Fertility Preservation for Child and Adolescent Cancer Patients in Asian Countries
Background: At present, fertility is one of the main concerns of young cancer patients. Following this trend, “fertility preservation (FP)” has been established and has become a new field of reproductive medicine. However, FP for child and adolescent (C-A) cancer patients is still developing, even i...
Main Authors: | , , , , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Frontiers Media S.A.
2019-10-01
|
Series: | Frontiers in Endocrinology |
Subjects: | |
Online Access: | https://www.frontiersin.org/article/10.3389/fendo.2019.00655/full |
id |
doaj-ecc68f8eb68f4e77bc230ebcd5717f8f |
---|---|
record_format |
Article |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Seido Takae Jung Ryeol Lee Nalini Mahajan Budi Wiweko Nares Sukcharoen Virgilio Novero Virgilio Novero Antoinette Catherine Anazodo Antoinette Catherine Anazodo Antoinette Catherine Anazodo Debra Gook Chii-Ruey Tzeng Alexander Kenneth Doo Wen Li Chau Thi Minh Le Wen Di Ri-Cheng Chian Seok Hyun Kim Nao Suzuki |
spellingShingle |
Seido Takae Jung Ryeol Lee Nalini Mahajan Budi Wiweko Nares Sukcharoen Virgilio Novero Virgilio Novero Antoinette Catherine Anazodo Antoinette Catherine Anazodo Antoinette Catherine Anazodo Debra Gook Chii-Ruey Tzeng Alexander Kenneth Doo Wen Li Chau Thi Minh Le Wen Di Ri-Cheng Chian Seok Hyun Kim Nao Suzuki Fertility Preservation for Child and Adolescent Cancer Patients in Asian Countries Frontiers in Endocrinology fertility preservation child cancer patients ovarian tissue cryopreservation oncofertility Asia |
author_facet |
Seido Takae Jung Ryeol Lee Nalini Mahajan Budi Wiweko Nares Sukcharoen Virgilio Novero Virgilio Novero Antoinette Catherine Anazodo Antoinette Catherine Anazodo Antoinette Catherine Anazodo Debra Gook Chii-Ruey Tzeng Alexander Kenneth Doo Wen Li Chau Thi Minh Le Wen Di Ri-Cheng Chian Seok Hyun Kim Nao Suzuki |
author_sort |
Seido Takae |
title |
Fertility Preservation for Child and Adolescent Cancer Patients in Asian Countries |
title_short |
Fertility Preservation for Child and Adolescent Cancer Patients in Asian Countries |
title_full |
Fertility Preservation for Child and Adolescent Cancer Patients in Asian Countries |
title_fullStr |
Fertility Preservation for Child and Adolescent Cancer Patients in Asian Countries |
title_full_unstemmed |
Fertility Preservation for Child and Adolescent Cancer Patients in Asian Countries |
title_sort |
fertility preservation for child and adolescent cancer patients in asian countries |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Endocrinology |
issn |
1664-2392 |
publishDate |
2019-10-01 |
description |
Background: At present, fertility is one of the main concerns of young cancer patients. Following this trend, “fertility preservation (FP)” has been established and has become a new field of reproductive medicine. However, FP for child and adolescent (C-A) cancer patients is still developing, even in advanced countries. The aim of the present study was to assess the barriers to FP for C-A patients by investigating the current status of FP for C-A patients in Asian countries, which just have started FP activities.Method: A questionnaire survey of founding members of the Asian Society for Fertility Preservation (ASFP) was conducted in November 2018.Main findings: Of the 14 countries, 11 country representatives replied to this survey. FP for C-A patients is still developing in Asian countries, even in Australia, Japan, and Korea, which have organizations or academic societies specialized for FP. In all countries that replied to the present survey, the patients can receive embryo cryopreservation (EC), oocyte cryopreservation (OC), and sperm cryopreservation (SC) as FP. Compared with ovarian tissue cryopreservation (OTC), testicular tissue cryopreservation (TTC) is an uncommon FP treatment because of its still extremely experimental status (7 of 11 countries provide it). Most Asian countries can provide FP for C-A patients in terms of medical technology, but most have factors inhibiting to promote FP for C-A patients, due to lack of sufficient experience and an established system promoting FP for C-A patients. “Don't know how to provide FP treatment for C-A” is a major barrier. Also, low recognition in society and among medical staff is still a particularly major issue. There is also a problem with cooperative frameworks with pediatric departments. To achieve high-quality FP for C-A patients, a multidisciplinary approach is vital, but, according to the present study, few paramedical staff can participate in FP for C-A patients in Asia. Only Australia and Korea provide FP information by video and specific resources.Conclusion: The present study demonstrated the developing status of FP for C-A patients in Asian countries. More intensive consideration and discussion are needed to provide FP in Asian societies based on the local cultural and religious needs of patients. |
topic |
fertility preservation child cancer patients ovarian tissue cryopreservation oncofertility Asia |
url |
https://www.frontiersin.org/article/10.3389/fendo.2019.00655/full |
work_keys_str_mv |
