the risk increases with increasing radiation dose, alkylating agent score, combination therapy,...

With the evolution of the treatment of malignant neoplasms, the survival rates of patients undergoing chemo- or radiotherapy are increasing. The continuous development of techniques of assisted human reproduction has led to important strategies in an attempt to maintain reproductive function in patients subjected to treatment of neoplastic diseases, among them cryopreservation of embryos, gamet...