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Oocyte Vitrification for Fertility Preservation in Women with Benign Gynecologic Disease: French Clinical Practice Guidelines Developed by a Modified Delphi Consensus Process
Open accessPublished version of a preprint
Abstract
International guidelines are published to provide standardized information and fertility preservation (FP) care for adults and children. The purpose of the study was to conduct a modified Delphi process for generating FP guidelines for BGD. A steering committee identified 42 potential FP practices for BGD. Then 114 key stakeholders were asked to participate in a modified Delphi process via two online survey rounds and a final meeting. Consensus was reached for 28 items. Among them, stakeholders rated age-specific information concerning the risk of diminished ovarian reserve after surgery as important but rejected proposals setting various upper and lower age limits for FP. All women should be informed about the benefit/risk balance of oocyte vitrification—in particular about the likelihood of live birth according to age. FP should not be offered in rASRM stages I and II endometriosis without endometriomas. These guidelines could be useful for gynecologists to identify situations at risk of infertility and to better inform women with BGDs who might need personalized counseling for FP.
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Boulkedid, R., Abdoul, H., Loustau, M., Sibony, O., & Alberti, C. (2011) · PLoS ONE · doi:10.1371/journal.pone.0020476 · Cited by 2,045
When more is not better: 10 ‘don’ts’ in endometriosis management. An ETIC* position statement
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Metadata
- Authors
- Courbiere, B., Le Roux, E., Mathieu d’Argent, E., Torre, A., Patrat, C., Poncelet, C., Montagut, J., Gremeau, A.-S., Creux, H., Peigné, M., Chanavaz-Lacheray, I., Dirian, L., Fritel, X., Pouly, J.-L., Fauconnier, A., & Panel, O. B. O. T. P. E.
- Affiliations
- Department of Gynecology-Obstetric and Reproductive Medicine, AP-HM, Hôpital La Conception, 13005 Marseille, France
- Unité d’Epidémiologie Clinique, Hôpital Universitaire Robert Debré, AP-HP Nord-Université de Paris, Inserm, CIC 1426, 75019 Paris, France
- Department of Gynecology-Obstetric and Reproductive Medicine, GRC6-UPMC, Centre Expert en Endométriose (C3E), Université Pierre-et-Marie-Curie Paris 6, Hôpital Tenon, CHU de Tenon, AP-HP, 4, rue de la Chine, 75020 Paris, France
- Department of Gynecology-Obstetric and Reproductive Medicine, CHU Rouen, 37 bd Gambetta, 76000 Rouen, France
- Inserm (FR)
- Université Sorbonne Paris Nord (FR)
- Institut Francophone de Recherche et d’Etudes Appliquées à la Reproduction, Ifreares Toulouse, 31000 Toulouse, France
- Department of Gynecologic Surgery and IVF, Clermont-Ferrand, University Hospital Clermont-Ferrand, 63000 Clermont-Ferrand, France
- Clinique Saint Roch, Department of Gynecology-Obstetric and Reproductive Medicine, 34000 Montpellier, France
- Centre d’Endométriose, Clinique Tivoli Ducos, 33000 Bordeaux, France
- EndoFrance, Association Française de lutte contre l’Endométriose, 70190 Tresilley, France
- Department of Gynecology-Obstetric, CH Moulins Yzeure, 03000 Moulins, France
- Université Paris-Saclay (FR)
- ORCID
- Venue
- Journal of Clinical Medicine
- Publisher
- MDPI AG
- Published
- 2021-08-25
- Volume
- 10
- Issue
- 17
- Pages
- 3810
- ISSN
- 2077-0383 (ISSN-L)
- PMC
- PMC8432013
- OpenAlex
- W3180791917
- Cited by
- 14
- References
- 2
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 2 · 2023: 2 · 2022: 4 · 2021: 1
- FWCI
- 1.95
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Clinical Medicine (publishedVersion, cc-by)
- Preprints.org (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- HAL (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Open Repository and Bibliography (University of Liège) (submittedVersion, other-oa)
- Funders
- Collège National des Gynécologues et Obstétriciens Français
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Biology and Fertility
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Keywords
- oocyte vitrification, fertility preservation, benign gynecologic disease, endometriosis, ovarian reserve, benefit-risk balance, endometrioma, infertility risk, Delphi consensus
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