Public fertility preservation programme for cancer patients in Hong Kong.

IF 3.1 4区医学 Q1 MEDICINE, GENERAL & INTERNAL

Hong Kong Medical Journal Pub Date : 2024-12-17 DOI:10.12809/hkmj2311060

D T Y Chan, J K Y Ko, K K W Lam, Y W Tong, E Wong, H H Y Cheng, S S F Yung, R H W Li, E H Y Ng

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引用次数: 0

Abstract

Introduction: Fertility preservation (FP) offers cancer patients the opportunity to have biological children after completing treatment. This study was performed to review the experience and changes in service demand since the implementation of a public FP programme for cancer patients in Hong Kong.

Methods: This retrospective study included men and women who attended an assisted reproduction unit for public FP services before cancer treatment from August 2020 to February 2023. Their medical records were reviewed and the results were compared with findings from our previous study to evaluate trends in service demand.

Results: During the study period, there were 48 consultations for female FP, compared with 72 women who presented for FP from 2010 to 2020 prior to establishment of the public FP programme. The median time from referral to consultation was 3 days (interquartile range [IQR]=2-5). Eighteen women (37.5%) underwent 19 cycles of ovarian stimulation for oocyte or embryo cryopreservation. Thirty women (62.5%) received gonadotropin-releasing hormone agonists during cancer treatment. There were 58 consultations for male FP during the study period, compared with 265 men who presented for sperm cryopreservation from 2005 to 2020. The median time from referral to consultation was 4 days (IQR=2-7). Fifty-five men (94.8%) attempted sperm cryopreservation, and 49 (84.5%) successfully preserved sperm.

Conclusion: Since the establishment of a public FP programme for cancer patients, there has been an increase in the demand for FP services at our centre. Regular review of FP services is warranted to assess changes in demand and identify areas for improvement.

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导言：生育力保存（FP）为癌症患者提供了在完成治疗后生育亲生子女的机会。本研究旨在回顾香港为癌症患者实施公共生育力保存计划以来的经验和服务需求的变化：这项回顾性研究纳入了2020年8月至2023年2月期间，在癌症治疗前到辅助生殖科接受公共FP服务的男性和女性。研究回顾了他们的医疗记录，并将结果与我们之前的研究结果进行比较，以评估服务需求的趋势：结果：在研究期间，共有 48 名女性接受了 FP 咨询，而在公共 FP 计划设立之前的 2010 年至 2020 年期间，共有 72 名女性接受了 FP 咨询。从转诊到就诊的中位时间为 3 天（四分位数间距 [IQR] =2-5）。18名妇女（37.5%）接受了19个卵巢刺激周期的卵母细胞或胚胎冷冻保存。30名妇女（62.5%）在癌症治疗期间接受了促性腺激素释放激素激动剂治疗。在研究期间，有58名男性接受了FP咨询，而在2005年至2020年期间，有265名男性接受了精子冷冻保存。从转诊到就诊的中位时间为 4 天（IQR=2-7）。55名男性（94.8%）尝试了精子冷冻保存，49名（84.5%）成功保存了精子：结论：自从为癌症患者设立公共FP计划以来，本中心对FP服务的需求有所增加。有必要对 FP 服务进行定期审查，以评估需求的变化并确定需要改进的地方。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hong Kong Medical Journal MEDICINE, GENERAL & INTERNAL-

CiteScore

1.50

自引率

14.80%

发文量

117

审稿时长

10 weeks

期刊介绍： The HKMJ is a Hong Kong-based, peer-reviewed, general medical journal which is circulated to 6000 readers, including all members of the HKMA and Fellows of the HKAM. The HKMJ publishes original research papers, review articles, medical practice papers, case reports, editorials, commentaries, book reviews, and letters to the Editor. Topics of interest include all subjects that relate to clinical practice and research in all branches of medicine. The HKMJ welcomes manuscripts from authors, but usually solicits reviews. Proposals for review papers can be sent to the Managing Editor directly. Please refer to the contact information of the Editorial Office.