Dear Colleagues,

Fertility-sparing surgery (FSS) is increasingly being offered to women with gynecological malignancies who wish to preserve fertility.

When considering a conservative management approach, disease characteristics should be carefully evaluated to select the therapeutic approach that perfectly fits the patient’s condition and needs. Fertility sparing could be considered for patients who have an interest in preserving fertility, plan to conceive as soon as possible after remission, and undergo no medical contraindication to the medical treatment and have exhibit favorable histopathological characteristics of their cancer.

Therefore, management of these patients should involve a multidisciplinary team. It is generally accepted that exposure of a medical specialist to a rare health problem, or situation, is directly linked to knowledge and quality of care.

Given these considerations, optimal treatment is still debated and no consensus has yet emerged. Guidelines for conservatively managing the fertility of these patients should be drawn up while bearing in mind that adopting an individualized approach for this problem is requires since each patient has different characteristics and expectations regarding motherhood.

Dr.  Giuseppe Gullo, Assoc. Prof. Dr. Gaspare Cucinella, Dr. Valentina Billone and Assoc. Prof. Dr.  Alessandra Andrisani
Guest Editors