Investigational Oocyte Cryopreservation for Medical and Non Medical Indications
Infertility, Female, Deferred Childbearing
About this trial
This is an interventional supportive care trial for Infertility, Female
Eligibility Criteria
Inclusion Criteria:
- Women aged >18 and < 40years
- Women able to defer definitive cancer therapy for 21 to 30 days
- Women diagnosed with cancer or any disease whose treatment or its progression may impair their reproductive potential (this would include but not be limited to cancer patients requiring treatment with chemotherapy or radiation, patients with rheumatologic diseases such as lupus, rheumatoid arthritis and ulcerative colitis and patients with genetic predisposition to cancers
- Women undergoing standard In Vitro Fertilization to treat infertility who experience unforeseen events that halts the treatment cycle
- Women seeking oocyte cryopreservation for non medical reasons, such as deferred childbearing
- Women who are carriers of BRCA mutations predisposing them to cancer
- Otherwise healthy females
- Ability and willingness to comply with study protocol
- Informed written consent, prior to any study-related procedure not part of normal care, with the understanding that the subject may withdraw consent at any time without prejudice to their future medical care
Exclusion Criteria:
- Current pregnancy
- Serum FSH > 10 mIU/ml for patients having egg freezing for a medical indication
- Serum FSH > 10 mIU/ml for patients having egg freezing for social reasons
- Women with psychological, psychiatric, or other conditions which prevent giving fully informed consent (Post Traumatic Stress Disorder, severe depression, bipolar disorder, schizophrenia, severe anxiety and inability to cope)
- Patients with extensive disease whose therapy is deemed palliative by the medical oncologist
Sites / Locations
- University of Illinois Hospital & Health Sciences System - IVF Program in the Fertility Center
Arms of the Study
Arm 1
Experimental
Investigational Oocyte Cryopreservation
All subjects will undergo controlled ovarian hyperstimulation. They will be treated with variable dosages of injectable gonadotrophins over a period of 8 to 12 days. Response will be monitored using vaginal ultrasound and serum estradiol levels. When appropriate follicle maturation has been achieved, a single dose of human chorionic gonadotropin (hCG) will be administered to induce final oocyte maturation. Thirty-six hours after hCG administration, the subject will undergo standard transvaginal oocyte retrieval under ultrasound guidance. The procedure takes approximately 20 minutes and is carried out under conscious sedation with Fentanyl and Versed. The oocytes are immediately handed off to the embryology technicians in the IVF laboratory.