{"id":129039,"date":"2020-11-19T13:20:49","date_gmt":"2020-11-19T18:20:49","guid":{"rendered":"https:\/\/effectsofanxiety.net\/archives\/129039"},"modified":"2020-11-19T13:50:12","modified_gmt":"2020-11-19T18:50:12","slug":"fertility-preservation-in-women-and-men-with-hodgkin-lymphoma","status":"publish","type":"post","link":"https:\/\/effectsofanxiety.net\/archives\/129039","title":{"rendered":"Fertility Preservation in Women and Men With Hodgkin Lymphoma"},"content":{"rendered":"Lymphoma is a cancer of lymphocytes, the cells that are part of the human immune system. The disease was first described in 1832 and can start anywhere lymphocytes are found (lymph nodes, spleen, bone marrow, or digestive tracts). Two types are recognized; Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL). The American Cancer Society estimates that approximately 3800 women and 4600 men will be diagnosed with HL in 2010. The majority of those diagnosed with HL are children and young adults (age 15 to 40 years). Modern treatment carries high survival rates. (>80%). HD, however, by virtue of the disease itself or its treatment poses considerable risk to fertility in women and men, especially if it recurs after treatment.\r\n\r\nWhen HD is suspected usually because of enlarged lymph nodes or other symptoms such as a fever, weight loss, or night sweating, a biopsy of lymph nodes is required for the diagnosis. Biopsy require special stains (CD15, CD 30) for proteins on the surface of the characteristic cell. Once confirmed certain imaging studies (especially PET scan) to detect the extent of the disease.\r\n\r\n
<\/a><\/p>\r\n M<\/span>E<\/span>G<\/span>A<\/span>S<\/span>T<\/span>O<\/span>R<\/span>E<\/span><\/a><\/p>\r\n2. Egg freezing<\/i>. Used in women with no partner and declining the use of donor sperm. It also requires ovarian stimulation and a treatment delay for 3 weeks. It’s generally less successful than embryo freezing, although the use of the vitrification method can yield comparable results to embryo freezing.\r\n\r\n3. Ovarian tissue freezing<\/i>. This method is experimental. It’s used in prepubertal girls or in women that need to start treatment urgently and do not have the time to undergo ovarian stimulation. Its also considered in women or girls before undergoing HSCT since it is associated with a very high rate of ovarian failure. One ovary is harvested usually using minimally access surgery (laparoscopy). The patient is discharged the same day and can start treatment immediately. The ovary is processed so that the outer part (2mm thin) is isolated and frozen. The inner part of the ovary (does not bear eggs) is submitted for pathological examination. After remission, the ovary is transplanted back in the abdomen or under the skin.\r\n\r\nWomen and men diagnosed with Hodgkin Lymphoma experience a high chance of cure. Counseling about fertility issues before treatment can enable them to preserve their sperm, eggs, or embryos for future use after treatment.","protected":false},"excerpt":{"rendered":" Lymphoma is a cancer of lymphocytes, the cells that are part of the human immune system. The disease was first described in 1832 and can start anywhere lymphocytes are found (lymph nodes, spleen, bone marrow, or digestive tracts). Two types are recognized; Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL). The American Cancer Society estimates that … Continue reading Fertility Preservation in Women and Men With Hodgkin Lymphoma<\/span><\/a><\/p>\n","protected":false},"author":1013,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2}},"categories":[101,192],"tags":[],"class_list":["post-129039","post","type-post","status-publish","format-standard","hentry","category-arts-entertainment-events","category-transportation"],"jetpack_publicize_connections":[],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/posts\/129039"}],"collection":[{"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/users\/1013"}],"replies":[{"embeddable":true,"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/comments?post=129039"}],"version-history":[{"count":3,"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/posts\/129039\/revisions"}],"predecessor-version":[{"id":129064,"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/posts\/129039\/revisions\/129064"}],"wp:attachment":[{"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/media?parent=129039"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/categories?post=129039"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/tags?post=129039"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}