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. 2012;34(1):48–53. doi: 10.5581/1516-8484.20120014

Table 2.

Treatment-related risk of infertility for patients with Hodgkin's lymphoma

Study n Disease Follow-up years End-point Treatment Results (%) Risks factors
Behringer et al.(10) 405 HL 3.2 Amenorrhea RT 6.3 Alkylating agent, age, disease stage, no oral contraception
ABVD 3.9
4 COPP/ABVD 37.5
8 BEACOPP 22.6
8 BEACOPP escalated 51.4
Decanter et al.(13) 30 HL and NHL 1 AMH dosage ABVD Normal decreased
Others including alkylating agents
Hodgson et al.(11) 36 HL 1 Parenthood ABVD Same as controls
Brusamolino et al.(14) 67 HL 10 Amenorrhea and parenthood ABVD Fertility preserved
Franchi-Rezgui et al.(15) 84 HL and NHL 8 Parenthood Many regimens with alkylating agents 37 preserved fertility Dose of alkylating, agent and age
Kiserud et al. (16) 91 HL 10 Parenthood Non-alkylating 55 Dose of alkylating agent and age
Alkylating (limited number of cycles) 21
High-dose chemotherapy and alkylating regimens > 4 cycles 27
De Bruin et al.(8) 518 HL 9.4 Premature menopause Radiotherapy, MOPP or MOPP/ABV ABVD/EBVP Highest associations of premature menopause with alkylating agents

Adapted from Harel at al.(4)

HL: Hodgkin's lymphoma; NHL: Non-Hodgkin lymphoma; ABVD: Doxorubicin, bleomycin, vinblastine, dacarbazine; COPP/ABVD: Cyclophosphamide, vincristine, procarbazine, prednisone/doxorubicin, bleomycin, vinblastine, dacarbazine; BEACOPP: Bleomycin, etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine, prednisolone; EBVP: Epirubicin, bleomycin, vinblastine, dacarbazine; AMH: Anti-Mullerian hormone; RT: Radiation therapy