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.