In vitro ovarian follicle culture is a new frontier in assisted reproductive technology with tremendous potential, especially for fertility preservation. Folliculogenesis within the ovary is a complex process requiring interaction between somatic cell components and the oocyte. Conventional two-dimensional culture on tissue culture substrata impedes spherical growth and preservation of the spat...

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

With the recent report of a pregnancy and delivery after autotransplantation of cryopreserved-thawed ovarian cortical strips, preservation of the reproductive potential resurfaced. There is a growing academic and public interest in exploring the available strategies for fertility preservation in patients at risk. This is due to the increasing incidence of cancer during the reproductive age. The...

With improved survival rates among cancer patients, fertility preservation is now being recognized as an issue of great importance. There are currently several methods of fertility preservation available in female cancer patients and the options and techniques via assisted reproduction and cryopreservation are increasing, but some are still experimental and continues to be evaluated. The establ...

Herein, we report a case of successful mature oocyte retrieval during laparotomy after random-start controlled ovarian stimulation (COS) in a 21-year-old nulliparous woman with suspected recurrent ovarian immature teratoma. The patient had been diagnosed with stage IIIC immature teratoma two years earlier following a staging operation, including right oophorectomy and left ovarian cystectomy. A...

•We used Random-Start for the IVF cycle in urgent settings of gynecological cancer.•Oocytes can be obtained at any time before cancer treatment efficiently.•Oocyte maturity rates were comparable with conventional antagonist protocol.•Random-Start protocol is promising in emergency fertility preservation.

Improved oncological treatments permit increased survival rates, although cancer patients remain at risk of losing ovarian function. An attractive option for fertility preservation includes the use of immature oocytes, a strategy which can occur on a rapid timeline and without hormonal stimulation. As a result, cancer therapy can proceed promptly even in patients with hormone-sensitive tumors. ...