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10 The patient with malignant disease: fertility preservation

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Arri Coomarasamy and Manal Elgendy

University of Birmingham and Birmingham Women’s Hospital, Birmingham, UK

Case History 1: A 32‐year‐old woman has been diagnosed with estrogen positive stage 2 breast cancer. Her oncology team’s recommendation is lumpectomy with axillary node clearance, chemotherapy and radiotherapy. She is married but has no children; the couple wish to preserve fertility.

Case History 2: A 14‐year‐old girl is diagnosed to have acute myeloid leukemia. Her menarche was at the age of 11 years. She and her parents are keen to save her fertility.

Case History 3: A 29‐year‐old man was diagnosed to have testicular seminoma, for which he has been recommended to have right orchidectomy, followed by chemotherapy. He has no children and is anxious not to lose his ability to have children. A seminal fluid analysis is normal.

Assisted Reproduction Techniques

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