Giuseppe Gullo, MD, PhDDepartment of Obstetrics and Gynecology, IVF Unit, Villa Sofia Cervello Hospital, University of Palermo, Palermo, ItalyInterests: fertility preservation; gynecological cancer; surgery; stem cell; artificial intelligenceSpecial Issues and Topics in IMR Press journalsSpecial Issue in Update on PCOS & Fertility TreatmentSpecial Issue in Gender-Based and Tailored Approaches to Women’s Health
Obstetrics and Gynecology, Villa Sofia Cervello Hospital, University of Palermo, Palermo, ItalyInterests: minimally invasive; surgery; infertility; fertility preservation; ginecological cancerSpecial Issues and Topics in IMR Press journalsSpecial Issue in Update on PCOS & Fertility Treatment
Unit of Gynecology and Obstetrics, Department of Women and Children's Health, University of Padua, Padua, ItalyInterests: infertility, ferility preservation, ginecological cancer, reproductive medicine, stem cells, artifial intelligenceSpecial Issues and Topics in IMR Press journalsSpecial Issue in Fertility Preservation in Female Cancer Patients
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
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