Ten-year single-centre experience in fertility preservation of 459 patients suffering from acute leukaemia

Br J Haematol. 2019 Mar;184(6):969-973. doi: 10.1111/bjh.15740. Epub 2018 Dec 28.

Abstract

Acute leukaemia is a life-threatening disease that needs treatment without delay. Fertility preservation is recommended, but often not possible because of the necessity to start treatment as soon as possible. The present study is a retrospective single-centre analysis of 459 patients diagnosed with acute leukaemia between 2002 and 2012. Sperm or oocyte preservation was successfully performed in only 29 (6%) patients. Of the 150 children, no paediatric patient sample was taken. The collected samples enabled the conception of 2 children by in vitro fertilisation; in addition, 3 spontaneous, non-assisted births in partners of male patients were observed. Fertility preservation is important but difficult to accomplish in patients with acute leukaemia; more efforts are clearly needed to preserve fertility in long-term survivors of acute leukaemia.

Keywords: acute leukaemia; chemotherapy; fertility.

MeSH terms

  • Acute Disease
  • Child
  • Cryopreservation
  • Female
  • Fertility Preservation / methods*
  • Humans
  • Leukemia / complications*
  • Male
  • Oocytes / cytology
  • Retrospective Studies
  • Spermatozoa / cytology
  • Treatment Outcome