Fertility Sparing Surgery

It is estimated that 1 out of 3 women who are mostly in their childbearing age are at risk of developing gynecological malignancies. Even though the condition can be treated effectively with early interventions, sometimes the kind of treatments opted might affect the women's fertility levels. The decrease in fertility levels might hamper the women's dream of motherhood. But recently, the increasing knowledge of the gynecological malignancies has made it possible to preserve the fertility of women despite undergoing the treatment. Fertility preservation has become one of the main aims in treating gynecological malignancies, especially epithelial ovarian cancers, with the help of fertility-sparing surgeries.

What is Fertility Preservation?

It can be defined as the application of surgical or laboratory procedures to help cancer patients help retain their biological ability to have children even after the treatment.

What is Fertility Sparing Surgery?

It is the surgery performed to remove the cancer cells from the ovaries by not affecting the fertility levels of the women and giving her a chance of future conception after complete recovery.

Fertility sparing surgery of epithelial ovarian cancer is based on unilateral (saplingo) oophorectomy and complete surgical staging that includes the omentectomy, pelvic nodal sampling, and peritoneal biopsy.

The main aim of the treatment is both ovarian cancer treatment and fertility preservation.

Who Are The Eligible Candidates For Surgery?

It is a procedure Suitable for young women with early-stage ovarian cancer who do not have children and wish to have them in the future. The other possible candidates for the surgery include patients with

• Malignant germ cell tumors
• Borderline tumors
• Stage IA invasive epithelial ovarian cancer

Which is The Best Place To Get The Surgery?

Management of women who want to undergo fertility-sparing surgery with ovarian cancer requires a lot of expertise and experience from treating gynecologist and oncologist. It is usually a multidisciplinary approach and involves providing the patient with the necessary, multiple options to make the right decision.

Guru Hospital is one of the very few hospitals which has successfully performed one of its kind fertility-sparing surgery for a 27 years patient who has been diagnosed with ovarian cancer. The doctors were able to remove the tumor by preserving fertility levels. The patient, after a successful recovery from cancer, was able to conceive and give birth to a healthy baby with the help of appropriate infertility treatment.

In cases where fertility-sparing surgery is not possible egg freezing may also be considered as an option. It is a procedure where the women's healthy eggs are retrieved and frozen before the start of the cancer treatment. Later these eggs can be fertilized with the partner's sperm to form embryos.

Doctors of Guru Hospital believe that every woman has the right to experience the joy of motherhood despite battling with gynecological malignancies. Hence they provide the best possible treatment options to make their dream come true.

Blog reviewed by: Dr. B. Kalpana

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