Evidence map›Paper›PMID 40337032›Full record

ReviewIndian journal of surgical oncology2025

Effects of Chemotherapy on Fertility and Fertility Preservation Strategies for the Women of Childbearing Potential Undergoing Chemotherapy: A Comprehensive Review.

Mayank Kapoor, Anusha Mruthyunjaya Swamy, Deepak Sundriyal, Mridul Khanna, Nishant Sinha, Karthik J, Shalini Rajaram, Amit Sehrawat

Abstract readReview
In one paragraph

Review in Indian journal of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Mayank KapoorDepartment of Medical Oncology, Hematology All India Institute of Medical Sciences (AIIMS), Rishikesh, India.ORCID 0000-0002-7764-0044
Anusha Mruthyunjaya SwamyDepartment of Medical Oncology, Hematology All India Institute of Medical Sciences (AIIMS), Rishikesh, India.
Deepak SundriyalDepartment of Medical Oncology, Hematology All India Institute of Medical Sciences (AIIMS), Rishikesh, India.ORCID 0000-0002-6378-7694
Mridul KhannaDepartment of Medical Oncology, Hematology All India Institute of Medical Sciences (AIIMS), Rishikesh, India.
Nishant SinhaDepartment of Medical Oncology, Hematology All India Institute of Medical Sciences (AIIMS), Rishikesh, India.
Karthik JDepartment of Medical Oncology, Hematology All India Institute of Medical Sciences (AIIMS), Rishikesh, India.
Shalini RajaramDepartment of Obstretrics and Gynecology, All India Institute of Medical Sciences (AIIMS), Rishikesh, India.
Amit SehrawatDepartment of Medical Oncology, Hematology All India Institute of Medical Sciences (AIIMS), Rishikesh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer incidence among women of childbearing potential (WCBP) underscores the need for effective fertility preservation strategies. Advances in cancer treatment have significantly improved survival rates, highlighting survivorship issues, particularly fertility concerns in younger patients. Chemotherapy, while a crucial treatment for cancer, often brings with it unintended consequences, particularly regarding fertility. Chemotherapy induces gonadotoxicity through mechanisms such as DNA damage, follicular apoptosis, and hormonal disruption, compromising ovarian function and fertility. The risk of infertility may be low, intermediate, or high depending upon the drug used, the dose, and the duration of use. Quantifying chemotherapy's impact is challenging due to diverse agents and variable effects. Guidelines recommend discussing fertility preservation options with WCBP before treatment, using biomarkers like anti-Mullerian hormone (AMH) to assess ovarian reserve. Strategies include cryopreservation of ovarian tissue, embryos, and oocytes, each with distinct advantages and considerations. Pharmacological interventions like GnRH agonists aim to mitigate gonadotoxic effects, although their efficacy is debated. Surgical approaches like oophoropexy protect ovaries during pelvic radiation but pose logistical challenges. Fertility preservation involves ethical and psychosocial dimensions, including informed consent, financial considerations, and ethical dilemmas, necessitating comprehensive patient counselling. Future research focuses on enhancing techniques such as in vitro maturation, developing artificial ovaries, and refining cryopreservation methods to optimize outcomes.

Indexed as

ChemotherapyFertility preservationWomen of childbearing potential

Identifiers

PMID40337032
PMCPMC12052606

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.