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Monday, 2 October, 2000, 00:18 GMT 01:18 UK
Fertility hope for cancer women
Menopause
Doctors are searching for ways of delaying menopause
Younger women likely to lose their fertility as a result of cancer treatment could be helped if a breakthrough produces a treatment.

Scientists have found a way of halting the process which causes chemotherapy to destroy female eggs stored in the ovaries.

In theory, it could mean that fertility could be preserved, and the devastating effects of premature menopause averted.

But cancer experts have warned that any treatment aimed at delaying the menopause in older women would be inadvisable.

And they add that the risk of birth defects in children born after chemotherapy must not be discounted.

The scientific breakthrough was reported by researchers in Boston and New York, and published in the journal Nature Medicine.

The eggs which must last a woman throughout her fertile life are already present in the ovaries at birth, albeit in a dormant, undeveloped state.

After puberty, some mature and are shed naturally through the monthly cycle, while many are "marked for destruction" by a process called cell apoptosis.

Chemotherapy attack

When the stock of these oocytes becomes exhausted, normally on average at the age of 50, then the menopause begins, and the ovaries stop their production of body chemicals called oestrogens, often causing pronounced and unpleasant health effects, and increasing the risk of heart disease and osteoporosis.

Chemotherapy
Chemotherapy can destroy human oocytes
Many chemotherapy treatments, and radiotherapy aimed at the pelvis, have the side-effect of accelerating this apoptosis, often propelling younger patients into premature menopause.

The scientists say they have found a way of interrupting the chemical sequence of events which leads to apoptosis of oocytes.

They managed to prevent the destruction of oocytes in female mice who were undergoing radiotherapy.

Now they are hopeful that the technique could one day be used to protect human oocytes against the ravages of cancer treatments.

However, other cancer specialists are not so sure that the technique could be without potential pitfalls.

A spokeswoman for the Cancer Research Campaign said that apoptosis was the body's way of dealing with cells - including oocytes - which had already sustained damage to their genetic makeup, preventing them reproducing in a mutated form.

She said: "The worry is that by stopping the apoptosis, you could go on to have children using damaged eggs, which might increase the risk of genetic defects."

The researchers said that offspring of their mice had so far shown no signs of this, although more research was needed to confirm safety.

The CRC spokeswoman added that such a treatment would have to be taken long-term to have any chance of holding back the menopause in older women.

She said that a delayed menopause might place women at greater peril of other health problems.

"We know that women who go through the menopause later are at higher risk of developing cancer," she said.

"So it might not be a very good idea to use it this way."

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See also:

23 Sep 99 | Medical notes
Ovary grafting
23 Sep 99 | Medical notes
Menopause
11 Jul 00 | Background Briefings
The future of fertility
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