AT seidotakae fertilitypreservationforchildandadolescentcancerpatientsinasiancountries AT jungryeollee fertilitypreservationforchildandadolescentcancerpatientsinasiancountries AT nalinimahajan fertilitypreservationforchildandadolescentcancerpatientsinasiancountries AT budiwiweko fertilitypreservationforchildandadolescentcancerpatientsinasiancountries AT naressukcharoen fertilitypreservationforchildandadolescentcancerpatientsinasiancountries AT virgilionovero fertilitypreservationforchildandadolescentcancerpatientsinasiancountries AT virgilionovero fertilitypreservationforchildandadolescentcancerpatientsinasiancountries AT antoinettecatherineanazodo fertilitypreservationforchildandadolescentcancerpatientsinasiancountries AT antoinettecatherineanazodo fertilitypreservationforchildandadolescentcancerpatientsinasiancountries AT antoinettecatherineanazodo fertilitypreservationforchildandadolescentcancerpatientsinasiancountries AT debragook fertilitypreservationforchildandadolescentcancerpatientsinasiancountries AT chiirueytzeng fertilitypreservationforchildandadolescentcancerpatientsinasiancountries AT alexanderkennethdoo fertilitypreservationforchildandadolescentcancerpatientsinasiancountries AT wenli fertilitypreservationforchildandadolescentcancerpatientsinasiancountries AT chauthiminhle fertilitypreservationforchildandadolescentcancerpatientsinasiancountries AT wendi fertilitypreservationforchildandadolescentcancerpatientsinasiancountries AT richengchian fertilitypreservationforchildandadolescentcancerpatientsinasiancountries AT seokhyunkim fertilitypreservationforchildandadolescentcancerpatientsinasiancountries AT naosuzuki fertilitypreservationforchildandadolescentcancerpatientsinasiancountries |
_version_ |
1724778910776819712 |
spelling |
doaj-ecc68f8eb68f4e77bc230ebcd5717f8f2020-11-25T02:41:20ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922019-10-011010.3389/fendo.2019.00655474899Fertility Preservation for Child and Adolescent Cancer Patients in Asian CountriesSeido Takae0Jung Ryeol Lee1Nalini Mahajan2Budi Wiweko3Nares Sukcharoen4Virgilio Novero5Virgilio Novero6Antoinette Catherine Anazodo7Antoinette Catherine Anazodo8Antoinette Catherine Anazodo9Debra Gook10Chii-Ruey Tzeng11Alexander Kenneth Doo12Wen Li13Chau Thi Minh Le14Wen Di15Ri-Cheng Chian16Seok Hyun Kim17Nao Suzuki18Department of Obstetrics and Gynecology, St. Marianna University School of Medicine, Kawasaki, JapanDepartment of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seoul, South KoreaFerticity Fertility Clinics, New Delhi, IndiaDivision of Reproductive Endocrionolgy and Infertility, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia, Depok, IndonesiaDepartment of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Bankok, ThailandSt. Luke's Medical Center, Quezon City, PhilippinesSection of Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Philippines Manila, Manila, PhilippinesKids Cancer Centre and Sydney Youth Cancer Service, Sydney Children's Hospital, Randwick, NSW, AustraliaNelune Comprehensive Cancer Centre, Prince of Wales Hospital, Randwick, NSW, Australia0School of Women's and Children's Health, University of New South Wales, Kensington, NSW, Australia1Melbourne IVF, Melbourne, VIC, Australia2Division of Infertility, Department of Obstetrics and Gynecology, Taipei Medical University Hospital, Taipei, Taiwan3Obstetrics and Gynecology, The Women's Clinic, Hong Kong, China4Reproductive Medicine Center, Second Military Medical University, Changzheng Hospital, Shanghai, China5Infertility Department, Tu Du Hospital, Ho Chi Minh, Vietnam6Department of Obstetrics and Gynecology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China7Center for Reproductive Medicine, Tenth People's Hospital of Tongji University, Shanghai, China8Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, South KoreaDepartment of Obstetrics and Gynecology, St. Marianna University School of Medicine, Kawasaki, JapanBackground: At present, fertility is one of the main concerns of young cancer patients. Following this trend, “fertility preservation (FP)” has been established and has become a new field of reproductive medicine. However, FP for child and adolescent (C-A) cancer patients is still developing, even in advanced countries. The aim of the present study was to assess the barriers to FP for C-A patients by investigating the current status of FP for C-A patients in Asian countries, which just have started FP activities.Method: A questionnaire survey of founding members of the Asian Society for Fertility Preservation (ASFP) was conducted in November 2018.Main findings: Of the 14 countries, 11 country representatives replied to this survey. FP for C-A patients is still developing in Asian countries, even in Australia, Japan, and Korea, which have organizations or academic societies specialized for FP. In all countries that replied to the present survey, the patients can receive embryo cryopreservation (EC), oocyte cryopreservation (OC), and sperm cryopreservation (SC) as FP. Compared with ovarian tissue cryopreservation (OTC), testicular tissue cryopreservation (TTC) is an uncommon FP treatment because of its still extremely experimental status (7 of 11 countries provide it). Most Asian countries can provide FP for C-A patients in terms of medical technology, but most have factors inhibiting to promote FP for C-A patients, due to lack of sufficient experience and an established system promoting FP for C-A patients. “Don't know how to provide FP treatment for C-A” is a major barrier. Also, low recognition in society and among medical staff is still a particularly major issue. There is also a problem with cooperative frameworks with pediatric departments. To achieve high-quality FP for C-A patients, a multidisciplinary approach is vital, but, according to the present study, few paramedical staff can participate in FP for C-A patients in Asia. Only Australia and Korea provide FP information by video and specific resources.Conclusion: The present study demonstrated the developing status of FP for C-A patients in Asian countries. More intensive consideration and discussion are needed to provide FP in Asian societies based on the local cultural and religious needs of patients.https://www.frontiersin.org/article/10.3389/fendo.2019.00655/fullfertility preservationchild cancer patientsovarian tissue cryopreservationoncofertilityAsia |