Design: N/A

Setting: Advances in oncologic treatments have increased survival times of patients with malignancies thus resulting in a strong interest in fertility preservation for these patients. Treatments offered include GnRH agonist use prior to the commencement of chemotherapy, a method now considered insufficient by the ASRM¹; relocation of the ovaries outside of the pelvis in those undergoing radiotherapy, and ovarian stimulation followed by oocyte retrieval. Ovarian relocation only benefits those undergoing pelvic radiation; ovarian stimulation can result in treatment delays and is not an option for prepubertal girls. Ovarian tissue cryopreservation is thus a fast and safe approach that should be explored.

Patients or Participants: Patients being treated for malignancy who are needing an expedited way to preserve fertility and prevent delays in oncologic treatment

Interventions: We present our laparoscopic approach to ovarian biopsy in the context of ovarian tissue cryopreservation.

Measurements and Main Results: N/A

Conclusion: Over 130² live births have been reported in women completing ovarian cryopreservation. Accordingly, it should be offered to patients as it can be completed expeditiously, reducing delays in oncologic management; additionally, it can be offered to prepubertal girls. Ovarian cryopreservation remains underutilized however is a safe, efficient, and feasible form of fertility preservation.