TY - JOUR
T1 - Reproductive Complications in Childhood Cancer Survivors
AU - van Santen, Hanneke M.
AU - van de Wetering, Marianne D.
AU - Bos, Annelies M.E.
AU - vd Heuvel-Eibrink, Marry M.
AU - van der Pal, Helena J.
AU - Wallace, William Hamish
N1 - Publisher Copyright:
© 2020 The Author(s)
PY - 2020/12
Y1 - 2020/12
N2 - Gonadal dysfunction and infertility after cancer treatment are major concerns for childhood cancer survivors and their parents. Uncertainty about fertility or being diagnosed with infertility has a negative impact on quality of survival. In this article, determinants of gonadal damage are reviewed and consequences for fertility and pregnancies are discussed. Recommendations for screening and treatment of gonadal function are provided. These should enable timely treatment of gonadal insufficiency aiming to improve linear growth, pubertal development, and sexual functioning. Options for fertility preservation are discussed.
AB - Gonadal dysfunction and infertility after cancer treatment are major concerns for childhood cancer survivors and their parents. Uncertainty about fertility or being diagnosed with infertility has a negative impact on quality of survival. In this article, determinants of gonadal damage are reviewed and consequences for fertility and pregnancies are discussed. Recommendations for screening and treatment of gonadal function are provided. These should enable timely treatment of gonadal insufficiency aiming to improve linear growth, pubertal development, and sexual functioning. Options for fertility preservation are discussed.
KW - Childhood cancer survivor
KW - Fertility preservation
KW - Gonadal failure
KW - Infertility
KW - Late effects
KW - Premature ovarian failure
KW - Radiation effects
UR - http://www.scopus.com/inward/record.url?scp=85094213945&partnerID=8YFLogxK
U2 - 10.1016/j.pcl.2020.08.003
DO - 10.1016/j.pcl.2020.08.003
M3 - Review article
C2 - 33131541
AN - SCOPUS:85094213945
SN - 0031-3955
VL - 67
SP - 1187
EP - 1202
JO - Pediatric Clinics of North America
JF - Pediatric Clinics of North America
IS - 6
ER -