title: Gynecologic care in hematopoietic stem cell transplant patients: a review.
abstract: Over 4500 hematopoietic stem cell transplants (HSCT) are performed on patients in the United States each year. As HSCT patients shift their survivorship care from large transplant centers to community health care providers, many gynecologists are assuming their pre- and post-HSCT gynecologic care. This article reviews recommendations, current research, and expert opinions on the gynecologic care of HSCT patients.
  
  
  BACKGROUND
  Obstetricians & Gynecologists, Family Physicians.
  
  
  OBJECTIVE
  After completing this educational activity, the physician should be better able to implement strategies for the prevention and management of menstrual bleeding during hematopoietic stem cell transplants; educate female patients regarding Fertility Preservation options before hematopoietic stem cell transplantation; and apply posthematopoietic stem cell transplant reproductive care screening and treatment recommendations for bone health, sexual health, and secondary cancer development.
authors.affiliation: Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Utah Health Sciences Center, Salt Lake City, UT 84132, USA.
authors.forename: Colleen L
authors.initials: CL
authors.lastname: Milroy
authors.forename: Kirtly Parker
authors.initials: KP
authors.lastname: Jones
mesh_terms: D003267:Contraception / Q000379:methods; D055088:Early Detection of Cancer; D005260:Female; D005831:Genital Diseases, Female / Q000628:therapy; D006176:Gynecology / Q000592:standards*; D018380:Hematopoietic Stem Cell Transplantation / Q000009:adverse effects; D020249:Hormone Replacement Therapy; D006801:Humans; D005791:Patient Care / Q000592:standards*; D011247:Pregnancy; D019529:Sexuality