Fertility preservation counseling
Pre-treatment fertility counseling was offered to all patients primarily
treated with RH or chemoradiotherapy. When adjuvant treatment was
indicated upon surgery, emergency fertility counselling was performed
within one week to prevent any delay in starting (chemo)radiotherapy.
Fertility counselling was performed by a reproductive specialist and
included discussion on treatment-induced infertility and information
provision on FP procedures; ovarian transposition, cryopreservation of
embryos and/or oocytes and ovarian tissue cryopreservation (OTC).
Selection of FP procedure was decided upon shared-decision making, in
consensus with patient, gynecologic oncologist, reproductive specialist,
and radiation oncologist.