Fertility Care and Preservation Services for Females

These injections will place your body in a “pseudo-menopausal” state that may provide protection during chemotherapy

Injection every 2-3 months
May be recommended in conjunction with other treatment options

May begin immediately following consultation

Unknown efficacy
However, is known to assist with suppressing menstrual cycles during certain treatments

A complete discussion of the full range of risks and benefits should be discussed with your physician. This list is meant only to provide an outline of those most common.

Bleeding, hematoma or infection at injection site
Menstrual cycle changes
Menopausal related symptoms

Costs are variable based on medical coverage and are subject to change. Call for current estimates.

Depo-Lupron: Cost of injection dependent on medical insurance coverage

Long-Term Complications

Risk of decreased bone mineral with extended use
GnRH has unknown success rates and conflicting results.

Embryo Freezing

Procedures are completed in conjunction with the University of Cincinnati Center for Reproductive Health

Requires stimulation of the ovaries with multiple hormonal injections to produce increased oocyte (egg) production
Serial ultrasounds
Egg retrieval under sedation
Sperm collection from partner

Timeframe may vary based on several factors, including time available prior to treatment, ease of ovarian stimulation and quality and number of samples collected.

2-6 weeks

Success rates are variable by institution and are subject to change prior to the patient’s utilization of their embryos.

35 percent live birth rate per embryo transfer

A complete discussion of the full range of risks and benefits should be discussed with your physician. This list is meant only to provide an outline of those most common.

Side effects of hormonal medications used to stimulate the ovary
Ovarian hemorrhage
Pelvic infection
Ovarian hyperstimulation

Long-Term Complications Consideration

Costs provided are an estimation to assist with discussion. These costs are variable based on medical coverage and are subject to change. Call for current estimates.

Anticipated costs:

Fertility consult fee (generally covered by insurance)
Procedure
Medications
Freezing & shipping fee
Storage fee
Labs (generally covered by insurance)
Uncertain future costs for use

Given ever changing scientific development, we are unable to fully describe the long-term implications or considerations for each patient. However, given where we are today, patients should consider and understand the possible future fertility interventions.

In vitro fertilization (IVF)
Intracytoplasmic sperm injection (ICSI)

Oocyte (Egg) Freezing

Procedures are completed in conjunction with the University of Cincinnati Center for Reproductive Health.

Requires stimulation of the ovaries with multiple hormonal injections to produce increased oocyte (egg) production
Serial ultrasounds
Egg retrieval under sedation

Timeframe may vary based on several factors, including time available prior to treatment, ease of ovarian stimulation and quality and number of samples collected.

2-6 weeks

Success rates are variable by institution and are subject to change prior to the patient’s utilization of their eggs.

4 percent live birth rate per oocyte / egg

A complete discussion of the full range of risks and benefits should be discussed with your physician. This list is meant only to provide an outline of those most common.

Side effects of hormonal medications used to stimulate the ovary
Ovarian hemorrhage
Pelvic infection
Ovarian hyperstimulation

Costs are variable based on medical coverage and are subject to change. Call for current estimates.

Anticipated costs:

Fertility consult fee (generally covered by insurance)
Procedure
Medications (philanthropic funds available for patients with cancer)
Freezing & shipping fee
Storage fee
Labs (generally covered by insurance)
Uncertain future costs for use

Long-Term Considerations

Given ever-changing scientific development, we are unable to fully describe the long-term implications or considerations for each patient. However, given where we are today, patients should consider and understand the possible future fertility interventions.

In vitro fertilization (IVF)
Intracytoplasmic sperm injection (ICSI)

Ovarian Tissue Freezing (Experimental Treatment Protocol)

This is the only available preservation option for pre-pubertal girls and is also available to post-pubertal women who cannot or choose not to pursue other preservation options. This procedure is currently only available at select institutions under experimental protocol.

Laparoscopic procedure with three small incisions on the abdomen
Removal of one ovary
Can also be performed with an open procedure if deemed necessary by your surgeon and approved by your primary treatment team

We prefer to perform this procedure in conjunction with another previously scheduled surgery. However, it can be completed independently in necessary cases.

2-3 days

Due to the novel and experimental nature of this procedure, success rates are currently not available. Science is improving rapidly and success has been found in a number of women.

Unknown
Over 100 successful pregnancies to date

A complete discussion of the full range of risks and benefits should be discussed with your physician. This list is meant only to provide an outline of those most common

Procedural related bleeding
Post-operative infection
Surgical trauma / injury to adjacent organs

Costs are variable based on medical coverage and are subject to change. Call for current estimates.

Anticipated costs:

Hospital fee (generally covered by insurance)
Anesthesia fee (generally covered by insurance)
Surgeon fee (generally covered by insurance)
Transfer fee
Storage fee
Shipping fee
Labs (generally covered by insurance)
Uncertain future costs for use

Long-Term Considerations

Given ever-changing scientific developments, we are unable to fully describe the long-term implications or considerations for each patient. However, given where we are today, patients should consider and understand the possible future fertility interventions.

Possible ovarian tissue re-implantation
Possible in vitro fertilization (IVF)
Possible in vitro maturation (IVM)

Ovarian Transposition

This procedure may be considered if your treatment requires radiation therapy in or near the pelvis.

Laparoscopic surgery in most case
Surgery is performed to transfer ovaries out of the field of radiation

Can be completed anytime the patient is medically stable prior to radiation treatment

Success rates are variable by institution and are subject to change prior to the patient’s procedure, please discuss in detail with your physician

50 percent to 90 percent reduction in radiation to the ovary
30 percent to 50 percent maintenance of ovarian function
Unknown fertility preservation success

A complete discussion of the full range of risks and benefits should be discussed with your physician. This list is meant only to provide an outline of those most common.

Procedural related bleeding
Post-operative infection
Surgical trauma / injury to adjacent organs
Post-operative pelvic discomfort
Some risk of toxic damage or metastasis to the ovaries remains (as the ovaries are not removed)