癌症治疗前保留生育能力:以荣耀为代价说“不”的困境。
Fertility preservation before cancer treatment: the dilemma of saying 'no' as the price of glory.
发表日期:2024 May 24
作者:
Michaël Grynberg, Nathalie Sermondade
来源:
MEDICINE & SCIENCE IN SPORTS & EXERCISE
摘要:
生殖医学专业人员开展了大量工作,以提高人们对保留生育能力 (FP) 技术的认识,特别是针对女性,并确保将 FP 纳入接受癌症或病理治疗的年轻人的护理中需要性腺毒性治疗。如果我们学科发展的重要性是显而易见的,那么我们对 FP 的斗志和我们的情感预测绝不能让我们忘记,医学思考必须不仅在个案基础上进行,权衡利益——风险平衡,但也不要忽视用自己的配子怀上孩子并不是一个至关重要的问题。文化上对与后代的遗传联系的重视可能会影响患者和医生的决定,而实现父母身份的其他方式也存在,而且往往更有效。应提供有关 FP 技术存在的系统信息,但这不应导致其系统实施,也不应掩盖早期信息也将允许患者开始将自己投射到成为父母的替代选择中。© 作者2024 年。由牛津大学出版社代表欧洲人类生殖和胚胎学学会出版。版权所有。如需权限,请发送电子邮件至:journals.permissions@oup.com。
A great deal of work has been carried out by professionals in reproductive medicine in order to raise awareness about fertility preservation (FP) techniques, particularly for women, and to ensure that FP is included in the care of young adults treated for cancer or a pathology requiring gonadotoxic treatment. If the importance of the development of our discipline is obvious, our militancy in favour of FP and our emotional projections must not make us forget that medical thinking must be carried out not only on a case-by-case basis, weighing up the benefit-risk balance, but also without losing sight that conceiving a child with one's own gametes is not a vital issue. The cultural importance given to the genetic link with offspring may bias patients' and physicians' decisions, while other ways of achieving parenthood exist, and are often more effective. Systematic information should be provided on the existence of FP techniques, but this should not lead to their systematic implementation, nor should it obscure that early information will also allow patients to begin projecting themselves in alternative options to become parents.© The Author(s) 2024. Published by Oxford University Press on behalf of European Society of Human Reproduction and Embryology. All rights reserved. For permissions, please email: journals.permissions@oup.com.