The current situation,challenges and future prospects of fertility preservation in early-stage gynecological cancer patients
WU Yumei
WEI Jiahui
Abstract：The younger onset of gynecological malignancies and the improvement of diagnosis and treatment levels have significantly enhanced the survival rate of early-stage patients.Preserving fertility has become a key focus in clinical practice,driving a shift in the treatment philosophy from"survival first"to"balancing quality of life".This article systematically reviews the fertility preservation strategies for early-stage cervical cancer,endometrial cancer,and ovarian-related malignancies:clarifying the core indications for fertility preservation in each tumor,elaborating on the core surgical and drug treatment plans for fertility preservation,and the oncological safety and pregnancy outcomes confirmed by related clinical studies;emphasizing the core supporting role of assisted reproductive technology.The clinical implementation of fertility preservation requires multidisciplinary collaboration among gynecological oncology,reproductive medicine,and pathology to achieve an individualized balance between oncological safety and fertility needs.However,it also faces challenges such as uneven technology dissemination and complex decision-making.In the future,through the promotion of standardized diagnosis and treatment,technological innovation,and the improvement of social support systems,more young patients will be able to realize their fertility wishes after tumor treatment,highlighting the profound evolution of the medical model towards a"patient-centered"approach.
Keywords：gynecological malignant tumorsfertility preservationfertility-sparing surgeryassisted reproductive technologymultidisciplinary collaboration
Publication Date：2026-02-28
Online Publishing Date：2026-03-19(First online date of this platform, not the publication date of the document)
Pages：6( 109-114 )