Fertility preservation and pregnancy in gynecological cancers]

Fertility preservation and pregnancy in gynecologic cancers are becoming more important since women delay childbearing and progress in medicine has a positive impact on survival of patients. The standard therapy in case of cancers of the endometrium, cervix and ovaries is a hysterectomy and a bilateral adnexectomy. If patients want to preserve fertility the standard procedure can be changed in well selected cases. In early stages of endometrial cancer progesterone therapy, in cervical cancer conisation or trachelectomy, and in ovarian cancer a fertility sparing operation can be offered. Nowadays a therapy option can be offered to all pregnant patients diagnosed with cancer - depending on the gestational age, the tumor type, tumor stage and the expectation of the future mother.