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• W2128780026 abstract "For preserving fertility in women during chemotherapy, the character of invasive techniques, such as ovarian cryopreservation and other techniques, await further experience. Meanwhile, non-invasive techniques have attempted to minimize the gonadotoxic effect of chemotherapy, by using gonadotrophin-releasing hormone-analogues (GnRH-a) or oral contraceptives (OC). We performed a computerized MEDLINE search to identify articles published on fertility preservation using GnRH-a or OCs. Nine human-controlled studies reported the use of GnRH-a and four reported the use of OCs in parallel to chemotherapy. All nine studies analysing the effect of GnRH-a found lower rates of premature ovarian failure (POF) in patients receiving GnRH-a compared with the controls. Summarizing the studies resulted in 11.1% incidence of POF in patients who received GnRH-a compared with 55.5% incidence in the controls. Evidence using the fertility preserving effect of OC is limited. Two studies showed lower POF rates in OC-treated patients. The summarized data revealed a POF rate of 13.2% in patients who received OCs compared with that of 29.8% in the controls. The published clinical studies provide evidence, but do not prove statistically, that GnRH-a co-treatment reduces gonadotoxicity. Owing to the retrospective and non-randomized nature of most of the studies, definite conclusions concerning the reduction of POF by GnRH-a can still not be unequivocally drawn. As GnRH-a and OC have no serious side effects and as GnRH-a can even reduce chemotherapy-induced complications, such as severe menometrorrhagia, GnRH-a are considered by many clinicians as a clinically useful co-treatment in chemotherapy. The published clinical studies on OC also suggest a possible effect on the reduction of POF under certain conditions." @default.
• W2128780026 created "2016-06-24" @default.
• W2128780026 creator A5000551829 @default.
• W2128780026 creator A5080990829 @default.
• W2128780026 date "2008-09-29" @default.
• W2128780026 modified "2023-09-25" @default.
• W2128780026 title "GnRH-analogues and oral contraceptives for fertility preservation in women during chemotherapy" @default.
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• W2128780026 doi "https://doi.org/10.1093/humupd/dmn022" @default.
• W2128780026 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/18824495" @default.
• W2128780026 hasPublicationYear "2008" @default.
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