Legal aspects of fertility preservation in people with reproductive system cancers
The paper analyzes the assisted reproductive technology legislation, in accordance with which malignant neoplasms at any site are contraindications to the use of the basic assisted reproductive technology program. Nonetheless, numerous gynecological oncology studies prove the efficiency of organ-sparing treatments used to preserve reproductive function in young female patients. There is evidence for the need for the legislative consolidation of a possibility to use assisted reproductive technology techniques for the treatment of infertility in people with malignant tumors, provided that there is a positive decision of the Medical Commission chaired by an oncologist/gynecologist, as well as voluntary informed consent from the patient herself.Chernus N.Yu., Babayants E.V., Voitsitsky V.E., Krasilnikov S.E.
Keywords
assisted reproductive technology legislation
fertility preservation in cancer patients
use of assisted reproductive technologies
infertility treatment in cancer patients
childlessness prevention in cancer patients
References
1. Бахидзе Е.В. Фертильность, беременность и гинекологический рак: автореф. дисс. ... д-ра мед. наук. СПб.; 2002. [Bakhidze E.V. Fertility, pregnancy and gynecological cancer: autoref. diss. ... Dr. med. sciences. St. Petersburg; 2002. (in Russian)]
2. Боярский К.Ю., Гайдуков С.Н. Онкофертильность: возможность сохранения репродуктивной функции у онкологических больных. Вопросы онкологии. 2013; 59(5): 555-64. [Boyarsky K.Yu., Gaydukov S.N. Oncofertility: the possibility of preserving reproductive function in cancer patients. Voprosy onkologii. 2013; 59 (5): 555-64. (in Russian)]
3. Киселева М.В., Малинова И.В., Комарова Е.В., Котляров А.А., Петров В.А. Сохранение фертильности у онкологических пациентов репродуктивного возраста методом верификации овариальной ткани. В кн.: I Национальный конгресс «Онкология репродуктивных органов: от профилактики и раннего выявления к эффективному лечению». Москва 19-21 мая 2016г. М.; 2016: 88-9. [Kiseleva M.V., Malinova I.V., Komarova E.V., Kotlyarov A.A., Petrov V.A. Preservation of fertility in oncological patients of reproductive age by the method of verification of ovarian tissue. In the book: I National Congress “Oncology of Reproductive Bodies: from Prevention and Early Detection to Effective Treatment”. Moscow, May 19-21, 2016 Moscow; 2016: 88-9. (in Russian)]
4. Киселева М.В., Карпейкина М.М., Комарова Е.В., Малинова И.В., Денисов М.С., Чудаков К.В. Возможность восстановления овариальной функции у онкологических больных. Вестник РОНЦ им. Н.Н. Блохина РАМН. 2013; 24(3-4): 43-5. [Kiseleva MV, Karpeikina MM, Komarova EV, Malinova IV, Denisov MS, Chudakov K.V. The ability to restore ovarian function in cancer patients. Vestnik RONTS im. N.N. Blokhina RAMN. 2013; 24 (3-4): 43-5. (in Russian)]
5. Конвенция о правах ребенка. Одобрена Генеральной Ассамблеей ООН 20.11.1989. В кн.: Сборник международных договоров СССР. М.; 1993: вып.46. [Convention on the Rights of the Child. Approved by the UN General Assembly on 20.11.1989. In: Collection of International Treaties of the USSR. Moscow; 1993: issue 46. (in Russian)]
6. Приказ Минздрава России от 30.08.2012 № 107н «О порядке использования вспомогательных репродуктивных технологий, противопоказаниях и ограничениях к их применению». Available at: http://www.pravo.gov.ru - 07.07.2015 [Order of the Ministry of Health of Russia from 30.08.2012 № 107n “On the order of use of assisted reproductive technologies, contraindications and limitations to their use.” Available at: http://www.pravo.gov.ru - 07/07/2015. (in Russian)]
7. Пронин С.М., Новикова О.В. Сохранение фертильности при лечении начального рака эндометрия. В кн.: Пароконная А.А., ред. Рак и репродукция. М.: Галеон; 2012: 130-2. [Pronin S.M., Novikova O.V. Preservation of fertility in the treatment of initial endometrial cancer. In: Parokonnaya A.A., ed. Cancer and reproduction. Moscow: Galeon; 2012: 130-2. (in Russian)]
8. Семейный кодекс Российской Федерации от 29.12.1995 № 223-ФЗ. Available at: http://www.pravo.gov.ru, 01.05.2017 [Family Code of the Russian Federation of 29.12.1995 № 223-FZ. Available at: http://www.pravo.gov.ru, 05/01/2017 (in Russian)]
9. Указ Президента от 09 октября 2007 г. № 1351 «Об утверждении концепции демографической политики Российской Федерации на период до 2025 года». В кн.: Собрание законодательства РФ. 2007; №42: ст. 5009. [Decree of the President of October 9, 2007 No. 1351 “On the approval of the concept of the demographic policy of the Russian Federation for the period until 2025”. In: Collection of Legislation of the Russian Federation. 2007; №42: art. 5009. (in Russian)]
10. Федеральный закон от 21.11.2011 № 323-ФЗ «Об основах охраны здоровья граждан в Российской Федерации». Available at: http://www.pravo.gov.ru, 22.11.2011 [Federal Law of 21.11.2011 № 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation”. Available at: http://www.pravo.gov.ru, 11/22/2011 (in Russian)]
11. Федеральный закон от 15.11.1997 № 143-ФЗ «Об актах гражданского состояния». Available at: http://www.pravo.gov.ru, 18.06.2017 [Federal Law of 15.11.1997 No. 143-FZ “On acts of civil status.” Available at: http://www.pravo.gov.ru, 06/18/2017 (in Russian)]
12. Шарипова Н.Ю. Возможности сохранения репродуктивной функции у женщин, больных раком молочной железы: автореф. дисс. … канд. мед. наук. М.; 2013. [Sharipova N.Yu. Possibilities of preserving the reproductive function in women with breast cancer: the author’s abstract. diss. ... cand. med. sciences. Moscow; 2013. (in Russian)]
Received 22.01.2018
Accepted 02.03.2018
About the Authors
Chernus, Nadezhda Yu., Candidate of Law Science, Senior Researcher, Department of Sociological and Legal Studies, Institute of Philosophy and Law, SB RAS, Associate Professor, Chair of Civil Law, Institute of Philosophy and Law, Novosibirsk State University. 630090, Russia, Novosibirsk, Nikolaeva str, 8. E-mail: preiudicia@yandex.ruBabayants, Ekaterina V., Candidate of Medical Science, Novosibirsk Regional Oncology Center, Novosibirsk Region
Voititsky, Vladimir E., MD, Professor, Honored Doctor of the Russian Federation, Head of the Department of Oncology, Novosibirsk State Medical University; chief physician of the Novosibirsk Regional Oncology Center, Novosibirsk Region
Krasilnikov, Sergey E., MD, professor of the Department of Oncology, Novosibirsk State Medical University; head of the oncogynecology department of the Novosibirsk Regional Oncology Center, Novosibirsk Region
For citations: Chernus N.Yu., Babayants E.V., Voitsitsky V.E., Krasilnikov S.E. Legal aspects of fertility preservation in people with reproductive system cancers. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (9): 115-9. (in Russian)
https://dx.doi.org/10.18565/aig.2018.9.115-119
