n CME : Your SA Journal of CPD - Fertility after breast cancer : more about... breast cancer




It is important that the issue of subsequent conception should not be approached when cancer therapy has been completed but discussed upfront in order to explore options for fertility preservation. Strategies include modification of the adjuvant chemotherapy regimen (such as choosing less gonadotoxic agents) or the addition of a GnRH analogue given at the same time as chemotherapy. Alternatively, patients may undergo assisted reproductive techniques just prior to chemotherapy with the option of freezing embryos or unfertilised oocytes, although the latter is currently not part of routine clinical practice due to, as yet, limited success.


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