Ethical and legal issues of preserving childhood oncofertility
https://doi.org/10.21682/2311-1267-2024-11-3-60-65
Abstract
Providing a better quality of life for the children with cancer after recovery proves to be one and important aspect of rehabilitation. Preserving the fertility of children, adolescents and young adults can improve the chances to lead a full, active life, and have biological children after oncological treatment. It is necessary to consider that the degree of reproductive potential impairment as well as recovery perspectives can be assessed solely after the gonadotoxic therapy completion. Whereas fertility preservation practice proves to be more effective before the oncological treatment. The complexity of discussing with young patients and their parents (custodian parents) the risk of decrease or loss of reproductive function, of fertility preservation methods, of necessity to agree to another possible invasive intervention raises quite a range of ethical and legal problems, which claim special attention on behalf of doctors and patients’ protection.
Supporting agencies: The study was performed without external funding
About the Authors
O. E. Lavrinovich
N.N. Petrov National Medical Research Center of Oncology, Ministry of Health of Russia
Russian Federation
Russian Federation
Cand. of Sci. (Med.), Research Associate of the Department of Oncogynecology, Head of the Laboratory of Oncofertility, Head of the Department of Minor Surgery at N.N. Petrov NMRCO.
68 Leningradskaya St., Pesochny, Saint Petersburg, 197758
A. P. Karitsky
N.N. Petrov National Medical Research Center of Oncology, Ministry of Health of Russia
Russian Federation
Russian Federation
Cand. of Sci. (Med.), Deputy Director for Medical Work, ResearcherID: 338551.
68 Leningradskaya St., Pesochny, Saint Petersburg, 197758
Yu. A. Tatishcheva
N.N. Petrov National Medical Research Center of Oncology, Ministry of Health of Russia
Russian Federation
Russian Federation
Cand. of Sci. (Biol.), Embryologis, ResearcherID: 120594.
68 Leningradskaya St., Pesochny, Saint Petersburg, 197758
S. A. Kulyova
N.N. Petrov National Medical Research Center of Oncology, Ministry of Health of Russia; Saint Petersburg State Pediatric Medical University, Ministry of Health of Russia
Russian Federation
Russian Federation
Dr. of Sci. (Med.), Professor, Head of Pediatric Oncology Department, Leading Researcher of the Research Department of Innovative Therapeutic Oncology and Rehabilitation Methods, Professor of the Training and Methodology Department N.N. Petrov NMRCO, Head of the Department of Oncology, Pediatric Oncology and Radiation Therapy at St. Petersburg SPMU.
68 Leningradskaya St., Pesochny, Saint Petersburg, 197758; 2 Litovskaya St., Saint Petersburg, 194100
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For citations:
Lavrinovich O.E., Karitsky A.P., Tatishcheva Yu.A., Kulyova S.A. Ethical and legal issues of preserving childhood oncofertility. Russian Journal of Pediatric Hematology and Oncology. 2024;11(3):60-65. (In Russ.) https://doi.org/10.21682/2311-1267-2024-11-3-60-65
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