The use of GnRH analogs in preserving ovarian function during chemotherapy
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Springer Science and Business Media Deutschland GmbH
Abstract
Background: The literature has always been controversial on the use of gonadotropin-releasing hormone agonists in preserving fertility in women of childbearing age after chemotherapy; thereby, in this article, we will be discussing its use in preserving fertility. Main body of abstract: When it comes to preserving fertility, it is crucial to consider all available options in this topic due to its very sensitive nature, thereby we have found that while a lot of trials favor the use of gonadotropin-releasing hormone agonists, the lack of proper follow-up and long-term trials renders its use highly debatable, and since the longest follow-up trial showed non-significant results, it also opens the floor for debate on whether this short-term benefit is worth adding another drug to the regimen or not. Short conclusion: As described in this review, while the use of gonadotropin-releasing hormone agonists is beneficial in a lot of studies, the lack of long-term reports still makes its use debatable, thereby more trials should be done. © 2021, The Author(s).
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Keywords
Chemotherapy, Fertility, Gnrh agonists, Antineoplastic agent, Caspase 3, Caspase 7, Exemestane, Follitropin, Gonadorelin agonist, Goserelin, Luteinizing hormone, Sphingosine 1 phosphate, Tamoxifen, Triptorelin, Amenorrhea, Apoptosis, Breast cancer, Cancer combination chemotherapy, Drug mechanism, Fertility preservation, Hematologic malignancy, Hormone release, Human, Nonhuman, Ovarian reserve, Ovary function, Prevalence, Protein secretion, Review