http___www.kinderwunschklinik.at_hr_uzroci_neispunjena_zelja_za_djetetom_kod_zena_rak__1.xml
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Fertility and cancer Cancer is rare in young people. The average age in Austria for a man to get cancer is approximately 65 and for a woman the age lies at 67. However, some kinds of cancer affect younger people, for example: leukaemia, lymphoma, breast and testicular cancer. These can all affect people at the peak of their reproductive phase in life. At the KinderWunschKlinik Wels and Vienna, it is also possible for unfertilised female eggs to be cryopreserved for use in future fertility treatments. In the same way, if a man has cancer, sperm can be frozen in the KinderWunschKlinik Wels or Vienna before chemotherapy or radiation takes place and can be used for fertilisation at a later date, if required. Before the commencement of cancer treatment, the risk of damage to the ovaries should be made clear to the patient. If the patient wishes to have a child at a later date, the doctors should take all possible measures to protect the ovaries. A few clinics have been able to extract eggs without previous hormone stimulation using in-vitro maturation. There is also the possibility of taking medication that protects the ovaries from chemotherapy. Finally, the ovarian tissue can be extracted and frozen to be grafted back after the cancer treatment has been successfully completed. However, only a small number of pregnancies have been achieved using this technique.
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Plodnost unatoč raku Kod mladih ljudi rak je više rijetka pojava. U Austriji je prosječna dob oboljelih osoba kod muškaraca iznosi oko 65 godina, kod žena 67 godina. Neki tumori se ipak ne pridržavaju ovog uzorka. I mladi ljudi, koji se u potpunosti nalaze u „reproduktivnoj“ fazi svog života, mogu oboljeti od leukemije ili limfoma, ali i od raka dojke ili raka testisa. Na klinikama KindeWunschKlinik u Welsu i Beču mogu se prije terapije za oboljenja od raka zamrznuti ženske jajne stanice. I pogođeni muškarci mogu prije početka kemoterapije ili terapije zračenja svoje spermatozoide za kasniju umjetnu oplodnju dati na duboko zamrzavanje. Prije liječenja bi se sa pacijenticom obavezno trebalo razgovarati o tome koliko je visok rizik od oštećenja jajnika kemoterapijom. Ukoliko postoji želja za djetetom, ordinirajući ljekari moraju poduzeti sve mjere kako bi zaštitili jajnike. U okviru takozvanog „in vitro sazrijevanja“ (bez prethodne hormonalne stimulacije) moguće je uzimanje jajnih stanica, ali se ova metoda sprovodi tek u nekoliko klinika. Postoji i mogućnost davanja lijekova koji jajnike štite od kemoterapije. Naposljetku se i tkivo jajnika može uzeti i zamrznuti, kako bi se kasnije ponovo transplantiralo. Međutim, kod ove terapije je na cijelom svijetu ostvareno tek nekoliko trudnoća.