학술논문

Haemoglobinopathy: considerations for reproductive health.
Document Type
Article
Source
Obstetrician & Gynaecologist. Oct2018, Vol. 20 Issue 4, p253-259. 7p.
Subject
*HYPOGONADISM
*OVARIAN physiology
*TESTIS physiology
*ENDOCRINE system physiology
*CHELATION therapy
*CONCEPTION
*CRYOPRESERVATION of organs, tissues, etc.
*HEALTH care teams
*HEMOGLOBINOPATHY
*HUMAN reproductive technology
*IRON in the body
*OVULATION
*REPRODUCTIVE health
*SPERM donation
*OVUM donation
*DISEASE complications
*THERAPEUTICS
Language
ISSN
1467-2561
Abstract
Key content: An overview is given of the different types of haemoglobinopathies and the effect of iron overload on the function of vital organs, including the endocrine system.Assessment modalities for ovarian and testicular function measurement.Current management options for patients with hypogonadotrophic hypogonadism secondary to iron overload include chelation therapy from an early age and human menopausal gonadotrophin to induce ovulation and spermatogenesis. Egg, sperm or embryo donation remain alternative options in cases refractory to stimulation protocols.Cryopreservation is an option to retain future fertility in some patients with a haemoglobinopathy, but is not standard care.We consider the psychological impact of a haemoglobinopathy and iron overload, and their effects on reproductive health, as well as good medical support by a multidisciplinary team. Learning objectives: To understand the current evidence of the impact of iron overload secondary to a haemoglobinopathy on reproductive health.To evaluate best practice and alternative options in the management of patients with iron overload in a reproductive health setting. [ABSTRACT FROM AUTHOR]