FERTILITY CONSULTANTS www.fertilityoregon.com Center for Health & Healing, 3303 SW Bond Avenue, Portland, OR 97239-4501 David M. Lee, M.D., Director, Fertile Future Program David E. Battaglia, Ph.D., Laboratory Director (503) 418-3721 (Direct) TREATMENT OPTIONS TO PRESERVE FERTILITY IN WOMEN METHOD DESCRIPTION ADVANTAGES DISADVANTAGES EFFICACY APPROX. COST Monthly injection to induce May decrease damage by Of no benefit in pre-pubertal girls or May decrease oocyte GnRH $600-900/month pre-pubertal state chemotherapy with radiation loss by 40% decrease the dose •May surgery •Requires Laparoscopically moving of irradiation to the Ovarian effective with chemotherapy •Not the ovaries outside the field Minor surgical procedure ovary to 10% $5,000 Pexy may migrate •Ovary of irradiation failure ranges •ovarian supply for ovary may decrease (30-80%) oocytes preserved •Many remove •Laparoscopically not require •Does ovarian tissue or ovaries and surgery •Requires Ovarian stimulation freeze within the ovarian tissue need 4 human pregnancies to •Eggs Tissue not delay cancer $5,000 •Does of eggs in the maturation before use date •Maturation Banking treatment future by transplantation or efficacy •Limited for •Appropriate methods in vitro of ovaries with •Stimulation efficiency proven •Clinical gonadotropins 2-6 weeks for stimulation •Requires Oocyte and improving pregnancies •200 retrieval and retrieval $8,000-10,000* •Egg Freezing for single worldwide •Appropriate mature unfertilized appropriate for pre-pubertal girls •Freeze •Not young women eggs of ovaries with 2-6 weeks for stimulation •Stimulation •Requires gonadotropins appropriate for pre-pubertal girls 20-45% •Not Embryo eggs Proven sperm pregnancy/embryo $8,000-10,000* •Retrieve •Requires Freezing with partner’s or number of embryos can be transfer •Fertilize •Limited donor sperm banked *Price may be offset by financial aid. Please phone our clinic for details.
FERTILITY CONSULTANTS www.fertilityoregon.com Center for Health & Healing, 3303 SW Bond Avenue, Portland, OR 97239-4501 David M. Lee, M.D., Director, Fertile Future Program David E. Battaglia, Ph.D., Laboratory Director (503) 418-3721 (Direct) TREATMENT OPTIONS TO PRESERVE FERTILITY IN WOMEN METHOD DESCRIPTION ADVANTAGES DISADVANTAGES EFFICACY APPROX. COST GnRH Monthly injection to induce pre-pubertal state May decrease damage by chemotherapy Of no benefit in pre-pubertal girls or with radiation May decrease oocyte loss by 40% $600-900/month Ovarian Pexy Laparoscopically moving the ovaries outside the field of irradiation Minor surgical procedure •Requires surgery •Not effective with chemotherapy •Ovary may migrate supply for ovary may decrease •May decrease the dose of irradiation to the ovary to 10% •ovarian failure ranges (30-80%) $5,000 Ovarian Tissue Banking •Laparoscopically remove ovarian tissue or ovaries and freeze •Maturation of eggs in the future by transplantation or in vitro methods •Many oocytes preserved •Does not require stimulation •Does not delay cancer treatment •Appropriate for •Requires surgery •Eggs within the ovarian tissue need maturation before use •Limited efficacy 4 human pregnancies to date $5,000 Oocyte Freezing •Stimulation of ovaries with gonadotropins •Egg retrieval •Freeze mature unfertilized eggs •Clinical efficiency proven and improving •Appropriate for single young women •Requires 2-6 weeks for stimulation and retrieval •Not appropriate for pre-pubertal girls •200 pregnancies worldwide $8,000-10,000* Embryo Freezing •Stimulation of ovaries with gonadotropins •Retrieve eggs •Fertilize with partner’s or donor sperm Proven •Requires 2-6 weeks for stimulation •Not appropriate for pre-pubertal girls •Requires sperm •Limited number of embryos can be banked 20-45% pregnancy/embryo transfer $8,000-10,000* *Price may be offset by financial aid. Please phone our clinic for details.
Treatment-Options-to-Preserve-Fertility-in-Women.docx