NCCN Guidelines for Patients® | Caring for Adolescents and Young Adults - page 35

35
NCCN Guidelines for Patients
®
: Caring for Adolescents and Young Adults
Version 2013
Part 3: Preparing for the future
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Banking healthy cells
The most well-established methods of fertility preservation are sperm banking
for men and embryo freezing for women.
Sperm banking is a fairly simple procedure that involves collecting and
then freezing one or more samples of ejaculate. Embryo freezing is more
complicated because it requires IVF, a process in which eggs are removed
from the ovaries and fertilized in a lab. If you don’t have a partner, IVF can be
done with donor sperm.
Since IVF must be timed to your menstrual cycle and involves a series of
hormone shots to prompt the ovaries to produce more than one egg, it could
mean delaying treatment for several weeks.
Experimental options include:
Ovarian tissue freezing
– Surgical removal and freezing of a healthy
ovary (or part of an ovary). When treatment is complete, the tissue is
transplanted back.
Egg freezing
– Use of hormones to make the ovaries produce multiple
eggs, which are then extracted and frozen.
Testicular sperm extraction
– Removing a small portion of tissue from
the testicle while under local anesthesia (a controlled loss of feeling in a
small area of the body from drugs) to extract and freeze sperm cells.
Definitions
Ejaculate:
Mixture of
sperm and other fluids
released through the penis
during orgasm
Embryo:
A fertilized egg
that has been dividing and
growing for up to 8 weeks
Hormones:
Chemicals in
the body that activate cells
or organs
Ovaries:
The pair of
female organs that make
eggs and hormones
Sperm:
Male reproductive
cells that are formed in the
testicles
Testicles:
Two egg-shaped
glands found inside the
scrotum below the base
of the penis that produce
sperm and male hormones
Acronyms
IVF=
In vitro fertilization
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