Oncofertility is a developing branch of reproductive medicine but globally there are still only a few centres providing a structured service, which requires coordination of multidisciplinary specialties in a limited time period.
Oncofertility Medical Practice: Clinical Issues and Implementation has successfully contrived to bring together an understanding of the theoretical principles of gonadal effects of cancer therapy with all the clinical and practical aspects of fertility preservation for cancer survivors. The book should be read by both oncologist and fertility specialists, as it presents clearly the degree of overlap that is required by the different healthcare providers to achieve a meaningful outcome for the cancer patient. The book has been divided into different sections that discuss the implementation of fertility preservation.
Part 1 deals briefly with the gonadotoxicity of cancer therapy explained in a simple manner, having sieved through numerous publications to include the factual evidence that is currently available. This understanding is a basic requisite for the reproductive physician who will be the key person in managing the patient. It also makes easy reading for any oncologist who wishes to further his knowledge of fertility risks of oncotherapy.
There are numerous articles about the options of fertility preservation, but they provide little guidance on clinical application. In Part 2, the authors have explored in depth the advantages and disadvantages, and the implications for the present and future, in order to bridge the gap in the practical application of the different fertility preservation options. The authors have provided a good source for devising clinical guidelines that are tailored to individual settings.
Part 3 describes cancer in pregnancy and outlines the treatment of the more common cancers encountered by the obstetrician made complex by the risks of chemotherapy or radiotherapy to the fetus, and possible need to terminate pregnancy.
Part 4 is perhaps the most impressive and useful section in the book. Though the authors are all from the USA, and therefore write about health care in that country, their clinical experience has enabled them to provide invaluable advice with remarkable attention to detail of oncofertility in clinical practice.
Part 5 presents and discusses well selected cases to highlight not only the challenges that are encountered in fertility preservation but also the pitfalls and how these can be avoided to provide the best all round management of the case.
In the appendix the authors have shared all the templates for documentation from consent forms for treatment and research, to applications for financial assistance for the inevitable additional financial burden of fertility preservation.
This is a comprehensive and very well-written book by authors who have a wealth of clinical expertise in their different fields. It is not often that a book provides information for different medical specialties and part 4 (oncofertility in clinical practice) is highly recommended reading for all healthcare providers who currently offer or wish to build an oncofertility practice.