AbstractFertility sparing in gynecological malignancies; what was impossible or the dream of yesterday, is the hope of today and the reality of tomorrow. Motherhood is dream of every woman. When engulfed by monster of cancer,it is saddest aspect of their life. The intuitive fertility sparing options are the sacred gifts for these shattered lives. Preservation of fertility has recently become a very important objective in gynecological oncology. Oncological advances with the paragons of objectivity, a clear decision-making process, adequate counseling about the future oncological and obstetrical risks and benefits, appropriate management, and careful follow-up within a multidisciplinary approach provides beam of hope to these women. Given the increases in 5-year cancer survival and recent advances in fertility preserving technologies, an increasing number of women with cancer are presenting for discussion of fertility preserving options [1]. This applies particularly for women who develop gynecological malignancy during their childbearing years where curative treatment also renders them infertile[2]. This study reviews the increasing role of fertility-sparing modalities in such women with cervical, endometrial and ovarian cancer. Fertility preserving methods have psychological, ethical and legal aspects that should be fully discussed.
Keywords: Fertility sparing; Cervical Cancer; Endometrial cancer; Ovarian cancer; Ethical issue.