A pretty remarkable advance

Cold Comfort: Young Women with Cancer Can Freeze an Ovary to Keep Kids in the Picture

Young women who have to undergo cancer treatment which might destroy their fertility will soon have this option:

Before starting cancer treatment, one walnut-size ovary is removed in a 30-minute, minimally invasive laparoscopic procedure. The tissue is then cut into pieces the size of rice grains and flash frozen in liquid nitrogen at temperatures nearing –200 degrees Celsius by a process called vitrification.

After the treatment regime is completed, should the survivor choose to become pregnant, the tissue is thawed and re-implanted onto the surface of the remaining ovary or the ligament next to the fallopian tube. Four months later—the time it takes for thawed primordial follicles (the functional units of the ovary) to mature and start ovulating—the survivor can conceive without hormones and in vitro fertilization, making the procedure a "natural" and effective way to preserve fertility in young women and girls with cancer, says Sherman Silber, director of Saint Luke's Hospital's Infertility Center of Saint Louis.