Ovarian cryopreservation with transposition of a contralateral ovary: a combined approach for fertility preservation in women receiving pelvic radiation.
OBJECTIVE
To describe a technique of fertility preservation by ovarian transposition combined with ovarian cryopreservation in the setting of oncologic pelvic radiation for a reproductive age woman.


METHODS
Case report.


METHODS
IVF center at a tertiary care hospital.


METHODS
Thirty-year-old nulligravid women who previously underwent lumbar spinal cord tumor debulking requested fertility preservation before pelvic radiation.


METHODS
Laparoscopic ovarian transposition with cryopreservation of the contralateral ovary.


METHODS
New technique in fertility preservation.


RESULTS
Laparoscopic surgery was used to evaluate, select, and remove a single ovary that then underwent cryopreservation. Transposition of the remaining ovary was subsequently successfully performed, placing it of out of the pelvis.


CONCLUSIONS
The combination of ovarian cryopreservation and ovarian transposition may maximize future fertility options for women facing pelvic irradiation. This combined approach should be included among the options offered to reproductive age women before pelvic radiation.
Martin
J Ryan
JR
Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut 06520, USA.
Kodaman
Pinar
P
Oktay
Kutluk
K
Taylor
Hugh S
HS
D000328:Adult; D003131:Combined Modality Therapy; D015925:Cryopreservation / Q000379:methods*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D010052:Ovariectomy / Q000379:methods*; D010053:Ovary / Q000166:cytology* / Q000637:transplantation*; D010386:Pelvic Neoplasms / Q000532:radiotherapy*; D011835:Radiation Protection / Q000379:methods