The need to consider fertility-sparing treatment for women with gynaecological malignancy has gone up over the years as women are increasingly delaying conception. In the UK, there are annually over 1000 women with cervical cancer, 120 with endometrial cancer and over 500 with ovarian cancer before the age of 45.
Management of these women is complex and requires input from a multidisciplinary team. This paper emphasises the importance of women receiving accurate information in order for them to make informed decisions, as sometimes the balance between chances of compromising survival and preserving fertility is a fine one.
This paper looks at cervical, endometrial and ovarian cancer and also assisted conception when fertility-sparing surgery may not be appropriate.